Antithrombin, Protein C, and Protein S: Genome and Transcriptome-Wide Association Studies Identify 7 Novel Loci Regulating Plasma Levels


Por: Ji, YK, Temprano-Sagrera, G, Holle, LA, Bebo, A, Brody, JA, Le, NQ, Kangro, K, Brown, MR, Martinez-Perez, A, Sitlani, CM, Suchon, P, Kleber, ME, Emmert, DB, Ozel, AB, Dobson, DA, Tang, WH, Llobet, D, Tracy, RP, Deleuze, JF, Delgado, GE, Gogele, M, Wiggins, KL, Souto, JC, Pankow, JS, Taylor, KD, Tregouet, DA, Moissl, AP, Fuchsberger, C, Rosendaal, FR, Morrison, AC, Soria, JM, Cushman, M, Morange, PE, Marz, W, Hicks, AA, Desch, KC, Johnson, AD, de Vries, PS, Wolberg, AS, Smith, NL, Sabater-Lleal, M, INVENT Consortium

Publicada: 1 jul 2023 Ahead of Print: 27 abr 2023
Resumen:
Background:Antithrombin, PC (protein C), and PS (protein S) are circulating natural anticoagulant proteins that regulate hemostasis and of which partial deficiencies are causes of venous thromboembolism. Previous genetic association studies involving antithrombin, PC, and PS were limited by modest sample sizes or by being restricted to candidate genes. In the setting of the Cohorts for Heart and Aging Research in Genomic Epidemiology consortium, we meta-analyzed across ancestries the results from 10 genome-wide association studies of plasma levels of antithrombin, PC, PS free, and PS total. Methods:Study participants were of European and African ancestries, and genotype data were imputed to TOPMed, a dense multiancestry reference panel. Each of the 10 studies conducted a genome-wide association studies for each phenotype and summary results were meta-analyzed, stratified by ancestry. Analysis of antithrombin included 25 243 European ancestry and 2688 African ancestry participants, PC analysis included 16 597 European ancestry and 2688 African ancestry participants, PSF and PST analysis included 4113 and 6409 European ancestry participants. We also conducted transcriptome-wide association analyses and multiphenotype analysis to discover additional associations. Novel genome-wide association studies and transcriptome-wide association analyses findings were validated by in vitro functional experiments. Mendelian randomization was performed to assess the causal relationship between these proteins and cardiovascular outcomes. Results:Genome-wide association studies meta-analyses identified 4 newly associated loci: 3 with antithrombin levels (GCKR, BAZ1B, and HP-TXNL4B) and 1 with PS levels (ORM1-ORM2). transcriptome-wide association analyses identified 3 newly associated genes: 1 with antithrombin level (FCGRT), 1 with PC (GOLM2), and 1 with PS (MYL7). In addition, we replicated 7 independent loci reported in previous studies. Functional experiments provided evidence for the involvement of GCKR, SNX17, and HP genes in antithrombin regulation. Conclusions:The use of larger sample sizes, diverse populations, and a denser imputation reference panel allowed the detection of 7 novel genomic loci associated with plasma antithrombin, PC, and PS levels.

Filiaciones:
Ji, YK:
 Univ Minnesota, Dept Med, Cardiovasc Div, Minneapolis, MN USA

Temprano-Sagrera, G:
 Inst Invest Biomed St Pau IIB St PAU, Unit Genom Complex Dis, Barcelona, Spain

Holle, LA:
 Univ North Carolina Chapel Hill, Dept Pathol & Lab Med, Chapel Hill, NC USA

 Univ North Carolina Chapel Hill, UNC Blood Res Ctr, Chapel Hill, NC USA

Bebo, A:
 Univ Texas Hlth Sci Ctr Houston, Human Genet Ctr, Sch Publ Hlth, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA

Brody, JA:
 Univ Washington, Dept Med, Seattle, WA USA

Le, NQ:
 Inst Invest Biomed St Pau IIB St PAU, Unit Genom Complex Dis, Barcelona, Spain

Kangro, K:
 Univ North Carolina Chapel Hill, Dept Pathol & Lab Med, Chapel Hill, NC USA

 Univ North Carolina Chapel Hill, UNC Blood Res Ctr, Chapel Hill, NC USA

Brown, MR:
 Univ Texas Hlth Sci Ctr Houston, Human Genet Ctr, Sch Publ Hlth, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA

Martinez-Perez, A:
 Inst Invest Biomed St Pau IIB St PAU, Unit Genom Complex Dis, Barcelona, Spain

Sitlani, CM:
 Univ Washington, Dept Med, Cardiovasc Hlth Res Unit, Seattle, WA USA

Suchon, P:
 Aix Marseille Univ, INSERM, INRAE, C2VN, Marseille, France

 La Timone Hosp, Lab Haematol, Marseille, France

Kleber, ME:
 Synlab MVZ Humangenet Mannheim, Mannheim, Germany

 Heidelberg Univ, Med Fac Mannheim, Dept Med 5, Heidelberg, Germany

Emmert, DB:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Ozel, AB:
 Univ Michigan, CS Mott Childrens Hosp, Dept Human Genet, Ann Arbor, MI USA

Dobson, DA:
 Univ North Carolina Chapel Hill, Dept Pathol & Lab Med, Chapel Hill, NC USA

 Univ North Carolina Chapel Hill, UNC Blood Res Ctr, Chapel Hill, NC USA

Tang, WH:
 Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA

Llobet, D:
 Hosp Santa Creu & Sant Pau, Unit Thrombosis & Hemostasis, Barcelona, Spain

Tracy, RP:
 Univ Vermont, Coll Med, Dept Pathol & Lab Med, Burlington, VT USA

Deleuze, JF:
 CEA, Ctr Natl Rech Genom Humaine, Fontenay Aux Roses, France

 Fdn Jean Dausset, Ctr Etud Polymorphisme Humain, Paris, France

 Lab Excellence Med Genom GenMed, Paris, France

Delgado, GE:
 Heidelberg Univ, Med Fac Mannheim, Dept Med 5, Heidelberg, Germany

Gogele, M:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Wiggins, KL:
 Univ Washington, Dept Med, Seattle, WA USA

Souto, JC:
 Inst Invest Biomed St Pau IIB St PAU, Unit Genom Complex Dis, Barcelona, Spain

 Hosp Santa Creu & Sant Pau, Unit Thrombosis & Hemostasis, Barcelona, Spain

Pankow, JS:
 Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA

Taylor, KD:
 Harbor UCLA Med Ctr, Lundquist Inst Biomed Innovat, Inst Translat Genom & Populat Sci, Dept Pediat, Torrance, CA USA

Tregouet, DA:
 Lab Excellence Med Genom GenMed, Paris, France

 Bordeaux Populat Hlth Res Ctr, INSERM, UMR 1219, Bordeaux, France

Moissl, AP:
 Heidelberg Univ, Med Fac Mannheim, Dept Med 5, Heidelberg, Germany

 Friedrich Schiller Univ Jena, Inst Nutr Sci, Jena, Germany

 Competence Cluster Nutr & Cardiovasc Hlth nutriCA, Jena, Germany

Fuchsberger, C:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Rosendaal, FR:
 Leiden Univ, Med Ctr, Dept Clin Epidemiol, Leiden, Netherlands

Morrison, AC:
 Univ Texas Hlth Sci Ctr Houston, Human Genet Ctr, Sch Publ Hlth, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA

Soria, JM:
 Inst Invest Biomed St Pau IIB St PAU, Unit Genom Complex Dis, Barcelona, Spain

Cushman, M:
 Univ Vermont, Larner Coll Med, Burlington, VT USA

Morange, PE:
 Aix Marseille Univ, INSERM, INRAE, C2VN, Marseille, France

 La Timone Hosp, Lab Haematol, Marseille, France

Marz, W:
 Heidelberg Univ, Med Fac Mannheim, Dept Med 5, Heidelberg, Germany

 Synlab Holding Deutschland GmbH, Synlab Acad, Augsburg, Germany

Hicks, AA:
 Univ Lubeck, Eurac Res, Inst Biomed, Bolzano, Italy

Desch, KC:
 Univ Michigan, CS Mott Childrens Hosp, Dept Pediat, Ann Arbor, MI USA

Johnson, AD:
 NHLBI, Div Intramural Res, Populat Sci Branch, Framingham Heart Study, Boston, MA USA

de Vries, PS:
 Univ Texas Hlth Sci Ctr Houston, Human Genet Ctr, Sch Publ Hlth, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA

Wolberg, AS:
 Univ North Carolina Chapel Hill, Dept Pathol & Lab Med, Chapel Hill, NC USA

 Univ North Carolina Chapel Hill, UNC Blood Res Ctr, Chapel Hill, NC USA

Smith, NL:
 Univ Washington, Dept Epidemiol, Seattle, WA USA

 Kaiser Permanente Washington Hlth Res Inst, Seattle, WA USA

 Dept Vet Affairs Off Res & Dev, Seattle Epidemiol Res & Informat Ctr, Seattle, WA USA

Sabater-Lleal, M:
 Inst Invest Biomed St Pau IIB St PAU, Unit Genom Complex Dis, Barcelona, Spain

 Karolinska Inst, Ctr Mol Med, Dept Med, Cardiovasc Med Unit, Stockholm, Sweden
ISSN: 10795642
Editorial
LIPPINCOTT WILLIAMS & WILKINS, TWO COMMERCE SQ, 2001 MARKET ST, PHILADELPHIA, PA 19103 USA, Estados Unidos America
Tipo de documento: Article
Volumen: 43 Número: 7
Páginas: 254-269
WOS Id: 001015009200003
ID de PubMed: 37128921
imagen Bronze, Green Submitted, All Open Access

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