Coronary Heart Disease in Systemic Lupus Erythematosus Is Associated With Interferon Regulatory Factor-8 Gene Variants

BACKGROUND—Patients with systemic lupus erythematosus have increased morbidity and mortality in coronary heart disease (CHD). We asked whether there was a genetic influence on CHD in systemic lupus erythematosus. METHODS AND RESULTS—The association between single-nucleotide polymorphisms (SNPs) and...

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Veröffentlicht in:Circulation. Cardiovascular genetics 2013-06, Vol.6 (3), p.255-263
Hauptverfasser: Leonard, Dag, Svenungsson, Elisabet, Sandling, Johanna K, Berggren, Olof, Jönsen, Andreas, Bengtsson, Christine, Wang, Chuan, Jensen-Urstad, Kerstin, Granstam, Sven-Olof, Bengtsson, Anders A, Gustafsson, Johanna T, Gunnarsson, Iva, Rantapää-Dahlqvist, Solbritt, Nordmark, Gunnel, Eloranta, Maija-Leena, Syvänen, Ann-Christine, Rönnblom, Lars
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container_end_page 263
container_issue 3
container_start_page 255
container_title Circulation. Cardiovascular genetics
container_volume 6
creator Leonard, Dag
Svenungsson, Elisabet
Sandling, Johanna K
Berggren, Olof
Jönsen, Andreas
Bengtsson, Christine
Wang, Chuan
Jensen-Urstad, Kerstin
Granstam, Sven-Olof
Bengtsson, Anders A
Gustafsson, Johanna T
Gunnarsson, Iva
Rantapää-Dahlqvist, Solbritt
Nordmark, Gunnel
Eloranta, Maija-Leena
Syvänen, Ann-Christine
Rönnblom, Lars
description BACKGROUND—Patients with systemic lupus erythematosus have increased morbidity and mortality in coronary heart disease (CHD). We asked whether there was a genetic influence on CHD in systemic lupus erythematosus. METHODS AND RESULTS—The association between single-nucleotide polymorphisms (SNPs) and CHD in 2 populations of patients with systemic lupus erythematosus was assessed. Patients were genotyped on a custom 12k Illumina Array. The allele frequencies were compared between patients with (n=66) and without (n=509) CHD. We found 61 SNPs with an association (P
doi_str_mv 10.1161/CIRCGENETICS.113.000044
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We asked whether there was a genetic influence on CHD in systemic lupus erythematosus. METHODS AND RESULTS—The association between single-nucleotide polymorphisms (SNPs) and CHD in 2 populations of patients with systemic lupus erythematosus was assessed. Patients were genotyped on a custom 12k Illumina Array. The allele frequencies were compared between patients with (n=66) and without (n=509) CHD. We found 61 SNPs with an association (P&lt;0.01) to CHD, with the strongest association for 3 SNPs located in the interferon regulatory factor-8 (IRF8) gene. Comparison of the allele frequencies of these 61 SNPs in patients with (n=27) and without (n=212) CHD in the second study population revealed that 2 SNPs, rs925994 and rs10514610 in IRF8 (linkage disequilibrium, r=0.84), were associated with CHD in both study populations. Meta-analysis of the SNP rs925994 gave an odds ratio of 3.6 (2.1–6.3), P value 1.9×10. The identified IRF8 allele remained as a risk factor for CHD after adjustment for traditional CHD risk factors. The IRF8 risk allele was associated with the presence of carotid plaques (P&lt;0.001) and increased intima-media thickness (P=0.01). By electrophoretic mobility shift assays, we show weaker binding of protein to the risk allele of the highly linked SNP rs11117415, and by flow cytometry, a reduced frequency of circulating B cells was detected in patients with the IRF8 risk allele. CONCLUSIONS—There is a considerable genetic component for CHD in systemic lupus erythematosus, with IRF8 as a strong susceptibility locus.</description><identifier>ISSN: 1942-325X</identifier><identifier>ISSN: 1942-3268</identifier><identifier>EISSN: 1942-3268</identifier><identifier>DOI: 10.1161/CIRCGENETICS.113.000044</identifier><identifier>PMID: 23661672</identifier><language>eng</language><publisher>United States: American Heart Association, Inc</publisher><subject>Adult ; Aged ; cardiovascular disease ; carotid intima-media thickness ; Clinical Medicine ; coronary ; coronary disease ; Coronary Disease - genetics ; disease ; European Continental Ancestry Group - genetics ; Female ; genes ; Genetic Predisposition to Disease ; Genetic Variation ; Humans ; interferon regulatory factor-8 ; Interferon Regulatory Factors - genetics ; Klinisk medicin ; lupus erythematosus ; Lupus Erythematosus, Systemic - genetics ; Male ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Middle Aged ; Molecular Medicine ; Molekylär medicin ; myocardial ischemia ; Polymorphism, Single Nucleotide ; Reumatologi och inflammation ; Rheumatology and Autoimmunity ; Sweden ; systemic ; Young Adult</subject><ispartof>Circulation. 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Cardiovascular genetics</title><addtitle>Circ Cardiovasc Genet</addtitle><description>BACKGROUND—Patients with systemic lupus erythematosus have increased morbidity and mortality in coronary heart disease (CHD). We asked whether there was a genetic influence on CHD in systemic lupus erythematosus. METHODS AND RESULTS—The association between single-nucleotide polymorphisms (SNPs) and CHD in 2 populations of patients with systemic lupus erythematosus was assessed. Patients were genotyped on a custom 12k Illumina Array. The allele frequencies were compared between patients with (n=66) and without (n=509) CHD. We found 61 SNPs with an association (P&lt;0.01) to CHD, with the strongest association for 3 SNPs located in the interferon regulatory factor-8 (IRF8) gene. Comparison of the allele frequencies of these 61 SNPs in patients with (n=27) and without (n=212) CHD in the second study population revealed that 2 SNPs, rs925994 and rs10514610 in IRF8 (linkage disequilibrium, r=0.84), were associated with CHD in both study populations. Meta-analysis of the SNP rs925994 gave an odds ratio of 3.6 (2.1–6.3), P value 1.9×10. The identified IRF8 allele remained as a risk factor for CHD after adjustment for traditional CHD risk factors. The IRF8 risk allele was associated with the presence of carotid plaques (P&lt;0.001) and increased intima-media thickness (P=0.01). By electrophoretic mobility shift assays, we show weaker binding of protein to the risk allele of the highly linked SNP rs11117415, and by flow cytometry, a reduced frequency of circulating B cells was detected in patients with the IRF8 risk allele. CONCLUSIONS—There is a considerable genetic component for CHD in systemic lupus erythematosus, with IRF8 as a strong susceptibility locus.</description><subject>Adult</subject><subject>Aged</subject><subject>cardiovascular disease</subject><subject>carotid intima-media thickness</subject><subject>Clinical Medicine</subject><subject>coronary</subject><subject>coronary disease</subject><subject>Coronary Disease - genetics</subject><subject>disease</subject><subject>European Continental Ancestry Group - genetics</subject><subject>Female</subject><subject>genes</subject><subject>Genetic Predisposition to Disease</subject><subject>Genetic Variation</subject><subject>Humans</subject><subject>interferon regulatory factor-8</subject><subject>Interferon Regulatory Factors - genetics</subject><subject>Klinisk medicin</subject><subject>lupus erythematosus</subject><subject>Lupus Erythematosus, Systemic - genetics</subject><subject>Male</subject><subject>Medical and Health Sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Molekylär medicin</subject><subject>myocardial ischemia</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Reumatologi och inflammation</subject><subject>Rheumatology and Autoimmunity</subject><subject>Sweden</subject><subject>systemic</subject><subject>Young Adult</subject><issn>1942-325X</issn><issn>1942-3268</issn><issn>1942-3268</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktvEzEUhUcIREvgL8AsWTDF78eymqZppAikthR2lsdz0wydRxjPEOXfc6OkgU0kLFm-vvrOsWyfJPlAyQWlin7O57f5bPplej_P77DDLwgOIV4k59QKlnGmzMtjLX-cJW9i_EmIEpyr18kZ40pRpdl58jvv-q71_Ta9Ad8P6VUVwUdIqza928YBmiqki3E9xnTab4cVNH7oIu7mMb2MsQuVH6BMv1fDKp23A_RLQLv0Fh7HGkm0vfYB18ykM2ghffB95dshvk1eLX0d4d1hnSTfrqf3-U22-Dqb55eLLChuZGZDaYATL8AGJblkJVO8JAGC16a0BkrOdcGMoKXQsDTSqsKUPJRaSK6N4pMk2_vGDazHwq37qsHLus5X7tB6wgqcZFZyi7w9ya_7rvwrehZSfGqNWoLaxUltPa5xFjh3GuuNFEsuXaEL7wQY7YrCSqeJD5oza8pCoN2nk3ZX1cOl6_pHN46OESao_E-8GZ02Vu3wj3scb_VrhDi4pooB6tq30I3RUa4JZcxiYCaJ3qOh72LsYXn0psTt0uj-TSN2uNunEZXvD4eMRQPlUfccPwTEHth0NYYnPtXjBnq3Al8PK0co_q6wOmNYEYWe2c5Y8j_k6u6J</recordid><startdate>201306</startdate><enddate>201306</enddate><creator>Leonard, Dag</creator><creator>Svenungsson, Elisabet</creator><creator>Sandling, Johanna K</creator><creator>Berggren, Olof</creator><creator>Jönsen, Andreas</creator><creator>Bengtsson, Christine</creator><creator>Wang, Chuan</creator><creator>Jensen-Urstad, Kerstin</creator><creator>Granstam, Sven-Olof</creator><creator>Bengtsson, Anders A</creator><creator>Gustafsson, Johanna T</creator><creator>Gunnarsson, Iva</creator><creator>Rantapää-Dahlqvist, Solbritt</creator><creator>Nordmark, Gunnel</creator><creator>Eloranta, Maija-Leena</creator><creator>Syvänen, Ann-Christine</creator><creator>Rönnblom, Lars</creator><general>American Heart Association, Inc</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>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D93</scope><scope>DF2</scope><scope>D95</scope></search><sort><creationdate>201306</creationdate><title>Coronary Heart Disease in Systemic Lupus Erythematosus Is Associated With Interferon Regulatory Factor-8 Gene Variants</title><author>Leonard, Dag ; Svenungsson, Elisabet ; Sandling, Johanna K ; Berggren, Olof ; Jönsen, Andreas ; Bengtsson, Christine ; Wang, Chuan ; Jensen-Urstad, Kerstin ; Granstam, Sven-Olof ; Bengtsson, Anders A ; Gustafsson, Johanna T ; Gunnarsson, Iva ; Rantapää-Dahlqvist, Solbritt ; Nordmark, Gunnel ; Eloranta, Maija-Leena ; Syvänen, Ann-Christine ; Rönnblom, Lars</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6385-9cd8e30a4e9c65352d263d0ceca78d98ed337b2841d47ef8596b8d3cd74537863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>cardiovascular disease</topic><topic>carotid intima-media thickness</topic><topic>Clinical Medicine</topic><topic>coronary</topic><topic>coronary disease</topic><topic>Coronary Disease - genetics</topic><topic>disease</topic><topic>European Continental Ancestry Group - genetics</topic><topic>Female</topic><topic>genes</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetic Variation</topic><topic>Humans</topic><topic>interferon regulatory factor-8</topic><topic>Interferon Regulatory Factors - genetics</topic><topic>Klinisk medicin</topic><topic>lupus erythematosus</topic><topic>Lupus Erythematosus, Systemic - genetics</topic><topic>Male</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Molecular Medicine</topic><topic>Molekylär medicin</topic><topic>myocardial ischemia</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Reumatologi och inflammation</topic><topic>Rheumatology and Autoimmunity</topic><topic>Sweden</topic><topic>systemic</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leonard, Dag</creatorcontrib><creatorcontrib>Svenungsson, Elisabet</creatorcontrib><creatorcontrib>Sandling, Johanna K</creatorcontrib><creatorcontrib>Berggren, Olof</creatorcontrib><creatorcontrib>Jönsen, Andreas</creatorcontrib><creatorcontrib>Bengtsson, Christine</creatorcontrib><creatorcontrib>Wang, Chuan</creatorcontrib><creatorcontrib>Jensen-Urstad, Kerstin</creatorcontrib><creatorcontrib>Granstam, Sven-Olof</creatorcontrib><creatorcontrib>Bengtsson, Anders A</creatorcontrib><creatorcontrib>Gustafsson, Johanna T</creatorcontrib><creatorcontrib>Gunnarsson, Iva</creatorcontrib><creatorcontrib>Rantapää-Dahlqvist, Solbritt</creatorcontrib><creatorcontrib>Nordmark, Gunnel</creatorcontrib><creatorcontrib>Eloranta, Maija-Leena</creatorcontrib><creatorcontrib>Syvänen, Ann-Christine</creatorcontrib><creatorcontrib>Rönnblom, Lars</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Umeå universitet</collection><collection>SWEPUB Uppsala universitet</collection><collection>SWEPUB Lunds universitet</collection><jtitle>Circulation. Cardiovascular genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leonard, Dag</au><au>Svenungsson, Elisabet</au><au>Sandling, Johanna K</au><au>Berggren, Olof</au><au>Jönsen, Andreas</au><au>Bengtsson, Christine</au><au>Wang, Chuan</au><au>Jensen-Urstad, Kerstin</au><au>Granstam, Sven-Olof</au><au>Bengtsson, Anders A</au><au>Gustafsson, Johanna T</au><au>Gunnarsson, Iva</au><au>Rantapää-Dahlqvist, Solbritt</au><au>Nordmark, Gunnel</au><au>Eloranta, Maija-Leena</au><au>Syvänen, Ann-Christine</au><au>Rönnblom, Lars</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary Heart Disease in Systemic Lupus Erythematosus Is Associated With Interferon Regulatory Factor-8 Gene Variants</atitle><jtitle>Circulation. Cardiovascular genetics</jtitle><addtitle>Circ Cardiovasc Genet</addtitle><date>2013-06</date><risdate>2013</risdate><volume>6</volume><issue>3</issue><spage>255</spage><epage>263</epage><pages>255-263</pages><issn>1942-325X</issn><issn>1942-3268</issn><eissn>1942-3268</eissn><abstract>BACKGROUND—Patients with systemic lupus erythematosus have increased morbidity and mortality in coronary heart disease (CHD). We asked whether there was a genetic influence on CHD in systemic lupus erythematosus. METHODS AND RESULTS—The association between single-nucleotide polymorphisms (SNPs) and CHD in 2 populations of patients with systemic lupus erythematosus was assessed. Patients were genotyped on a custom 12k Illumina Array. The allele frequencies were compared between patients with (n=66) and without (n=509) CHD. We found 61 SNPs with an association (P&lt;0.01) to CHD, with the strongest association for 3 SNPs located in the interferon regulatory factor-8 (IRF8) gene. 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CONCLUSIONS—There is a considerable genetic component for CHD in systemic lupus erythematosus, with IRF8 as a strong susceptibility locus.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>23661672</pmid><doi>10.1161/CIRCGENETICS.113.000044</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals
subjects Adult
Aged
cardiovascular disease
carotid intima-media thickness
Clinical Medicine
coronary
coronary disease
Coronary Disease - genetics
disease
European Continental Ancestry Group - genetics
Female
genes
Genetic Predisposition to Disease
Genetic Variation
Humans
interferon regulatory factor-8
Interferon Regulatory Factors - genetics
Klinisk medicin
lupus erythematosus
Lupus Erythematosus, Systemic - genetics
Male
Medical and Health Sciences
Medicin och hälsovetenskap
Middle Aged
Molecular Medicine
Molekylär medicin
myocardial ischemia
Polymorphism, Single Nucleotide
Reumatologi och inflammation
Rheumatology and Autoimmunity
Sweden
systemic
Young Adult
title Coronary Heart Disease in Systemic Lupus Erythematosus Is Associated With Interferon Regulatory Factor-8 Gene Variants
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