Evidence map›Paper›PMID 31106297›Full record

ArticleCirculation. Genomic and precision medicine2018

Effects of Genetic Variants Associated with Familial Hypercholesterolemia on Low-Density Lipoprotein-Cholesterol Levels and Cardiovascular Outcomes in the Million Veteran Program.

Yan V Sun, Scott M Damrauer, Qin Hui, Themistocles L Assimes, Yuk-Lam Ho, Pradeep Natarajan, Derek Klarin, Jie Huang, Julie Lynch, Scott L DuVall and 8 more

Abstract readMulticenter Study
In one paragraph

Article in Circulation. Genomic and precision medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
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  4. Observational
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  6. Article
  7. Apolipoproteins in Health and Disease.International journal of molecular sciences · 2024
    Article
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  10. Review
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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

18 authors.

Yan V SunDepartment of Epidemiology, Emory University Rollins School of Public Health.
Scott M DamrauerCorporal Michael Crescenz VA Medical Center,University of Pennsylvania, Philadelphia, PA.
Qin HuiDepartment of Epidemiology, Emory University Rollins School of Public Health.
Themistocles L AssimesVA Palo Alto Health Care System, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Yuk-Lam HoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
Pradeep NatarajanCenter for Genomic Medicine and Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA. Department of Medicine, Harvard Medical School, Program in Medical & Population Genetics, Broad Institute of Harvard & MIT, Cambridge.
Derek KlarinMassachusetts General Hospital, Boston, MA, Broad Institute of Harvard & MIT, Cambridge.
Jie HuangMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
Julie LynchUniversity of Massachusetts College of Nursing & Health Sciences, Boston, MA.
Scott L DuVallDepartment of Veterans Affairs Salt Lake City Health Care System.
Saiju PyarajanMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
Jacqueline P HonerlawMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
J Michael GazianoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
Kelly ChoMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
Daniel J RaderPerlman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Christopher J O'DonnellMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston.
Philip S TsaoVA Palo Alto Health Care System, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Peter W F WilsonAtlanta VA Medical Center and Emory Clinical Cardiovascular Research Institute, Atlanta, GA.

Funding

Whole genome sequences in individuals to comprehensively characterize the genetic mechanisms of dyslipidemiasR01HL142711 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Satoshi Koyama, Gina Marie Peloso · 2019 to 2026
$4.7M
Intergenerational Impact of Genetic and Psychological Factors on Blood PressureR01NR013520 · NINR · YALE UNIVERSITY · PI TAYLOR, JACQUELYN Y · 2014 to 2019
$3.9M
Cardiovascular Disease Risk Factors, Prevalent Cardiovascular Disease, and Genetics in the Million Veteran ProgramI01BX003340 · VA · VETERANS HEALTH ADMINISTRATION · PI CHO, KELLY, WILSON, PETER WYMAN · 2017 to 2017
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BLRD VA I01 BX002641BLRD VA I01 BX003340NHLBI NIH HHS R01 HL142711NINR NIH HHS R01 NR013520
6 · The paper itself

Abstract

Background: Familial hypercholesterolemia (FH) is characterized by inherited high levels of low-density lipoprotein cholesterol (LDL-C) and premature coronary heart disease (CHD). Over a thousand low-frequency variants in Methods: We examined the individual and collective association between putatively pathogenic FH variants included on the MVP biobank array and the maximum LDL-C level over an interval of 15 years (maxLDL). We assessed the collective effect on clinical outcomes by leveraging data from 61.7 million clinical encounters. Results: We found 8 out of 16 putatively pathogenic FH variants with ≥30 observed carriers to be significantly associated with elevated maxLDL (9.4-80.2 mg/dL). Phenotypic effects were similar for European and African Americans despite substantial differences in carrier frequencies. Based on observed effects on maxLDL, we identified a total of 748 carriers (1:443) who had elevated maxLDL (36.5±1.4 mg/dL, p=1.2×10 Conclusions: The distribution and phenotypic effects of putatively pathogenic FH variants were heterogeneous within and across variants. More robust evidence of genotype-phenotype associations of FH variants in multi-ethnic populations is needed to accurately infer at-risk individuals from genetic screening.

Indexed as

Genetic VariationAdultAgedApolipoproteins BCholesterol, LDLCohort StudiesCoronary Artery DiseaseFemaleGenetic Association StudiesHeterozygoteHumansHypercholesterolemiaMaleMiddle AgedPolymorphism, Single NucleotideProprotein Convertase 9Apolipoproteins BCholesterol, LDLLDLR protein, humanProprotein Convertase 9Receptors, LDLAssociation StudiesCardiovascular Diseasecoronary heart diseasefamilial hypercholesterolemiaGeneticLipids and Cholesterollow-density lipoprotein cholesterolrace and ethnicity

Identifiers

PMID31106297
PMCPMC6516478

What OpenQuestion holds

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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.