Journal of Peking University(Health Sciences) >
Genetic study of cardiovascular disease subtypes defined by International Classification of Diseases
Received date: 2021-01-22
Online published: 2021-06-16
Supported by
National Key Research and Development Program of China(2020YFC2002900);Peking Univerity Research Initiation Fund(BMU2018YJ009)
Objective: To study the molecular connection among cardiovascular diseases (CVD) subtypes defined by the International Classification of Diseases (ICD) version 10 (ICD-10). Methods: Both phenotypic data and genotypic data used in this study were obtained from the UK Biobank. A total of 380 083 participants aged between 40 and 69 years were included. Those without any cardiovascular disease (either no ICD-10 code at all or no ICD-10 code containing letter I) were assigned to the control group. The five CVD subtypes were: ischaemic heart diseases (IHD), pulmonary heart disease and diseases of pulmonary circulation (PHD), cerebrovascular diseases (CRB), diseases of arteries, arterioles and capillaries (AAC), diseases of veins, lymphatic vessels and lymph nodes, and diseases not elsewhere classified (VLL). We first performed a genome-wide association study (GWAS) for each of the five subtypes. We summarized novel loci using genome-wide significance threshold P=5×10-8. Next, we used linkage disequilibrium score regression (LDSC) method to assess genetic correlation among the five subtypes. Lastly, we applied mendelian randomization (MR) approach to assess the causal relationship among the subtypes. The particular software that we used was generalised summary-data-based mendelian randomisation (GSMR). Results: Through GWAS, we identified hundreds of genome-wide significant SNPs: 672 for IHD, 241 for PHD, 31 for CRB, 48 for AAC, and 193 for VLL. By comparing with published literature, we found 28 novel loci, for PHD (n=14), CRB (n =7) and AAC (n =7). Eight of these 28 loci were rare, where the lead SNP had minor allele frequency (MAF) less than 1%. LDSC analyses indicated IHD had significant genetic correlation with VLL (P=2.52×10-7), PHD (P=3.77×10-3) and AAC (P=4.90×10-3), respectively. Bidrectional GSMR analyses showed that IHD had a positive causal relationship with VLL (P=7.40×10-5) and AAC (P=1.50×10-3), while reverse causality was not supported. Conclusion: This study adopted an innovative approach to study the molecular connection among CVD subtypes that are defined by ICD. We identified potentially positive genetic correlation and causal effects among some of these subtypes. Research along this line will provide scientific insights and serve as a guidance for future ICD standards.
Zi-ning GUO , Zhi-sheng LIANG , Yi ZHOU , Na ZHANG , Jie HUANG . Genetic study of cardiovascular disease subtypes defined by International Classification of Diseases[J]. Journal of Peking University(Health Sciences), 2021 , 53(3) : 453 -459 . DOI: 10.19723/j.issn.1671-167X.2021.03.003
| [1] | Nabel EG. Cardiovascular disease[J]. N Engl J Med, 2003,349(1):60-72. |
| [2] | Collaborators GBDCOD. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the global burden of disease study 2017[J]. Lancet, 2018,392(10159):1736-1788. |
| [3] | Bowry AD, Lewey J, Dugani SB, et al. The burden of cardiovascular disease in low- and middle-income countries: epidemiology and management[J]. Can J Cardiol, 2015,31(9):1151-1159. |
| [4] | Mccarthy MI, Abecasis GR, Cardon LR, et al. Genome-wide association studies for complex traits: consensus, uncertainty and challenges[J]. Nat Rev Genet, 2008,9(5):356-369. |
| [5] | Aragam KG, Natarajan P. Polygenic scores to assess atheroscle-rotic cardiovascular disease risk: clinical perspectives and basic implications[J]. Circ Res, 2020,126(9):1159-1177. |
| [6] | Hirsch JA, Nicola G, Mcginty G, et al. ICD-10: history and context[J]. Am J Neuroradiol, 2016,37(4):596-599. |
| [7] | Bycroft C, Freeman C, Petkova D, et al. The UK Biobank resource with deep phenotyping and genomic data[J]. Nature, 2018,562(7726):203-209. |
| [8] | Purcell S, Neale B, Todd-Brown K, et al. PLINK: a tool set for whole-genome association and population-based linkage analyses[J]. Am J Hum Genet, 2007,81(3):559-575. |
| [9] | Pruim RJ, Welch RP, Sanna S, et al. LocusZoom: regional visualization of genome-wide association scan results[J]. Bioinformatics, 2010,26(18):2336-2337. |
| [10] | Bulik-Sullivan B, Finucane HK, Anttila V, et al. An atlas of genetic correlations across human diseases and traits[J]. Nat Genet, 2015,47(11):1236-1241. |
| [11] | Zhu Z, Zheng Z, Zhang F, et al. Causal associations between risk factors and common diseases inferred from GWAS summary data[J]. Nat Commun, 2018,9(1):224. |
| [12] | Perdu B, de Freitas F, Frints SG, et al. Osteopathia striata with cranial sclerosis owing to WTX gene defect[J]. J Bone Miner Res, 2010,25(1):82-90. |
| [13] | Sanz-Pamplona R, Lopez-Doriga A, Paré-Brunet L, et al. Exome sequencing reveals AMER1 as a frequently mutated gene in colorectal cancer[J]. Clin Cancer Res, 2015,21(20):4709-4718. |
| [14] | Lloyd-Jones DM, Nam BH, D’agostino S, et al. Parental cardiovascular disease as a risk factor for cardiovascular disease in middle-aged adults: a prospective study of parents and offspring[J]. JAMA, 2004,291(18):2204-2211. |
/
| 〈 |
|
〉 |