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Whole-exome sequencing identifies rare and low-frequency coding variants associated with LDL cholesterol

  • The NHLBI Grand Opportunity Exome Sequencing Project
  • University of North Carolina at Chapel Hill
  • University of Michigan, Ann Arbor
  • Renaissance Computing Institute
  • University of Washington
  • Massachusetts General Hospital
  • Broad Institute
  • Fred Hutchinson Cancer Research Center
  • University of Wisconsin-Milwaukee
  • University of Oxford
  • Harvard University
  • Norwegian University of Science and Technology
  • Icahn School of Medicine at Mount Sinai
  • University of Vermont
  • Erasmus University Rotterdam
  • University of Mississippi
  • Icelandic Heart Association
  • University of Iceland
  • University of Minnesota Twin Cities
  • Washington University St. Louis
  • University of Edinburgh
  • University of Texas Health Science Center at Houston
  • University of Pittsburgh
  • George Washington University
  • University of Iowa
  • Stanford University
  • The University of Auckland
  • Ohio State University
  • National Institutes of Health
  • University of California at Los Angeles
  • Tougaloo College
  • Jackson State University
  • Lund University
  • University of Copenhagen
  • Helmholtz Zentrum München - German Research Center for Environmental Health
  • Technical University of Munich
  • Baylor College of Medicine
  • Houston Methodist
  • Johns Hopkins University
  • Group Health Cooperative
  • Boston University
  • University of Virginia

Research output: Contribution to journalArticlepeer-review

193 Scopus citations

Abstract

Elevated low-density lipoprotein cholesterol (LDL-C) is a treatable, heritable risk factor for cardiovascular disease. Genome-wide association studies (GWASs) have identified 157 variants associated with lipid levels but are not well suited to assess the impact of rare and low-frequency variants. To determine whether rare or low-frequency coding variants are associated with LDL-C, we exome sequenced 2,005 individuals, including 554 individuals selected for extreme LDL-C (>98th or <2nd percentile). Follow-up analyses included sequencing of 1,302 additional individuals and genotype-based analysis of 52,221 individuals. We observed significant evidence of association between LDL-C and the burden of rare or low-frequency variants in PNPLA5, encoding a phospholipase-domain-containing protein, and both known and previously unidentified variants in PCSK9, LDLR and APOB, three known lipid-related genes. The effect sizes for the burden of rare variants for each associated gene were substantially higher than those observed for individual SNPs identified from GWASs. We replicated the PNPLA5 signal in an independent large-scale sequencing study of 2,084 individuals. In conclusion, this large whole-exome-sequencing study for LDL-C identified a gene not known to be implicated in LDL-C and provides unique insight into the design and analysis of similar experiments.

Original languageEnglish
Pages (from-to)233-245
Number of pages13
JournalAmerican Journal of Human Genetics
Volume94
Issue number2
DOIs
StatePublished - 6 Feb 2014

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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