Background
The chemokine receptors CCR2, CCR5, and CX3CR1 coordinate monocyte trafficking in homeostatic and inflammatory states. Multiple small human genetic studies have variably linked single nucleotide polymorphisms (SNPs) in these genes to cardiometabolic disease. We interrogated genome-wide association, exome sequencing, and exome array genotyping studies to ascertain the relationship between variation in these genes and coronary artery disease (CAD), myocardial infarction (MI), and glucometabolic traits.
Methods and Results
We interrogated the CARDIoGRAMplusC4D (60,801 cases, 123,504 controls), the MIGen and CARDIoGRAM Exome consortia (42,335 cases, 78,240 controls), and ESP EOMI (4,703 cases, 5,090 controls) datasets to ascertain the relationship between common, low frequency, and rare variation in CCR2, CCR5, or CX3CR1 with CAD and MI. We did not identify any variant associated with CAD or MI. We then explored common and low frequency variation in South Asians through PROMIS (9,058 cases, 8,379 controls), identifying six variants associated with MI including CX3CR1 V249I. Finally, reanalysis of the European HapMap imputed DIAGRAM, GLGC, GIANT and MAGIC datasets revealed no association with glucometabolic traits though three SNPs in PROMIS were associated with type II diabetes mellitus (DM).
Conclusions
No chemokine receptor variant was associated with CAD, MI, or glucometabolic traits in large European ancestry cohorts. In a South Asian cohort, we identified SNP associations with MI and type II DM but these did not meet significance in cohorts of European ancestry. These findings suggest the need for larger studies in South Asians but exclude clinically meaningful associations with CAD and glucometabolic traits in Europeans.