Evidence map›Paper›PMID 33878186›Full record

ArticleCardiovascular research2022

Cis-epistasis at the LPA locus and risk of cardiovascular diseases.

Lingyao Zeng, Sylvain Moser, Nazanin Mirza-Schreiber, Claudia Lamina, Stefan Coassin, Christopher P Nelson, Tarmo Annilo, Oscar Franzén, Marcus E Kleber, Salome Mack and 25 more

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Proteogenomics in human populations.Nature reviews. Genetics · 2026
    Review
  2. A practical guide to the management of dyslipidaemia.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Epistasis in cardiac traits.Nature cardiovascular research · 2025
    Article
  7. Deciphering epistatic genetic regulation of cardiac hypertrophy.medRxiv : the preprint server for health sciences · 2025
    Article
  8. Article
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  11. Article
  12. Article
  13. Article
  14. 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

35 authors at 17 institutions in 6 countries.

Lingyao ZengDeutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, 80636 Munich, Germany.
Sylvain MoserDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, 80804 Munich, Germany.ORCID 0000-0003-4261-5866
Nazanin Mirza-SchreiberDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, 80804 Munich, Germany.ORCID 0000-0003-0836-8267
Claudia LaminaInstitute of Genetic Epidemiology, Department of Genetics and Pharmacology, Medical University of Innsbruck, Innsbruck 6020, Austria.ORCID 0000-0002-5398-5806
Stefan CoassinInstitute of Genetic Epidemiology, Department of Genetics and Pharmacology, Medical University of Innsbruck, Innsbruck 6020, Austria.ORCID 0000-0001-5677-8979
Christopher P NelsonDepartment of Cardiovascular Sciences, University of Leicester, BHF Cardiovascular Research Centre, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK.ORCID 0000-0001-8025-2897
Tarmo AnniloEstonian Genome Center, Institute of Genomics, University of Tartu, 51010 Tartu, Estonia.
Oscar FranzénDepartment of Genetics and Genomic Sciences and Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
Marcus E KleberMedizinische Klinik V (Nephrologie, Hypertensiologie, Rheumatologie, Endokrinologie, Diabetologie), Medizinische Fakultät Mannheim der Universität Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0003-0663-7275
Salome MackInstitute of Genetic Epidemiology, Department of Genetics and Pharmacology, Medical University of Innsbruck, Innsbruck 6020, Austria.
Till F M AndlauerDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, 80804 Munich, Germany.ORCID 0000-0002-2917-5889
Beibei JiangDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, 80804 Munich, Germany.ORCID 0000-0002-8290-4622
Barbara StillerDeutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, 80636 Munich, Germany.ORCID 0000-0001-7003-5733
Ling LiDeutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, 80636 Munich, Germany.
Christina WillenborgInstitute for Cardiogenetics and University Heart Center Luebeck, University of Lübeck, 23562 Lübeck, Germany.
Matthias MunzInstitute for Cardiogenetics and University Heart Center Luebeck, University of Lübeck, 23562 Lübeck, Germany.ORCID 0000-0002-4728-3357
Thorsten KesslerDeutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, 80636 Munich, Germany.
Adnan KastratiDeutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, 80636 Munich, Germany.
Karl-Ludwig LaugwitzMedizinische Klinik, Klinikum rechts der Isar, Technische Universität München, 81675 Munich, Germany.
Jeanette ErdmannInstitute for Cardiogenetics and University Heart Center Luebeck, University of Lübeck, 23562 Lübeck, Germany.ORCID 0000-0002-4486-6231
Susanne MoebusInstitute for Medical Informatics, Biometry and Epidemiology, University Hospital Essen, 45147 Essen, Germany.
Markus M NöthenInstitute of Human Genetics, University of Bonn School of Medicine & University Hospital Bonn, 53012 Bonn, Germany.ORCID 0000-0002-8770-2464
Annette PetersInstitute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, 85764 Neuherberg, Germany.ORCID 0000-0001-6645-0985
Konstantin StrauchInstitute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, 85764 Neuherberg, Germany.
Martina Müller-NurasyidInstitute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, 85764 Neuherberg, Germany.ORCID 0000-0003-3793-5910
Christian GiegerInstitute of Genetic Epidemiology, Helmholtz Zentrum München, German Research Center for Environmental Health, 85764 Neuherberg, Germany.
Thomas MeitingerInstitute of Human Genetics, Helmholtz Zentrum München, 85764 Neuherberg, Germany.
Elisabeth Steinhagen-ThiessenCenter for Internal Medicine with Gastroenterology and Nephrology, Lipid Clinic, Charité, 13353 Berlin, Germany.
Winfried MärzMedizinische Klinik V (Nephrologie, Hypertensiologie, Rheumatologie, Endokrinologie, Diabetologie), Medizinische Fakultät Mannheim der Universität Heidelberg, 69120 Heidelberg, Germany.
Andres MetspaluEstonian Genome Center, Institute of Genomics, University of Tartu, 51010 Tartu, Estonia.ORCID 0000-0002-3718-796X
Johan L M BjörkegrenDepartment of Genetics and Genomic Sciences and Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.
Nilesh J SamaniDepartment of Cardiovascular Sciences, University of Leicester, BHF Cardiovascular Research Centre, Glenfield Hospital, Groby Rd, Leicester LE3 9QP, UK.
Florian KronenbergInstitute of Genetic Epidemiology, Department of Genetics and Pharmacology, Medical University of Innsbruck, Innsbruck 6020, Austria.ORCID 0000-0003-2229-1120
Bertram Müller-MyhsokDepartment of Translational Research in Psychiatry, Max Planck Institute of Psychiatry, 80804 Munich, Germany.
Heribert SchunkertDeutsches Herzzentrum München, Klinik für Herz- und Kreislauferkrankungen, Technische Universität München, 80636 Munich, Germany.
München Klinik · DEHelmholtz Zentrum München · DEInnsbruck Medical University · ATHeidelberg University · DEJohannes Gutenberg University Mainz · DEKarolinska Institutet · SEMax Planck Institute of Psychiatry · DETUM Klinikum · DEUniversity of Leicester · GBUniversity of Tartu · EECharité - Universitätsmedizin Berlin · DEGerman Centre for Cardiovascular Research · DEHumboldt-Universität zu Berlin · DEInstitut für Medizinische Informatik, Biometrie und Epidemiologie · DEUniversity of Bonn · DEUniversity of Liverpool · GBUniversity of Lübeck · DE

Funding

British Heart Foundation CH/1996001/9454Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

aimsCoronary artery disease (CAD) has a strong genetic predisposition. However, despite substantial discoveries made by genome-wide association studies (GWAS), a large proportion of heritability awaits identification. Non-additive genetic effects might be responsible for part of the unaccounted genetic variance. Here, we attempted a proof-of-concept study to identify non-additive genetic effects, namely epistatic interactions, associated with CAD. METHODS AND

resultsWe tested for epistatic interactions in 10 CAD case-control studies and UK Biobank with focus on 8068 SNPs at 56 loci with known associations with CAD risk. We identified a SNP pair located in cis at the LPA locus, rs1800769 and rs9458001, to be jointly associated with risk for CAD [odds ratio (OR) = 1.37, P = 1.07 × 10-11], peripheral arterial disease (OR = 1.22, P = 2.32 × 10-4), aortic stenosis (OR = 1.47, P = 6.95 × 10-7), hepatic lipoprotein(a) (Lp(a)) transcript levels (beta = 0.39, P = 1.41 × 10-8), and Lp(a) serum levels (beta = 0.58, P = 8.7 × 10-32), while individual SNPs displayed no association. Further exploration of the LPA locus revealed a strong dependency of these associations on a rare variant, rs140570886, that was previously associated with Lp(a) levels. We confirmed increased CAD risk for heterozygous (relative OR = 1.46, P = 9.97 × 10-32) and individuals homozygous for the minor allele (relative OR = 1.77, P = 0.09) of rs140570886. Using forward model selection, we also show that epistatic interactions between rs140570886, rs9458001, and rs1800769 modulate the effects of the rs140570886 risk allele.

conclusionsThese results demonstrate the feasibility of a large-scale knowledge-based epistasis scan and provide rare evidence of an epistatic interaction in a complex human disease. We were directed to a variant (rs140570886) influencing risk through additive genetic as well as epistatic effects. In summary, this study provides deeper insights into the genetic architecture of a locus important for cardiovascular diseases.

Indexed as

Cardiovascular DiseasesCoronary Artery DiseaseEpistasis, GeneticGenetic Predisposition to DiseaseGenome-Wide Association StudyHumansLipoprotein(a)Polymorphism, Single NucleotideLipoprotein(a)Coronary artery diseasesEpistasisLPAStatistical genetics

Identifiers

PMID33878186
PMCPMC8930071
OpenAlexW3154642509

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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.