Abstract

Lipoprotein-associated phospholipase A2 (Lp-PLA2) is an emerging risk factor and therapeutic target for cardiovascular disease. The activity and mass of this enzyme are heritable traits, but major genetic determinants have not been explored in a systematic, genome-wide fashion. We carried out a genome-wide association study of Lp-PLA2 activity and mass in 6,668 Caucasian subjects from the population-based Framingham Heart Study. Clinical data and genotypes from the Affymetrix 550K SNP array were obtained from the open-access Framingham SHARe project. Each polymorphism that passed quality control was tested for associations with Lp-PLA2 activity and mass using linear mixed models implemented in the R statistical package, accounting for familial correlations, and controlling for age, sex, smoking, lipid-lowering-medication use, and cohort. For Lp-PLA2 activity, polymorphisms at four independent loci reached genome-wide significance, including the APOE/APOC1 region on chromosome 19 (p = 6×10−24); CELSR2/PSRC1 on chromosome 1 (p = 3×10−15); SCARB1 on chromosome 12 (p = 1×10−8) and ZNF259/BUD13 in the APOA5/APOA1 gene region on chromosome 11 (p = 4×10−8). All of these remained significant after accounting for associations with LDL cholesterol, HDL cholesterol, or triglycerides. For Lp-PLA2 mass, 12 SNPs achieved genome-wide significance, all clustering in a region on chromosome 6p12.3 near the PLA2G7 gene. Our analyses demonstrate that genetic polymorphisms may contribute to inter-individual variation in Lp-PLA2 activity and mass.

Highlights

  • It is increasingly recognized that inflammation plays an important role in the development of atherosclerotic cardiovascular disease

  • Studies in animal models with human-like lipoprotein metabolism have suggested that lipoprotein-associated phospholipase A2 (Lp-PLA2) activity contributes to atherosclerosis development, and epidemiological studies have presented evidence that circulating concentrations of Lp-PLA2 or elevated activity of the enzyme are associated with cardiovascular disease after adjusting for established risk factors [1,2,3]

  • To gain insight into genetic variants that control Lp-PLA2 activity and mass, we conducted a genome-wide association study using data from the Framingham Heart Study released through the SHARe Project

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Summary

Introduction

It is increasingly recognized that inflammation plays an important role in the development of atherosclerotic cardiovascular disease. Studies in animal models with human-like lipoprotein metabolism have suggested that Lp-PLA2 activity contributes to atherosclerosis development, and epidemiological studies have presented evidence that circulating concentrations of Lp-PLA2 or elevated activity of the enzyme are associated with cardiovascular disease after adjusting for established risk factors [1,2,3]. This has led to the recent development of an orally active Lp-PLA2 inhibitor currently in clinical trials for cardiovascular prevention [3]. Small dense LDL are found in the metabolic syndrome, which is associated with high Lp-PLA2 activity [10]

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