A common missense variant in the ATP receptor P2X7 is associated with reduced risk of cardiovascular events

Extracellular adenosine triphosphate (ATP) regulates inflammatory cells by activation of the P2X(7) receptor. We hypothesized that polymorphisms in P2RX7 influence the risk of ischemic heart disease (IHD), ischemic stroke (IS) and cardiovascular risk factors and tested this hypothesis using genetic...

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Veröffentlicht in:PloS one 2012-05, Vol.7 (5), p.e37491-e37491
Hauptverfasser: Gidlöf, Olof, Smith, J Gustav, Melander, Olle, Lövkvist, Håkan, Hedblad, Bo, Engström, Gunnar, Nilsson, Peter, Carlson, Joyce, Berglund, Göran, Olsson, Sandra, Jood, Katarina, Jern, Christina, Norrving, Bo, Lindgren, Arne, Erlinge, David
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container_issue 5
container_start_page e37491
container_title PloS one
container_volume 7
creator Gidlöf, Olof
Smith, J Gustav
Melander, Olle
Lövkvist, Håkan
Hedblad, Bo
Engström, Gunnar
Nilsson, Peter
Carlson, Joyce
Berglund, Göran
Olsson, Sandra
Jood, Katarina
Jern, Christina
Norrving, Bo
Lindgren, Arne
Erlinge, David
description Extracellular adenosine triphosphate (ATP) regulates inflammatory cells by activation of the P2X(7) receptor. We hypothesized that polymorphisms in P2RX7 influence the risk of ischemic heart disease (IHD), ischemic stroke (IS) and cardiovascular risk factors and tested this hypothesis using genetic association studies. Two loss-of-function SNPs in P2RX7 were genotyped in 1244 IHD cases and 2488 controls as well as 5969 individuals with cardiovascular risk factors. Eleven SNPs in a 250 kb region on chromosome 12 spanning P2RX7 as well as neighboring genes OASL, P2RX4 and CAMKK2 were genotyped in 4138 individuals with IS and 2528 controls. Association was examined using linear and logistic regression models with an additive genetic model. The common loss-of-function variant rs3751143 was significantly associated with a decreased risk of IHD in smokers (P = 0.03) as well as decreased risk of IS (OR 0.89; 95% CI = 0.81-0.97; P = 0.012). In addition, an intronic SNP in CAMKK2, rs2686342, were associated with a decreased risk of IS (OR 0.89; 95% CI = 0.82-0.97; P = 0.011). In subgroup analyses, both SNPs were associated with decreased risk of IS in individuals with hypertension (P = 0.045 and 0.015, respectively). A common loss-of-function missense variant in the gene encoding the P2X(7) receptor is associated with reduced risk of IS and with IHD in smokers. These findings might implicate a role of purinergic signaling in atherogenesis or atherothrombosis.
doi_str_mv 10.1371/journal.pone.0037491
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We hypothesized that polymorphisms in P2RX7 influence the risk of ischemic heart disease (IHD), ischemic stroke (IS) and cardiovascular risk factors and tested this hypothesis using genetic association studies. Two loss-of-function SNPs in P2RX7 were genotyped in 1244 IHD cases and 2488 controls as well as 5969 individuals with cardiovascular risk factors. Eleven SNPs in a 250 kb region on chromosome 12 spanning P2RX7 as well as neighboring genes OASL, P2RX4 and CAMKK2 were genotyped in 4138 individuals with IS and 2528 controls. Association was examined using linear and logistic regression models with an additive genetic model. The common loss-of-function variant rs3751143 was significantly associated with a decreased risk of IHD in smokers (P = 0.03) as well as decreased risk of IS (OR 0.89; 95% CI = 0.81-0.97; P = 0.012). In addition, an intronic SNP in CAMKK2, rs2686342, were associated with a decreased risk of IS (OR 0.89; 95% CI = 0.82-0.97; P = 0.011). In subgroup analyses, both SNPs were associated with decreased risk of IS in individuals with hypertension (P = 0.045 and 0.015, respectively). A common loss-of-function missense variant in the gene encoding the P2X(7) receptor is associated with reduced risk of IS and with IHD in smokers. These findings might implicate a role of purinergic signaling in atherogenesis or atherothrombosis.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0037491</identifier><identifier>PMID: 22662160</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adenosine triphosphate ; Adenosine Triphosphate - metabolism ; Aged ; Aged, 80 and over ; Atherogenesis ; atherosclerosis ; ATP ; ATP (Adenosine triphosphate) ; Biology ; Biomarkers ; blood-pressure ; Cardiac and Cardiovascular Systems ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - genetics ; Chromosome 12 ; Clinical Medicine ; Coronary artery disease ; Cytokines ; Diabetes ; disease ; Female ; gain-of-function ; Gene Frequency ; Gene Order ; Genes ; Genetic aspects ; genetic association ; Genetic Predisposition to Disease ; Genotype ; Haplotypes ; Health risks ; Heart ; Heart diseases ; human p2x receptor ; Humans ; Hypertension ; Inflammation ; Ischemia ; ischemic-stroke ; Kardiologi ; Kinases ; Klinisk medicin ; Linkage Disequilibrium ; Lymphocytes ; Male ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Medicine ; Middle Aged ; Multiple sclerosis ; Muscle proteins ; Mutation, Missense ; Neurosciences ; Physiology ; Polymorphism ; Polymorphism, Single Nucleotide ; Proteins ; Quality Control ; Receptors, Purinergic P2X7 - genetics ; Receptors, Purinergic P2X7 - metabolism ; Regression analysis ; Regression models ; Rehabilitation ; Risk ; Risk analysis ; Risk factors ; Signaling ; Single-nucleotide polymorphism ; Stroke ; Studies ; susceptibility ; Thrombosis ; Toxoplasma gondii ; Ultrasonic imaging</subject><ispartof>PloS one, 2012-05, Vol.7 (5), p.e37491-e37491</ispartof><rights>COPYRIGHT 2012 Public Library of Science</rights><rights>2012 Gidlöf et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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We hypothesized that polymorphisms in P2RX7 influence the risk of ischemic heart disease (IHD), ischemic stroke (IS) and cardiovascular risk factors and tested this hypothesis using genetic association studies. Two loss-of-function SNPs in P2RX7 were genotyped in 1244 IHD cases and 2488 controls as well as 5969 individuals with cardiovascular risk factors. Eleven SNPs in a 250 kb region on chromosome 12 spanning P2RX7 as well as neighboring genes OASL, P2RX4 and CAMKK2 were genotyped in 4138 individuals with IS and 2528 controls. Association was examined using linear and logistic regression models with an additive genetic model. The common loss-of-function variant rs3751143 was significantly associated with a decreased risk of IHD in smokers (P = 0.03) as well as decreased risk of IS (OR 0.89; 95% CI = 0.81-0.97; P = 0.012). In addition, an intronic SNP in CAMKK2, rs2686342, were associated with a decreased risk of IS (OR 0.89; 95% CI = 0.82-0.97; P = 0.011). In subgroup analyses, both SNPs were associated with decreased risk of IS in individuals with hypertension (P = 0.045 and 0.015, respectively). A common loss-of-function missense variant in the gene encoding the P2X(7) receptor is associated with reduced risk of IS and with IHD in smokers. These findings might implicate a role of purinergic signaling in atherogenesis or atherothrombosis.</description><subject>Adenosine triphosphate</subject><subject>Adenosine Triphosphate - metabolism</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Atherogenesis</subject><subject>atherosclerosis</subject><subject>ATP</subject><subject>ATP (Adenosine triphosphate)</subject><subject>Biology</subject><subject>Biomarkers</subject><subject>blood-pressure</subject><subject>Cardiac and Cardiovascular Systems</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - genetics</subject><subject>Chromosome 12</subject><subject>Clinical Medicine</subject><subject>Coronary artery disease</subject><subject>Cytokines</subject><subject>Diabetes</subject><subject>disease</subject><subject>Female</subject><subject>gain-of-function</subject><subject>Gene Frequency</subject><subject>Gene Order</subject><subject>Genes</subject><subject>Genetic aspects</subject><subject>genetic association</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype</subject><subject>Haplotypes</subject><subject>Health risks</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>human p2x receptor</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Inflammation</subject><subject>Ischemia</subject><subject>ischemic-stroke</subject><subject>Kardiologi</subject><subject>Kinases</subject><subject>Klinisk medicin</subject><subject>Linkage Disequilibrium</subject><subject>Lymphocytes</subject><subject>Male</subject><subject>Medical and Health Sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicine</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Muscle proteins</subject><subject>Mutation, Missense</subject><subject>Neurosciences</subject><subject>Physiology</subject><subject>Polymorphism</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Proteins</subject><subject>Quality Control</subject><subject>Receptors, Purinergic P2X7 - genetics</subject><subject>Receptors, Purinergic P2X7 - metabolism</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Rehabilitation</subject><subject>Risk</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Signaling</subject><subject>Single-nucleotide polymorphism</subject><subject>Stroke</subject><subject>Studies</subject><subject>susceptibility</subject><subject>Thrombosis</subject><subject>Toxoplasma gondii</subject><subject>Ultrasonic imaging</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>D8T</sourceid><sourceid>DOA</sourceid><recordid>eNqNk11rFDEYhQdRbK3-A9GAIHqxaz5m8nEjLMWPQqFFq3gXMklmN-3sZE1mtvrvfbe7LTtSQYYwyTvPOWFO8hbFc4KnhAny7jIOqTPtdBU7P8WYiVKRB8UhUYxOOMXs4d78oHiS8yXGFZOcPy4OKOWcEo4Pi6sZsnG5jB1ahpx9lz1amxRM16PQoX7h0eziHCVv_aqPCZ3THwKFjEzO0QbTe4euQ78AwA0WFinkKxQbZE1yIa5NtkNrEvJr3_X5afGoMW32z3bvo-Lbxw8Xx58np2efTo5npxMrlOonrKZEkkpQK7EVQirpTMOrinLRyNpxJqmRWNbC1p41nDaqZEbUVVkpCIFadlS83Pqu2pj1LqesCaMVJrRiFRAnW8JFc6lXKSxN-q2jCfqmENNcm9QH23otrHBKMEpq40rYVArHCPeNkr42ljnwOt165Wu_GuqRWzusYNQwdPa6tLTkilJNbKlgJZ2uK2a1ssI2TDVEcQl2k3_azcEOSvMbNzg-VZXAv9_97FAvvbMQdDLtSDb-0oWFnse1ZoxjITgYvNkZpPhz8LnXcBOsb1vT-ThAbJhIzigkAOirv9D7w91RcwP5ha6JsK_dmOpZKQQuiSAMqOk9FDzOL4OFO90EqI8Eb0cCYHr_q5-bIWd98vXL_7Nn38fs6z124U3bL3Jshz7ELo_BcgvaFHNOvrkLmWC9acnbNPSmJfWuJUH2Yv-A7kS3Pcj-AGteL9Y</recordid><startdate>20120525</startdate><enddate>20120525</enddate><creator>Gidlöf, Olof</creator><creator>Smith, J Gustav</creator><creator>Melander, Olle</creator><creator>Lövkvist, Håkan</creator><creator>Hedblad, Bo</creator><creator>Engström, Gunnar</creator><creator>Nilsson, Peter</creator><creator>Carlson, Joyce</creator><creator>Berglund, Göran</creator><creator>Olsson, Sandra</creator><creator>Jood, Katarina</creator><creator>Jern, Christina</creator><creator>Norrving, Bo</creator><creator>Lindgren, Arne</creator><creator>Erlinge, David</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>F1U</scope><scope>AGCHP</scope><scope>D8T</scope><scope>D95</scope><scope>ZZAVC</scope><scope>DOA</scope></search><sort><creationdate>20120525</creationdate><title>A common missense variant in the ATP receptor P2X7 is associated with reduced risk of cardiovascular events</title><author>Gidlöf, Olof ; Smith, J Gustav ; Melander, Olle ; Lövkvist, Håkan ; Hedblad, Bo ; Engström, Gunnar ; Nilsson, Peter ; Carlson, Joyce ; Berglund, Göran ; Olsson, Sandra ; Jood, Katarina ; Jern, Christina ; Norrving, Bo ; Lindgren, Arne ; Erlinge, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c799t-3b2181572c80c77898daf655267f8bd6382a808b7cbe3f62f943a7b54593742c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adenosine triphosphate</topic><topic>Adenosine Triphosphate - metabolism</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Atherogenesis</topic><topic>atherosclerosis</topic><topic>ATP</topic><topic>ATP (Adenosine triphosphate)</topic><topic>Biology</topic><topic>Biomarkers</topic><topic>blood-pressure</topic><topic>Cardiac and Cardiovascular Systems</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - genetics</topic><topic>Chromosome 12</topic><topic>Clinical Medicine</topic><topic>Coronary artery disease</topic><topic>Cytokines</topic><topic>Diabetes</topic><topic>disease</topic><topic>Female</topic><topic>gain-of-function</topic><topic>Gene Frequency</topic><topic>Gene Order</topic><topic>Genes</topic><topic>Genetic aspects</topic><topic>genetic association</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotype</topic><topic>Haplotypes</topic><topic>Health risks</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>human p2x receptor</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Inflammation</topic><topic>Ischemia</topic><topic>ischemic-stroke</topic><topic>Kardiologi</topic><topic>Kinases</topic><topic>Klinisk medicin</topic><topic>Linkage Disequilibrium</topic><topic>Lymphocytes</topic><topic>Male</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicine</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Muscle proteins</topic><topic>Mutation, Missense</topic><topic>Neurosciences</topic><topic>Physiology</topic><topic>Polymorphism</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Proteins</topic><topic>Quality Control</topic><topic>Receptors, Purinergic P2X7 - genetics</topic><topic>Receptors, Purinergic P2X7 - metabolism</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Rehabilitation</topic><topic>Risk</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Signaling</topic><topic>Single-nucleotide polymorphism</topic><topic>Stroke</topic><topic>Studies</topic><topic>susceptibility</topic><topic>Thrombosis</topic><topic>Toxoplasma gondii</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gidlöf, Olof</creatorcontrib><creatorcontrib>Smith, J Gustav</creatorcontrib><creatorcontrib>Melander, Olle</creatorcontrib><creatorcontrib>Lövkvist, Håkan</creatorcontrib><creatorcontrib>Hedblad, Bo</creatorcontrib><creatorcontrib>Engström, Gunnar</creatorcontrib><creatorcontrib>Nilsson, Peter</creatorcontrib><creatorcontrib>Carlson, Joyce</creatorcontrib><creatorcontrib>Berglund, Göran</creatorcontrib><creatorcontrib>Olsson, Sandra</creatorcontrib><creatorcontrib>Jood, Katarina</creatorcontrib><creatorcontrib>Jern, Christina</creatorcontrib><creatorcontrib>Norrving, Bo</creatorcontrib><creatorcontrib>Lindgren, Arne</creatorcontrib><creatorcontrib>Erlinge, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Lunds universitet full text</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Lunds universitet</collection><collection>SwePub Articles full text</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gidlöf, Olof</au><au>Smith, J Gustav</au><au>Melander, Olle</au><au>Lövkvist, Håkan</au><au>Hedblad, Bo</au><au>Engström, Gunnar</au><au>Nilsson, Peter</au><au>Carlson, Joyce</au><au>Berglund, Göran</au><au>Olsson, Sandra</au><au>Jood, Katarina</au><au>Jern, Christina</au><au>Norrving, Bo</au><au>Lindgren, Arne</au><au>Erlinge, David</au><au>Zhang, Weili</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A common missense variant in the ATP receptor P2X7 is associated with reduced risk of cardiovascular events</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2012-05-25</date><risdate>2012</risdate><volume>7</volume><issue>5</issue><spage>e37491</spage><epage>e37491</epage><pages>e37491-e37491</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Extracellular adenosine triphosphate (ATP) regulates inflammatory cells by activation of the P2X(7) receptor. We hypothesized that polymorphisms in P2RX7 influence the risk of ischemic heart disease (IHD), ischemic stroke (IS) and cardiovascular risk factors and tested this hypothesis using genetic association studies. Two loss-of-function SNPs in P2RX7 were genotyped in 1244 IHD cases and 2488 controls as well as 5969 individuals with cardiovascular risk factors. Eleven SNPs in a 250 kb region on chromosome 12 spanning P2RX7 as well as neighboring genes OASL, P2RX4 and CAMKK2 were genotyped in 4138 individuals with IS and 2528 controls. Association was examined using linear and logistic regression models with an additive genetic model. The common loss-of-function variant rs3751143 was significantly associated with a decreased risk of IHD in smokers (P = 0.03) as well as decreased risk of IS (OR 0.89; 95% CI = 0.81-0.97; P = 0.012). In addition, an intronic SNP in CAMKK2, rs2686342, were associated with a decreased risk of IS (OR 0.89; 95% CI = 0.82-0.97; P = 0.011). In subgroup analyses, both SNPs were associated with decreased risk of IS in individuals with hypertension (P = 0.045 and 0.015, respectively). A common loss-of-function missense variant in the gene encoding the P2X(7) receptor is associated with reduced risk of IS and with IHD in smokers. These findings might implicate a role of purinergic signaling in atherogenesis or atherothrombosis.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>22662160</pmid><doi>10.1371/journal.pone.0037491</doi><tpages>e37491</tpages><oa>free_for_read</oa></addata></record>
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subjects Adenosine triphosphate
Adenosine Triphosphate - metabolism
Aged
Aged, 80 and over
Atherogenesis
atherosclerosis
ATP
ATP (Adenosine triphosphate)
Biology
Biomarkers
blood-pressure
Cardiac and Cardiovascular Systems
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - genetics
Chromosome 12
Clinical Medicine
Coronary artery disease
Cytokines
Diabetes
disease
Female
gain-of-function
Gene Frequency
Gene Order
Genes
Genetic aspects
genetic association
Genetic Predisposition to Disease
Genotype
Haplotypes
Health risks
Heart
Heart diseases
human p2x receptor
Humans
Hypertension
Inflammation
Ischemia
ischemic-stroke
Kardiologi
Kinases
Klinisk medicin
Linkage Disequilibrium
Lymphocytes
Male
Medical and Health Sciences
Medicin och hälsovetenskap
Medicine
Middle Aged
Multiple sclerosis
Muscle proteins
Mutation, Missense
Neurosciences
Physiology
Polymorphism
Polymorphism, Single Nucleotide
Proteins
Quality Control
Receptors, Purinergic P2X7 - genetics
Receptors, Purinergic P2X7 - metabolism
Regression analysis
Regression models
Rehabilitation
Risk
Risk analysis
Risk factors
Signaling
Single-nucleotide polymorphism
Stroke
Studies
susceptibility
Thrombosis
Toxoplasma gondii
Ultrasonic imaging
title A common missense variant in the ATP receptor P2X7 is associated with reduced risk of cardiovascular events
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