Evidence map›Paper›PMID 39196222›Full record

ArticleNature cardiovascular research2024

Genetically proxied HTRA1 protease activity and circulating levels independently predict risk of ischemic stroke and coronary artery disease.

Rainer Malik, Nathalie Beaufort, Jiang Li, Koki Tanaka, Marios K Georgakis, Yunye He, Masaru Koido, Chikashi Terao, BioBank Japan, Christopher D Anderson and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature cardiovascular research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Review
  3. Unravelling the genetic architecture of cerebral small vessel disease in the context of stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. ExploringBiomedicines · 2024
    Review
  13. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Rainer Malik *Institute for Stroke and Dementia Research (ISD), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Nathalie Beaufort *Institute for Stroke and Dementia Research (ISD), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Jiang LiDepartment of Molecular and Functional Genomics, Geisinger Health System, Danville, PA, USA.
Koki TanakaLaboratory of Complex Trait Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, University of Tokyo, Tokyo, Japan.
Marios K GeorgakisInstitute for Stroke and Dementia Research (ISD), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.ORCID http://orcid.org/0000-0003-3507-3659
Yunye HeLaboratory of Complex Trait Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, University of Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0001-8581-7826
Masaru KoidoLaboratory of Complex Trait Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, University of Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-0348-0666
Chikashi TeraoLaboratory for Statistical and Translational Genetics, RIKEN Center for Integrative Medical Sciences, Kanagawa, Japan.ORCID http://orcid.org/0000-0002-6452-4095
BioBank JapanInstitute of Medical Science, University of Tokyo, Tokyo, Japan.
Christopher D AndersonCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Yoichiro KamataniLaboratory of Complex Trait Genomics, Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, University of Tokyo, Tokyo, Japan.
Ramin ZandDepartment of Neurology, Pennsylvania State University, Hershey, PA, USA.
Martin DichgansInstitute for Stroke and Dementia Research (ISD), University Hospital, Ludwig Maximilian University of Munich, Munich, Germany. martin.dichgans@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-0654-387X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genetic variants in HTRA1 are associated with stroke risk. However, the mechanisms mediating this remain largely unknown, as does the full spectrum of phenotypes associated with genetic variation in HTRA1. Here we show that rare HTRA1 variants are linked to ischemic stroke in the UK Biobank and BioBank Japan. Integrating data from biochemical experiments, we next show that variants causing loss of protease function associated with ischemic stroke, coronary artery disease and skeletal traits in the UK Biobank and MyCode cohorts. Moreover, a common variant modulating circulating HTRA1 mRNA and protein levels enhances the risk of ischemic stroke and coronary artery disease while lowering the risk of migraine and macular dystrophy in genome-wide association study, UK Biobank, MyCode and BioBank Japan data. We found no interaction between proxied HTRA1 activity and levels. Our findings demonstrate the role of HTRA1 for cardiovascular diseases and identify two mechanisms as potential targets for therapeutic interventions.

Indexed as

Coronary Artery DiseaseGenetic Predisposition to DiseaseGenome-Wide Association StudyHigh-Temperature Requirement A Serine Peptidase 1Ischemic StrokeAgedFemaleHumansJapanLoss of Function MutationMaleMiddle AgedPhenotypePolymorphism, Single NucleotideRisk AssessmentRisk FactorsHigh-Temperature Requirement A Serine Peptidase 1HTRA1 protein, human

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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.