Validation study of genetic associations with coronary artery disease on chromosome 3q13-21 and potential effect modification by smoking.

Journal Article (Journal Article)

The CATHGEN study reported associations of chromosome 3q13-21 genes (KALRN, MYLK, CDGAP, and GATA2) with early-onset coronary artery disease (CAD). This study attempted to independently validate those associations. Eleven single nucleotide polymorphisms (SNPs) were examined (rs10934490, rs16834817, rs6810298, rs9289231, rs12637456, rs1444768, rs1444754, rs4234218, rs2335052, rs3803, rs2713604) in patients (N = 1618) from the Intermountain Heart Collaborative Study (IHCS). Given the higher smoking prevalence in CATHGEN than IHCS (41% vs. 11% in controls, 74% vs. 29% in cases), smoking stratification and genotype-smoking interactions were evaluated. Suggestive association was found for GATA2 (rs2713604, p = 0.057, OR = 1.2). Among smokers, associations were found in CDGAP (rs10934490, p = 0.019, OR = 1.6) and KALRN (rs12637456, p = 0.011, OR = 2.0) and suggestive association was found in MYLK (rs16834871, p = 0.051, OR = 1.8, adjusting for gender). No SNP association was found among non-smokers, but smoking/SNP interactions were detected for CDGAP (rs10934491, p = 0.017) and KALRN (rs12637456, p = 0.010). Similar differences in SNP effects by smoking status were observed on re-analysis of CATHGEN. CAD associations were suggestive for GATA2 and among smokers significant post hoc associations were found in KALRN, MYLK, and CDGAP. Genetic risk conferred by some of these genes may be modified by smoking. Future CAD association studies of these and other genes should evaluate effect modification by smoking.

Full Text

Duke Authors

Cited Authors

  • Horne, BD; Hauser, ER; Wang, L; Muhlestein, JB; Anderson, JL; Carlquist, JF; Shah, SH; Kraus, WE

Published Date

  • November 2009

Published In

Volume / Issue

  • 73 / Pt 6

Start / End Page

  • 551 - 558

PubMed ID

  • 19706030

Pubmed Central ID

  • PMC2764812

Electronic International Standard Serial Number (EISSN)

  • 1469-1809

Digital Object Identifier (DOI)

  • 10.1111/j.1469-1809.2009.00540.x


  • eng

Conference Location

  • England