Evidence map›Paper›PMID 35264566›Full record

ArticleNature communications2022

Elucidating mechanisms of genetic cross-disease associations at the PROCR vascular disease locus.

David Stacey, Lingyan Chen, Paulina J Stanczyk, Joanna M M Howson, Amy M Mason, Stephen Burgess, Stephen MacDonald, Jonathan Langdown, Harriett McKinney, Kate Downes and 19 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Venous thromboembolic disease genetics: from variants to function.Journal of thrombosis and haemostasis : JTH · 2024
    Review
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 20 institutions in 8 countries.

David Stacey *British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Lingyan Chen *British Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-3750-6761
Paulina J StanczykDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.
Joanna M M HowsonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-7618-0050
Amy M MasonBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-8019-0777
Stephen BurgessBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5365-8760
Stephen MacDonaldSpecialist Haemostasis Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Jonathan LangdownSpecialist Haemostasis Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Harriett McKinneyDepartment of Haematology, University of Cambridge, Cambridge, UK.
Kate DownesDepartment of Haematology, University of Cambridge, Cambridge, UK.
Neda FarahiDepartment of Medicine, University of Cambridge, Cambridge, UK.
James E PetersBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-9415-3440
Saonli BasuDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
James S PankowDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-7076-483X
Weihong TangDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Nathan PankratzDepartment of Laboratory Medicine and Pathology, School of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-5958-693X
Maria Sabater-LlealGenomics of Complex Diseases Group, Sant Pau Biomedical Research Institute, IIB-Sant Pau, Barcelona, Spain.ORCID http://orcid.org/0000-0002-0128-379X
Paul S de VriesHuman Genetics Center, Department of Epidemiology, Human Genetics, and Environmental Sciences; School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Nicholas L SmithDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
CHARGE Hemostasis Working Group
Amy D GelinasSomaLogic Inc, Boulder, CO, USA.
Daniel J SchneiderSomaLogic Inc, Boulder, CO, USA.ORCID http://orcid.org/0000-0001-6830-0905
Nebojsa JanjicSomaLogic Inc, Boulder, CO, USA.
Nilesh J SamaniDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-3286-8133
Shu YeDepartment of Cardiovascular Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-4126-4278
Charlotte SummersDepartment of Medicine, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-7269-2873
Edwin R ChilversNational Heart and Lung Institute, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-4230-9677
John DaneshBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Dirk S PaulBritish Heart Foundation Cardiovascular Epidemiology Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK. dsp35@medschl.cam.ac.uk.ORCID http://orcid.org/0000-0002-8230-0116
University of Cambridge · GBUniversity of Washington · USLeiden University Medical Center · NLUCLA Medical Center · USUniversity of Michigan · USCenter for Human Genetics · USUniversitätsmedizin Greifswald · DEUniversity of Leicester · GBUniversity of Minnesota · USWestern General Hospital · GBBoston University · USBrigham and Women's Hospital · USCambridge University Hospitals NHS Foundation Trust · GBEnvironmental Protection Agency · USErasmus MC · NLHospital de Sant Pau · ESJohns Hopkins University · USKing's College London · GBNational Health Service · GBNHS Lothian · GB

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
Genome-Wide Association Analysis in Essential Hypertension (FEHGAS study)R01HL086694 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ARAVINDA CHAKRAVARTI · 2007 to 2026
$21.2M
Epidemiology of Venous Thrombosis & Pulmonary EmbolismR01HL059367 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI TANG, WEIHONG · 1998 to 2024
$11.8M
CHARGE Consortium: Omics Discovery for CVD and Aging PhenotypesR01HL105756 · NHLBI · UNIVERSITY OF WASHINGTON · PI Bruce M Psaty, NICHOLAS L SMITH · 2011 to 2026
$9.5M
Genome-Wide Association for Loci Influencing CHD and Other Heart, Lung and BloodR01HL087641 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BOERWINKLE, ERIC A. · 2006 to 2008
$3.7M
Population genomic variation, functional biology, and the risk of venous thrombosisR01HL134894 · NHLBI · UNIVERSITY OF WASHINGTON · PI LOWENSTEIN, CHARLES J, SMITH, NICHOLAS L · 2017 to 2020
$2.9M
GWA for Gene-Environment Interaction Effects Influencing CHDU01HG004402 · NHGRI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BOERWINKLE, ERIC A. · 2007 to 2009
$1.6M
British Heart Foundation RE/13/6/30180British Heart Foundation RG/13/13/30194British Heart Foundation RG/16/4/32218British Heart Foundation RG/18/13/33946British Heart Foundation RG/19/9/34655British Heart Foundation SP/19/2/344612Chief Scientist OfficeDepartment of Health BRC-1215-20014Department of Health NIHR133788Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MC_UU_00002/7Medical Research Council MR/L003120/1Medical Research Council MR/P502091/1Medical Research Council MR/S004068/2NCRR NIH HHS UL1 RR025005NHGRI NIH HHS U01 HG004402NHLBI NIH HHS HHSN268201700001CNHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002CNHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003CNHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004CNHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005CNHLBI NIH HHS HHSN268201700005INHLBI NIH HHS R01 HL059367NHLBI NIH HHS R01 HL086694NHLBI NIH HHS R01 HL087641NHLBI NIH HHS R01 HL105756NHLBI NIH HHS R01 HL134894Wellcome Trust 204623/Z/16/Z
6 · The paper itself

Abstract

Many individual genetic risk loci have been associated with multiple common human diseases. However, the molecular basis of this pleiotropy often remains unclear. We present an integrative approach to reveal the molecular mechanism underlying the PROCR locus, associated with lower coronary artery disease (CAD) risk but higher venous thromboembolism (VTE) risk. We identify PROCR-p.Ser219Gly as the likely causal variant at the locus and protein C as a causal factor. Using genetic analyses, human recall-by-genotype and in vitro experimentation, we demonstrate that PROCR-219Gly increases plasma levels of (activated) protein C through endothelial protein C receptor (EPCR) ectodomain shedding in endothelial cells, attenuating leukocyte-endothelial cell adhesion and vascular inflammation. We also associate PROCR-219Gly with an increased pro-thrombotic state via coagulation factor VII, a ligand of EPCR. Our study, which links PROCR-219Gly to CAD through anti-inflammatory mechanisms and to VTE through pro-thrombotic mechanisms, provides a framework to reveal the mechanisms underlying similar cross-phenotype associations.

Indexed as

ThrombosisVenous ThromboembolismAntigens, CDCrosses, GeneticEndothelial CellsEndothelial Protein C ReceptorHumansProtein CReceptors, Cell SurfaceAntigens, CDEndothelial Protein C ReceptorPROCR protein, humanProtein CReceptors, Cell Surface

Identifiers

PMID35264566
PMCPMC8907312
OpenAlexW4220885055

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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.