B821 - The role of lipid level variation in childhood health Mendelian Randomisation from the top 10 available lipid loci - 15/05/2009

B number: 
B821
Principal applicant name: 
Dr Nic Timpson (University of Bristol, UK)
Co-applicants: 
Prof George Davey Smith (University of Bristol, UK), Prof Naveed Sattar (University of Glasgow, UK)
Title of project: 
The role of lipid level variation in childhood health: Mendelian Randomisation from the top 10 available lipid loci.
Proposal summary: 

Lipids are essential biological molecules with diverse functions in the body such as, energy storage, membrane structure and cell signalling. The major lipid components in blood are Cholesterol (C) and Triglycerides (TG), only a small percentage of circulating cholesterol is exogenous (dietary), the majority is derived from endogenous synthesis in the liver(1).

In the past screens for rare monogenic forms of dyslipidemia have successfully identified many important genes for lipoprotein metabolism(2). It is only since more recent technical developments that the GWAS has become feasible and we have been able to identify genes that are involved with more common human diseases. Using high-density genotyping arrays the GWAS approach is used to statistically associate SNP markers from across the genome with a range of quantitative traits in large samples of unrelated individuals. Over the last 2 years results from several independent analyses like these have identified greater than 30 genetic loci that influence blood lipid concentrations, many of which had not been previously been implicated in lipid or lipoprotein metabolism(3-11). The novel results from these analyses are currently being investigated further and replicated in larger and more diverse cohorts, a broader knowledge of the common genetic variation that influences plasma lipid and lipoprotein levels will improve our understanding of the metabolic processes and disease mechanisms and aid the classification, diagnosis and treatment of CVD.

In this study we aim to genotype the top 10 lipid related loci derived from large population based genomewide association studies (8). We aim to replicate the associations known between common genetic variation and blood lipid concentrations in ALSPAC children (data on serological measurements available at age 9) and to explore the relationship between both this variation lipid variation and health related outcomes through the application of Mendelian randomisation approaches.

Whilst de novo association between common genetic variation and circulating lipid levels at age 9 has been noted within the limited number of ALSPAC children with genomewide data (unpublished work by PhD Student Chris Boustred), the major lipid loci previously recognised by large meta-analyses of genomewide associaiton studies for lipids have also been confirmed within the ALSPAC cohort. Thus, for the purposes of applying the Mendelian randomisation approach to the ALSPAC cohort re. lipid levels and their causal relationships with health outcomes, we aim to take the top 10 loci from Katherisan et al (8)(see below), the most recent pooling of large data sets (adult) concerning common genetic variability and circulating lipid levels.

Top 10 SNPs to be genotyped in ALSPAC (chosen on the basis of effect size in meta-samples, min size n=19,648):

LDL - rs6544713 (ABCG8)

LDL - rs4420638 (APOE-APOC1-APOC4-APOC2)

LDL - rs6511720 (LDLR)

LDL - rs12740374 (CELSR2-PSRC1-SORT1)

HDL - rs1800691 (HNF4A)

HDL - rs173539 (CETP)

HDL - rs12678919 (LPL)

TG - rs7679 (PLTP)

TG - rs964184 (APOA1-APOC3-APOA4-APOA5)

TG - rs12678919 (LPL)

We enclose a quotation for this work detailing the specifics of the genotyping from KBioscience.

References:

1. Hegele, R.A. Plasma lipoproteins: genetic influences and clinical implications. Nat Rev Genet 10, 109-121(2009).

2. Mansah, G A, M.J. The Atlas of Heart Disease and Stroke (WHO, Geneva, 2004).

3. Insull, W. The pathology of atherosclerosis: plaque development and plaque responses to medical treatment. Am. J. Med 122, S3-S14(2009).

2. Goldstein, J.L. & Brown, M.S. MOLECULAR MEDICINE: The Cholesterol Quartet. Science 292, 1310-1312(2001).

3. Aulchenko, Y.S. et al. Loci influencing lipid levels and coronary heart disease risk in 16 European population cohorts. Nat Genet advanced online publication, (2008).

4. Diabetes Genetics Initiative of Broad Institute of Harvard and MIT, L.U. et al. Genome-Wide Association Analysis Identifies Loci for Type 2 Diabetes and Triglyceride Levels. Science 316, 1331-1336(2007).

5. Kathiresan, S. et al. A genome-wide association study for blood lipid phenotypes in the Framingham Heart Study. BMC Med Genet 8 Suppl 1, S17(2007).

6. Kathiresan, S. et al. Six new loci associated with blood low-density lipoprotein cholesterol, high-density lipoprotein cholesterol or triglycerides in humans. Nat Genet 40, 189-197(2008).

7. Kathiresan, S. et al. Polymorphisms associated with cholesterol and risk of cardiovascular events. N Engl J Med 358, 1240-9(2008).

8. Kathiresan, S. et al. Common variants at 30 loci contribute to polygenic dyslipidemia. Nat Genet 41, 56-65(2009).

9. Sabatti, C. et al. Genome-wide association analysis of metabolic traits in a birth cohort from a founder population. Nat Genet advanced online publication, (2008).

10. Sandhu, M.S. et al. LDL-cholesterol concentrations: a genome-wide association study. The Lancet 371, 483-491

11. Willer, C.J. et al. Newly identified loci that influence lipid concentrations and risk of coronary artery disease. Nat Genet 40, 161-169(2008).

12. ENOS, W.F., HOLMES, R.H. & BEYER, J. Coronary disease among United States soldiers killed in action in Korea; preliminary report. J Am Med Assoc 152, 1090-1093(1953).

13. Stary, H.C. The sequence of cell and matrix changes in atherosclerotic lesions of coronary arteries in the first forty years of life. Eur. Heart J 11 Suppl E, 3-19(1990).

14. Strong, J.P. et al. Prevalence and extent of atherosclerosis in adolescents and young adults: implications for prevention from the Pathobiological Determinants of Atherosclerosis in Youth Study. JAMA 281, 727-735(1999).

Date proposal received: 
Friday, 15 May, 2009
Date proposal approved: 
Friday, 15 May, 2009
Keywords: 
Genetics, Mendelian Randomization
Primary keyword: