Evidence map›Paper›PMID 26934567›Full record

ArticleThe New England journal of medicine2016

Coding Variation in ANGPTL4, LPL, and SVEP1 and the Risk of Coronary Disease.

Myocardial Infarction Genetics and CARDIoGRAM Exome Consortia Investigators, Nathan O Stitziel, Kathleen E Stirrups, Nicholas G D Masca, Jeanette Erdmann, Paola G Ferrario, Inke R König, Peter E Weeke, Thomas R Webb, Paul L Auer and 120 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in The New England journal of medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 267 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
267citing papers in PubMed, 8 pooled it
51.1field-weighted citation impact, top 1% 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

267 citing papers in PubMed, 8 syntheses or guidelines pooled it, 499 citations in OpenAlex.

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  9. Trial
  10. Rare, Damaging DNA Variants inCirculation. Genomic and precision medicine · 2021
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  11. Trial
  12. Article
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  14. Observational
  15. A practical guide to the management of dyslipidaemia.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  16. Article
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207 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

130 authors at 1 institution in 1 country.

Myocardial Infarction Genetics and CARDIoGRAM Exome Consortia Investigators
Nathan O Stitziel
Kathleen E Stirrups
Nicholas G D Masca
Jeanette Erdmann
Paola G Ferrario
Inke R König
Peter E Weeke
Thomas R Webb
Paul L Auer
Ursula M Schick
Yingchang Lu
He Zhang
Marie-Pierre Dube
Anuj Goel
Martin Farrall
Gina M Peloso
Hong-Hee Won
Ron Do
Erik van Iperen
Stavroula Kanoni
Jochen Kruppa
Anubha Mahajan
Robert A Scott
Christina Willenberg
Peter S Braund
Julian C van Capelleveen
Alex S F Doney
Louise A Donnelly
Rosanna Asselta
Piera A Merlini
Stefano Duga
Nicola Marziliano
Josh C Denny
Christian M Shaffer
Nour Eddine El-Mokhtari
Andre Franke
Omri Gottesman
Stefanie Heilmann
Christian Hengstenberg
Per Hoffman
Oddgeir L Holmen
Kristian Hveem
Jan-Håkan Jansson
Karl-Heinz Jöckel
Thorsten Kessler
Jennifer Kriebel
Karl L Laugwitz
Eirini Marouli
Nicola Martinelli
Mark I McCarthy
Natalie R Van Zuydam
Christa Meisinger
Tõnu Esko
Evelin Mihailov
Stefan A Escher
Maris Alver
Susanne Moebus
Andrew D Morris
Martina Müller-Nurasyid
Majid Nikpay
Oliviero Olivieri
Louis-Philippe Lemieux Perreault
Alaa AlQarawi
Neil R Robertson
Karen O Akinsanya
Dermot F Reilly
Thomas F Vogt
Wu Yin
Folkert W Asselbergs
Charles Kooperberg
Rebecca D Jackson
Eli Stahl
Konstantin Strauch
Tibor V Varga
Melanie Waldenberger
Lingyao Zeng
Aldi T Kraja
Chunyu Liu
George B Ehret
Christopher Newton-Cheh
Daniel I Chasman
Rajiv Chowdhury
Marco Ferrario
Ian Ford
J Wouter Jukema
Frank Kee
Kari Kuulasmaa
Børge G Nordestgaard
Markus Perola
Danish Saleheen
Naveed Sattar
Praveen Surendran
David Tregouet
Robin Young
Joanna M M Howson
Adam S Butterworth
John Danesh
Diego Ardissino
Erwin P Bottinger
Raimund Erbel
Paul W Franks
Domenico Girelli
Alistair S Hall
G Kees Hovingh
Adnan Kastrati
Wolfgang Lieb
Thomas Meitinger
William E Kraus
Svati H Shah
Ruth McPherson
Marju Orho-Melander
Olle Melander
Andres Metspalu
Colin N A Palmer
Annette Peters
Daniel Rader
Muredach P Reilly
Ruth J F Loos
Alex P Reiner
Dan M Roden
Jean-Claude Tardif
John R Thompson
Nicholas J Wareham
Hugh Watkins
Cristen J Willer
Sekkar Kathiresan
Panos Deloukas
Nilesh J Samani
Heribert Schunkert
Medical Protective · US

Funding

The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
Using genetic variation to study biology of blood lipids & coronary heart diseaseR01HL127564 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Pradeep Natarajan, Gina Marie Peloso · 2015 to 2026
$7.3M
Cancer Prevention Trng-Nutrition, Exercise &GeneticsR25CA094880 · NCI · UNIVERSITY OF WASHINGTON · PI WHITE, EMILY · 2002 to 2016
$7.3M
VGER, the Vanderbilt Genome-Electronic Records ProjectU01HG008672 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., RODEN, DAN M · 2015 to 2019
$5.1M
Discovery of Mendelian Dyslipidemia and Heart Attack Genes Using Exome SequencingR01HL107816 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI KATHIRESAN, SEKAR · 2011 to 2015
$2.7M
Rare coding variation and risk for myocardial infarctionK08HL114642 · NHLBI · WASHINGTON UNIVERSITY · PI STITZIEL, NATHAN OLIVER · 2012 to 2016
$703k
Discovering lipoprotein lipase pathway variants that protect against CHDK01HL125751 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI PELOSO, GINA MARIE · 2015 to 2018
$562k
British Heart Foundation RG/08/014/24067British Heart Foundation RG/13/13/30194British Heart Foundation RG/14/5/30893Medical Research Council G0800270Medical Research Council MC_UU_12015/1Medical Research Council MR/L003120/1Medical Research Council MR/N005813/1NCATS NIH HHS UL1 TR001070NCI NIH HHS R25 CA094880NCI NIH HHS R25CA094880NHGRI NIH HHS U01 HG008672NHLBI NIH HHS K01 HL125751NHLBI NIH HHS K01HL125751NHLBI NIH HHS K08 HL114642NHLBI NIH HHS K08HL114642NHLBI NIH HHS R01 HL107816NHLBI NIH HHS R01HL107816NHLBI NIH HHS R01 HL127564NHLBI NIH HHS R01HL127564Wellcome TrustWellcome Trust 090532/Z/09/ZWellcome Trust 098381
6 · The paper itself

Abstract

backgroundThe discovery of low-frequency coding variants affecting the risk of coronary artery disease has facilitated the identification of therapeutic targets.

methodsThrough DNA genotyping, we tested 54,003 coding-sequence variants covering 13,715 human genes in up to 72,868 patients with coronary artery disease and 120,770 controls who did not have coronary artery disease. Through DNA sequencing, we studied the effects of loss-of-function mutations in selected genes.

resultsWe confirmed previously observed significant associations between coronary artery disease and low-frequency missense variants in the genes LPA and PCSK9. We also found significant associations between coronary artery disease and low-frequency missense variants in the genes SVEP1 (p.D2702G; minor-allele frequency, 3.60%; odds ratio for disease, 1.14; P=4.2×10(-10)) and ANGPTL4 (p.E40K; minor-allele frequency, 2.01%; odds ratio, 0.86; P=4.0×10(-8)), which encodes angiopoietin-like 4. Through sequencing of ANGPTL4, we identified 9 carriers of loss-of-function mutations among 6924 patients with myocardial infarction, as compared with 19 carriers among 6834 controls (odds ratio, 0.47; P=0.04); carriers of ANGPTL4 loss-of-function alleles had triglyceride levels that were 35% lower than the levels among persons who did not carry a loss-of-function allele (P=0.003). ANGPTL4 inhibits lipoprotein lipase; we therefore searched for mutations in LPL and identified a loss-of-function variant that was associated with an increased risk of coronary artery disease (p.D36N; minor-allele frequency, 1.9%; odds ratio, 1.13; P=2.0×10(-4)) and a gain-of-function variant that was associated with protection from coronary artery disease (p.S447*; minor-allele frequency, 9.9%; odds ratio, 0.94; P=2.5×10(-7)).

conclusionsWe found that carriers of loss-of-function mutations in ANGPTL4 had triglyceride levels that were lower than those among noncarriers; these mutations were also associated with protection from coronary artery disease. (Funded by the National Institutes of Health and others.).

Indexed as

MutationAgedAngiopoietin-Like Protein 4AngiopoietinsCell Adhesion MoleculesCoronary Artery DiseaseFemaleGenotyping TechniquesHumansLipoprotein LipaseMaleMiddle AgedMutation, MissenseRisk FactorsSequence Analysis, DNATriglyceridesAngiopoietin-Like Protein 4AngiopoietinsANGPTL4 protein, humanCell Adhesion MoleculesLipoprotein LipaseSVEP1 protein, humanTriglycerides

Identifiers

PMID26934567
PMCPMC4850838
OpenAlexW2294822677

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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.