Evidence map›Paper›PMID 22319020›Full record

SynthesisCirculation. Cardiovascular genetics2012

A genome-wide association study for coronary artery disease identifies a novel susceptibility locus in the major histocompatibility complex.

Robert W Davies, George A Wells, Alexandre F R Stewart, Jeanette Erdmann, Svati H Shah, Jane F Ferguson, Alistair S Hall, Sonia S Anand, Mary S Burnett, Stephen E Epstein and 20 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Circulation. Cardiovascular genetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 10 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 10 syntheses or guidelines pooled it, 123 citations in OpenAlex.

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  13. Assessing genetic risk factors for early-onset coronary artery disease in Iranians.Research and practice in thrombosis and haemostasis · 2026
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 3 institutions in 2 countries.

Robert W DaviesCardiovascular Research Methods Center, John and Jennifer Ruddy Canadian Cardiovascular Research Center, University of Ottawa Heart Institute, Ottawa, ON, Canada. rwdavies@well.ox.ac.uk
George A Wells
Alexandre F R Stewart
Jeanette Erdmann
Svati H Shah
Jane F Ferguson
Alistair S Hall
Sonia S Anand
Mary S Burnett
Stephen E Epstein
Sonny Dandona
Li Chen
Janja Nahrstaedt
Christina Loley
Inke R König
William E Kraus
Christopher B Granger
James C Engert
Christian Hengstenberg
H-Erich Wichmann
Stefan Schreiber
W H Wilson Tang
Stephen G Ellis
Daniel J Rader
Stanley L Hazen
Muredach P Reilly
Nilesh J Samani
Heribert Schunkert
Robert Roberts
Ruth McPherson
McGill University · CACleveland Clinic · USMcMaster University · CA

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Structural Determinants Of Ceruloplasmin Inflammatory ActivityP01HL076491 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI PLOW, EDWARD FRANKLIN · 2004 to 2019
$27.3M
Regression of Atherosclerosis CoreP01HL098055 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI FISHER, EDWARD A · 2010 to 2014
$12.1M
Gut Flora Metabolism of Dietary Phosphatidylcholine and CVDR01HL103866 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L · 2010 to 2023
$10.8M
Nitrative stress in heart failureR01HL103931 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI TANG, WAI HONG WILSON · 2010 to 2014
$3.8M
Metabolomic Quantitative Trait Locus (mQTL) Genetic Mapping in Human CVDR01HL095987 · NHLBI · DUKE UNIVERSITY · PI SHAH, SVATI H. · 2009 to 2013
$3.4M
Genetic Mediators of Metabolic Cardiovascular Disease RiskRC2HL101621 · NHLBI · DUKE UNIVERSITY · PI KRAUS, WILLIAM E · 2009 to 2010
$3.2M
Biomarkers for Complications in Type 1 Diabetes (DCCT/EDIC)R01DK080732 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L · 2009 to 2010
$1.4M
British Heart Foundation CH/03/001/15569CIHR MOP77682CIHR MOP82810NCRR NIH HHS 1UL1RR024989NCRR NIH HHS UL1 RR024989NHLBI NIH HHS 1RC2-HL101612-01NHLBI NIH HHS P01 HL076491NHLBI NIH HHS P01 HL098055NHLBI NIH HHS R01 HL095987NHLBI NIH HHS R01-HL095987NHLBI NIH HHS R01 HL103866NHLBI NIH HHS R01 HL103931NHLBI NIH HHS RC2 HL101621NIDDK NIH HHS R01 DK080732Wellcome TrustWellcome Trust 076113Wellcome Trust 085475
6 · The paper itself

Abstract

backgroundRecent genome-wide association studies (GWAS) have identified several novel loci that reproducibly associate with coronary artery disease (CAD) and/or myocardial infarction risk. However, known common CAD risk variants explain only 10% of the predicted genetic heritability of the disease, suggesting that important genetic signals remain to be discovered. METHODS AND

resultsWe performed a discovery meta-analysis of 5 GWAS involving 13 949 subjects (7123 cases, 6826 control subjects) imputed at approximately 5 million single nucleotide polymorphisms, using pilot 1000 Genomes-based haplotypes. Promising loci were followed up in an additional 5 studies with 11 032 subjects (5211 cases, 5821 control subjects). A novel CAD locus on chromosome 6p21.3 in the major histocompatibility complex (MHC) between HCG27 and HLA-C was identified and achieved genome-wide significance in the combined analysis (rs3869109; p(discovery)=3.3×10(-7), p(replication)=5.3×10(-4)p(combined)=1.12×10(-9)). A subanalysis combining discovery GWAS showed an attenuation of significance when stringent corrections for European population structure were used (P=4.1×10(-10) versus 3.2×10(-7)), suggesting that the observed signal is partly confounded due to population stratification. This gene dense region plays an important role in inflammation, immunity, and self-cell recognition. To determine whether the underlying association was driven by MHC class I alleles, we statistically imputed common HLA alleles into the discovery subjects; however, no single common HLA type contributed significantly or fully explained the observed association.

conclusionsWe have identified a novel locus in the MHC associated with CAD. MHC genes regulate inflammation and T-cell responses that contribute importantly to the initiation and propagation of atherosclerosis. Further laboratory studies will be required to understand the biological basis of this association and identify the causative allele(s).

Indexed as

Genetic Predisposition to DiseaseGenome-Wide Association StudyAdultAgedAllelesCoronary Artery DiseaseFemaleGenotypeHistocompatibility Antigens Class IHumansMaleMiddle AgedPolymorphism, Single NucleotideRisk FactorsWhite PeopleHistocompatibility Antigens Class I

Identifiers

PMID22319020
PMCPMC3335297
OpenAlexW2128313682

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.