Abstract. Our previous studies identified nine genes and chromosomal region 3q28 as susceptibility loci for myocardial infarction, ischemic stroke or chronic kidney disease by genome-wide or candidate gene association studies. As coronary artery disease (CAD) and ischemic stroke may share genetic architecture, certain genetic variants may confer susceptibility to the two diseases. The present study examined the association of 13 polymorphisms at these 10 loci with the prevalence of CAD or ischemic stroke in community-dwelling individuals, with the aim of identifying genetic variants that confer susceptibility to the two conditions. Study subjects (170 with CAD, 117 with ischemic stroke and 5,718 controls) were recruited to the Inabe Health and Longevity Study, a longitudinal genetic epidemiological study of atherosclerotic, cardiovascular and metabolic diseases. The subjects were recruited from individuals who visited for an annual health checkup and they were followed up each year (mean follow-up period, 5 years). Longitudinal analysis with a generalized estimating equation, and with adjustment for age, gender, body mass index, smoking status, the prevalence of hypertension, diabetes mellitus and dyslipidemia and the serum concentration of creatinine, revealed that rs2074380 (G→A) and rs2074381 (A→G) of the α-kinase 1 (ALPK1) gene and rs8089 (T→G) of the thrombospondin 2 (THBS2) gene were significantly (P<2x10 -16 ) associated with the prevalence of CAD, with the AA genotype of rs2074380 and GG genotypes of rs2074381 and rs8089 being protective against this condition. Similar analysis revealed that rs9846911 (A→G) at chromosome 3q28, rs2074381 of ALPK1, rs8089 of THBS2 and rs6046 (G→A) of the coagulation factor VII gene were significantly (P<2x10 -16 ) associated with the prevalence of ischemic stroke, with the GG genotypes of rs9846911, rs2074381 and rs8089 and the AA genotype of rs6046 being protective against this condition. ALPK1 and THBS2 may thus be susceptibility loci for CAD and ischemic stroke.
IntroductionCoronary artery disease (CAD) is an important clinical problem due to its large contribution to mortality. In the United States, the total number of individuals affected by CAD or myocardial infarction (MI) was 15.5 and 7.6 million, respectively, in 2012. The annual incidence of new or recurrent MI and fatal CAD was 935,000, with an annual mortality of 375,295 from these conditions, in 2011 (1). Despite recent advances in therapy, such as drug-eluting stents (2) for acute coronary syndrome, CAD remains the leading cause of fatality in the United States (1). Disease prevention is an important strategy for reducing the overall burden of CAD and the identification of biomarkers for disease risk is key for risk prediction and potential intervention to reduce the chance of future coronary events.Stroke is a complex multifactorial disorder that is believed to result from an interaction between the genetic background of an individual and various environmental factors. It is a common and serious condition, w...