Evidence map›Paper›PMID 23352782›Full record

SynthesisJournal of the American College of Cardiology2013

Association between the chromosome 9p21 locus and angiographic coronary artery disease burden: a collaborative meta-analysis.

Kenneth Chan, Riyaz S Patel, Paul Newcombe, Christopher P Nelson, Atif Qasim, Stephen E Epstein, Susan Burnett, Viola L Vaccarino, A Maziar Zafari, Svati H Shah and 42 more

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the American College of Cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
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  11. Observational
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  17. International journal of molecular sciences · 2018
    Review
  18. Article
  19. Experimental and therapeutic medicine · 2017
    Article
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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

52 authors at 20 institutions in 7 countries.

Kenneth ChanWilliam Harvey Research Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, United Kingdom.
Riyaz S Patel
Paul Newcombe
Christopher P Nelson
Atif Qasim
Stephen E Epstein
Susan Burnett
Viola L Vaccarino
A Maziar Zafari
Svati H Shah
Jeffrey L Anderson
John F Carlquist
Jaana Hartiala
Hooman Allayee
Kunihiko Hinohara
Bok-Soo Lee
Anna Erl
Katrina L Ellis
Anuj Goel
Arne S Schaefer
Nour Eddine El Mokhtari
Benjamin A Goldstein
Mark A Hlatky
Alan S Go
Gong-Qing Shen
Yan Gong
Carl Pepine
Ross C Laxton
John C Whittaker
W H Wilson Tang
Julie A Johnson
Qing K Wang
Themistocles L Assimes
Ute Nöthlings
Martin Farrall
Hugh Watkins
A Mark Richards
Vicky A Cameron
Axel Muendlein
Heinz Drexel
Werner Koch
Jeong Euy Park
Akinori Kimura
Wei-feng Shen
Iain A Simpson
Stanley L Hazen
Benjamin D Horne
Elizabeth R Hauser
Arshed A Quyyumi
Muredach P Reilly
Nilesh J Samani
Shu Ye
Christian-Albrechts-Universität zu Kiel · DEDuke University · USEmory University · USQueen Mary University of London · GBStanford University · USUniversity of Florida Health Science Center · USUniversity of Otago · NZCentre for Human Genetics · GBCleveland Clinic · USIntermountain Medical Center · USMedStar Washington Hospital Center · USTokyo Medical and Dental University · JPUniversity of London · GBCardiovascular Institute of the South · USDeutsches Herzzentrum München · DEGlenfield Hospital · GBKaiser Permanente · USMRC Biostatistics Unit · GBNational Institute for Health Research · GBSamsung Medical Center · KR

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Structural Determinants Of Ceruloplasmin Inflammatory ActivityP01HL076491 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI HAZEN, STANLEY L · 2004 to 2019
$27.3M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Pharmacogenomic Evaluation of Antihypertensive ResponsesU01GM074492 · NIGMS · UNIVERSITY OF FLORIDA · PI COOPER-DEHOFF, RHONDA M, JOHNSON, JULIE A. · 2005 to 2014
$20.7M
UF CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029890 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$14.4M
Regression of Atherosclerosis CoreP01HL098055 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI DIDONATO, JOSEPH · 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
Hypertension PharmacogeneticsR01HL074730 · NHLBI · UNIVERSITY OF FLORIDA · PI JOHNSON, JULIE A. · 2003 to 2006
$3.4M
Genome-wide association study of MI in CaucasiansR01HL089650 · NHLBI · DECODE GENETICS, INC. · PI GULCHER, JEFFREY R · 2007 to 2010
$2.3M
Medical Research Council G0600580NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NCRR NIH HHS UL1 RR029890NCRR NIH HHS UL1RR029890NHLBI NIH HHS HL074730NHLBI NIH HHS K24 HL107643NHLBI NIH HHS P01 HL076491NHLBI NIH HHS P01 HL098055NHLBI NIH HHS R01 HL074730NHLBI NIH HHS R01 HL089650NHLBI NIH HHS R01 HL103866NHLBI NIH HHS R01HL103866NHLBI NIH HHS R01 HL103931NHLBI NIH HHS R01HL103931NHLBI NIH HHS R01 HL89650-01NIA NIH HHS P30 AG028716NIGMS NIH HHS GM074492NIGMS NIH HHS U01 GM074492Wellcome Trust 090532Wellcome Trust 090532/Z/09/Z
6 · The paper itself

Abstract

objectivesThis study sought to ascertain the relationship of 9p21 locus with: 1) angiographic coronary artery disease (CAD) burden; and 2) myocardial infarction (MI) in individuals with underlying CAD.

backgroundChromosome 9p21 variants have been robustly associated with coronary heart disease, but questions remain on the mechanism of risk, specifically whether the locus contributes to coronary atheroma burden or plaque instability.

methodsWe established a collaboration of 21 studies consisting of 33,673 subjects with information on both CAD (clinical or angiographic) and MI status along with 9p21 genotype. Tabular data are provided for each cohort on the presence and burden of angiographic CAD, MI cases with underlying CAD, and the diabetic status of all subjects.

resultsWe first confirmed an association between 9p21 and CAD with angiographically defined cases and control subjects (pooled odds ratio [OR]: 1.31, 95% confidence interval [CI]: 1.20 to 1.43). Among subjects with angiographic CAD (n = 20,987), random-effects model identified an association with multivessel CAD, compared with those with single-vessel disease (OR: 1.10, 95% CI: 1.04 to 1.17)/copy of risk allele). Genotypic models showed an OR of 1.15, 95% CI: 1.04 to 1.26 for heterozygous carrier and OR: 1.23, 95% CI: 1.08 to 1.39 for homozygous carrier. Finally, there was no significant association between 9p21 and prevalent MI when both cases (n = 17,791) and control subjects (n = 15,882) had underlying CAD (OR: 0.99, 95% CI: 0.95 to 1.03)/risk allele.

conclusionsThe 9p21 locus shows convincing association with greater burden of CAD but not with MI in the presence of underlying CAD. This adds further weight to the hypothesis that 9p21 locus primarily mediates an atherosclerotic phenotype.

Indexed as

Chromosomes, Human, Pair 9Coronary AngiographyCoronary Artery DiseaseGenetic LociHumansMyocardial InfarctionPolymorphism, Single Nucleotide

Identifiers

PMID23352782
PMCPMC3653306
OpenAlexW1484901707

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Registered trials

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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.