Evidence map›Paper›PMID 31985870›Full record

ArticleJournal of thrombosis and haemostasis : JTH2020

Coagulation factor VIII: Relationship to cardiovascular disease risk and whole genome sequence and epigenome-wide analysis in African Americans.

Laura M Raffield, Ake T Lu, Mindy D Szeto, Amarise Little, Kelsey E Grinde, Jessica Shaw, Paul L Auer, Mary Cushman, Steve Horvath, Marguerite R Irvin and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  6. DNA Methylation Variation in Blood Cells may Impact Platelet Function.TH open : companion journal to thrombosis and haemostasis · 2026
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  11. Epigenetics as a target to mitigate excess stroke risk in people of African ancestry: A scoping review.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 1 country.

Laura M RaffieldDepartment of Genetics, University of North Carolina, Chapel Hill, North Carolina.ORCID 0000-0002-7892-193X
Ake T LuDepartment of Human Genetics, David Geffen School of Medicine, UCLA, Los Angeles, California.
Mindy D SzetoDivision of Biomedical Informatics and Personalized Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Amarise LittleDepartment of Biostatistics, University of Washington, Seattle, Washington.
Kelsey E GrindeDepartment of Mathematics, Statistics, and Computer Science, Macalester College, St. Paul, Minnesota.
Jessica ShawDivision of Biomedical Informatics and Personalized Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Paul L AuerJoseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.
Mary CushmanDepartment of Medicine, Larner College of Medicine at the University of Vermont, Burlington, Vermont.ORCID 0000-0002-7871-6143
Steve HorvathDepartment of Human Genetics, David Geffen School of Medicine, UCLA, Los Angeles, California.
Marguerite R IrvinDepartment of Epidemiology, University of Alabama at Birmingham (UAB) School of Public Health, Birmingham, Alabama.
Ethan M LangeDivision of Biomedical Informatics and Personalized Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Leslie A LangeDivision of Biomedical Informatics and Personalized Medicine, School of Medicine, University of Colorado, Anschutz Medical Campus, Aurora, Colorado.
Deborah A NickersonGenome Sciences, University of Washington, Seattle, Washington.
Timothy A ThorntonDepartment of Biostatistics, University of Washington, Seattle, Washington.
James G WilsonDepartment of Physiology and Biophysics, University of Mississippi Medical Center, Jackson, Mississippi.
Marsha M WheelerGenome Sciences, University of Washington, Seattle, Washington.
NHLBI Trans-Omics for Precision Medicine (TOPMed) Consortium, TOPMed Hematology & Hemostasis Working Group
Neil A ZakaiDepartment of Medicine, Larner College of Medicine at the University of Vermont, Burlington, Vermont.
Alex P ReinerDepartment of Epidemiology, University of Washington, Seattle, Washington.
University of Washington · USUniversity of Colorado Anschutz Medical Campus · USUniversity of California, Los Angeles · USUniversity of Vermont · USJackson Memorial Hospital · USMacalester College · USUniversity of Alabama at Birmingham · USUniversity of North Carolina at Chapel Hill · USUniversity of Wisconsin–Milwaukee · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI COMPRETTA, CAROLINE E. · 2016 to 2025
$38.2M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI W Timothy GARVEY · 2013 to 2026
$19.5M
Studies of Rare Genetic Variation in the Isolated Population of SardiniaR01HL117626 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABECASIS, GONCALO · 2013 to 2016
$10.5M
Rare variants and NHLBI traits in deeply phenotyped cohortsR01HL120393 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M, RICE, KENNETH M. · 2014 to 2016
$8.9M
The Genetic Epidemiology of Heart, Lung, and Blood TraitsTraining Grant (GenHLB)T32HL129982 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Christy Leigh Avery, KAREN L. MOHLKE · 2016 to 2026
$3.8M
Thrombosis genetics in African AmericansR01HL132947 · NHLBI · UNIVERSITY OF WASHINGTON · PI LANGE, LESLIE A, REINER, ALEXANDER P · 2017 to 2020
$3.1M
Regional & Racial Differences in Hemostasis & Risk of Stroke & Heart DiseaseK08HL096841 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI ZAKAI, NEIL ADRIAN · 2010 to 2014
$705k
NHLBI NIH HHS HHSN268201100037CNHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS HL132947NHLBI NIH HHS K08 HL096841NHLBI NIH HHS K08-HL096841NHLBI NIH HHS R01 HL117626NHLBI NIH HHS R01 HL120393NHLBI NIH HHS R01 HL132947NHLBI NIH HHS T32 HL129982NIDDK NIH HHS P30 DK079626NIGMS NIH HHS U54 GM115428NIGMS NIH HHS U54GM115428NINDS NIH HHS U01 NS041588TOPMed Informatics Research Center 3R01HL-117626-02S1
6 · The paper itself

Abstract

backgroundProspective studies have suggested higher factor VIII (FVIII) levels are an independent risk factor for coronary heart disease (CHD) and stroke. However, limited information, including on genetic and epigenetic contributors to FVIII variation, is available specifically among African Americans (AAs), who have higher FVIII levels than Europeans.

objectivesWe measured FVIII levels in ~3400 AAs from the community-based Jackson Heart Study and assessed genetic, epigenetic, and epidemiological correlates of FVIII, as well as incident cardiovascular disease (CVD) associations.

methodsWe assessed cross-sectional associations of FVIII with CVD risk factors as well as incident CHD, stroke, heart failure, and mortality associations. We additionally assessed associations with TOPMed whole genome sequencing data and an epigenome-wide methylation array.

resultsOur results confirmed associations between FVIII and risk of incident CHD events and total mortality in AAs; mortality associations were largely independent of traditional risk factors. We also demonstrate an association of FVIII with incident heart failure, independent of B-type natriuretic peptide. Two genomic regions were strongly associated with FVIII (ABO and VWF). The index variant at VWF is specific to individuals of African descent and is distinct from the previously reported European VWF association signal. Epigenome-wide association analysis showed significant FVIII associations with several CpG sites in the ABO region. However, after adjusting for ABO genetic variants, ABO CpG sites were not significant.

conclusionsLarger sample sizes of AAs will be required to discover additional genetic and epigenetic contributors to FVIII phenotypic variation, which may have consequences for CVD health disparities.

Indexed as

Cardiovascular DiseasesFactor VIIIBlack or African AmericanCross-Sectional StudiesEpigenomeHumansProspective Studiesvon Willebrand FactorFactor VIIIvon Willebrand FactorAfrican Americancoagulationfactor VIIIgenome-wide association studiesthrombosis

Identifiers

PMID31985870
PMCPMC7274883
OpenAlexW3004118781

What OpenQuestion holds

Textmetadata
LicenceTDM
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.