Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease
Publisher's version (útgefin grein) Aims: To explore whether variability in dietary cholesterol and phytosterol absorption impacts the risk of coronary artery disease (CAD) using as instruments sequence variants in the ABCG5/8 genes, key regulators of intestinal absorption of dietary sterols. M...
Published in: | European Heart Journal |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Other Authors: | , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
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Oxford University Press (OUP)
2020
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Subjects: | |
Online Access: | https://hdl.handle.net/20.500.11815/2448 https://doi.org/10.1093/eurheartj/ehaa531 |
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Open Polar |
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Opin vísindi (Iceland) |
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English |
topic |
ABCG5/8 Absorption Dietary cholesterol Genetics Phytosterols Kólesteról Erfðarannsóknir Kransæðasjúkdómar |
spellingShingle |
ABCG5/8 Absorption Dietary cholesterol Genetics Phytosterols Kólesteról Erfðarannsóknir Kransæðasjúkdómar Helgadottir, Anna Thorleifsson, Gudmar Alexandersson, Kristjan F Tragante, Vinicius Þorsteinsdóttir, Margrét Eiriksson, Finnur Freyr Grétarsdóttir, Sólveig Björnsson, Eyþór Magnússon, Ólafur Sveinbjornsson, Gardar Jonsdottir, Ingileif Steinthorsdottir, Valgerdur Ferkingstad, Egil Jensson, Brynjar Ö Stefansson, Hreinn Olafsson, Isleifur Christensen, Alex H Torp-Pedersen, Christian Køber, Lars Pedersen, Ole B Erikstrup, Christian Sørensen, Erik Brunak, Søren Banasik, Karina Hansen, Thomas F Nyegaard, Mette Eyjólfsson, Guðmundur I. Sigurdardottir, Olof Þórarinsson, Björn L Matthíasson, Stefán E. Steingrimsdottir, Thora Björnsson, Einar Stefán Danielsen, Ragnar Asselbergs, Folkert W. Arnar, David O Ullum, Henrik Bundgaard, Henning sulem, patrick Thorsteinsdottir, Unnur Thorgeirsson, Gudmundur Holm, Hilma Gudbjartsson, Daniel Stefansson, Kari Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
topic_facet |
ABCG5/8 Absorption Dietary cholesterol Genetics Phytosterols Kólesteról Erfðarannsóknir Kransæðasjúkdómar |
description |
Publisher's version (útgefin grein) Aims: To explore whether variability in dietary cholesterol and phytosterol absorption impacts the risk of coronary artery disease (CAD) using as instruments sequence variants in the ABCG5/8 genes, key regulators of intestinal absorption of dietary sterols. Methods and results: We examined the effects of ABCG5/8 variants on non-high-density lipoprotein (non-HDL) cholesterol (N up to 610 532) and phytosterol levels (N = 3039) and the risk of CAD in Iceland, Denmark, and the UK Biobank (105 490 cases and 844 025 controls). We used genetic scores for non-HDL cholesterol to determine whether ABCG5/8 variants confer greater risk of CAD than predicted by their effect on non-HDL cholesterol. We identified nine rare ABCG5/8 coding variants with substantial impact on non-HDL cholesterol. Carriers have elevated phytosterol levels and are at increased risk of CAD. Consistent with impact on ABCG5/8 transporter function in hepatocytes, eight rare ABCG5/8 variants associate with gallstones. A genetic score of ABCG5/8 variants predicting 1 mmol/L increase in non-HDL cholesterol associates with two-fold increase in CAD risk [odds ratio (OR) = 2.01, 95% confidence interval (CI) 1.75-2.31, P = 9.8 × 10-23] compared with a 54% increase in CAD risk (OR = 1.54, 95% CI 1.49-1.59, P = 1.1 × 10-154) associated with a score of other non-HDL cholesterol variants predicting the same increase in non-HDL cholesterol (P for difference in effects = 2.4 × 10-4). Conclusions: Genetic variation in cholesterol absorption affects levels of circulating non-HDL cholesterol and risk of CAD. Our results indicate that both dietary cholesterol and phytosterols contribute directly to atherogenesis. This work was supported by deCODE genetics/Amgen. S.B. is supported by the Novo Nordisk Foundation (NNF14CC0001 and NNF17OC0027594). F.W.A. is supported by University College London Hospital National Institute for Health Research Biomedical Research Centre (BRC288A). Peer Reviewed |
author2 |
Læknadeild (HÍ) Faculty of Medicine (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Verkfræði- og náttúruvísindasvið (HÍ) School of Engineering and Natural Sciences (UI) Háskóli Íslands University of Iceland |
format |
Article in Journal/Newspaper |
author |
Helgadottir, Anna Thorleifsson, Gudmar Alexandersson, Kristjan F Tragante, Vinicius Þorsteinsdóttir, Margrét Eiriksson, Finnur Freyr Grétarsdóttir, Sólveig Björnsson, Eyþór Magnússon, Ólafur Sveinbjornsson, Gardar Jonsdottir, Ingileif Steinthorsdottir, Valgerdur Ferkingstad, Egil Jensson, Brynjar Ö Stefansson, Hreinn Olafsson, Isleifur Christensen, Alex H Torp-Pedersen, Christian Køber, Lars Pedersen, Ole B Erikstrup, Christian Sørensen, Erik Brunak, Søren Banasik, Karina Hansen, Thomas F Nyegaard, Mette Eyjólfsson, Guðmundur I. Sigurdardottir, Olof Þórarinsson, Björn L Matthíasson, Stefán E. Steingrimsdottir, Thora Björnsson, Einar Stefán Danielsen, Ragnar Asselbergs, Folkert W. Arnar, David O Ullum, Henrik Bundgaard, Henning sulem, patrick Thorsteinsdottir, Unnur Thorgeirsson, Gudmundur Holm, Hilma Gudbjartsson, Daniel Stefansson, Kari |
author_facet |
Helgadottir, Anna Thorleifsson, Gudmar Alexandersson, Kristjan F Tragante, Vinicius Þorsteinsdóttir, Margrét Eiriksson, Finnur Freyr Grétarsdóttir, Sólveig Björnsson, Eyþór Magnússon, Ólafur Sveinbjornsson, Gardar Jonsdottir, Ingileif Steinthorsdottir, Valgerdur Ferkingstad, Egil Jensson, Brynjar Ö Stefansson, Hreinn Olafsson, Isleifur Christensen, Alex H Torp-Pedersen, Christian Køber, Lars Pedersen, Ole B Erikstrup, Christian Sørensen, Erik Brunak, Søren Banasik, Karina Hansen, Thomas F Nyegaard, Mette Eyjólfsson, Guðmundur I. Sigurdardottir, Olof Þórarinsson, Björn L Matthíasson, Stefán E. Steingrimsdottir, Thora Björnsson, Einar Stefán Danielsen, Ragnar Asselbergs, Folkert W. Arnar, David O Ullum, Henrik Bundgaard, Henning sulem, patrick Thorsteinsdottir, Unnur Thorgeirsson, Gudmundur Holm, Hilma Gudbjartsson, Daniel Stefansson, Kari |
author_sort |
Helgadottir, Anna |
title |
Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
title_short |
Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
title_full |
Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
title_fullStr |
Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
title_full_unstemmed |
Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
title_sort |
genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease |
publisher |
Oxford University Press (OUP) |
publishDate |
2020 |
url |
https://hdl.handle.net/20.500.11815/2448 https://doi.org/10.1093/eurheartj/ehaa531 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
European Heart Journal;41(28) https://academic.oup.com/eurheartj/article/41/28/2618/5875424 Anna Helgadottir, Gudmar Thorleifsson, Kristjan F Alexandersson, Vinicius Tragante, Margret Thorsteinsdottir, Finnur F Eiriksson, Solveig Gretarsdottir, Eythór Björnsson, Olafur Magnusson, Gardar Sveinbjornsson, Ingileif Jonsdottir, Valgerdur Steinthorsdottir, Egil Ferkingstad, Brynjar Ö Jensson, Hreinn Stefansson, Isleifur Olafsson, Alex H Christensen, Christian Torp-Pedersen, Lars Køber, Ole B Pedersen, Christian Erikstrup, Erik Sørensen, Søren Brunak, Karina Banasik, Thomas F Hansen, Mette Nyegaard, Gudmundur I Eyjolfssson, Olof Sigurdardottir, Bjorn L Thorarinsson, Stefan E Matthiasson, Thora Steingrimsdottir, Einar S Bjornsson, Ragnar Danielsen, Folkert W Asselbergs, David O Arnar, Henrik Ullum, Henning Bundgaard, Patrick Sulem, Unnur Thorsteinsdottir, Gudmundur Thorgeirsson, Hilma Holm, Daniel F Gudbjartsson, Kari Stefansson, Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease, European Heart Journal, Volume 41, Issue 28, 21 July 2020, Pages 2618–2628, https://doi.org/10.1093/eurheartj/ehaa531 0195-668X 1522-9645 (eISSN) https://hdl.handle.net/20.500.11815/2448 European Heart Journal doi:10.1093/eurheartj/ehaa531 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/20.500.11815/2448 https://doi.org/10.1093/eurheartj/ehaa531 |
container_title |
European Heart Journal |
container_volume |
41 |
container_issue |
28 |
container_start_page |
2618 |
op_container_end_page |
2628 |
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1766042262357147648 |
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ftopinvisindi:oai:opinvisindi.is:20.500.11815/2448 2023-05-15T16:52:07+02:00 Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease Helgadottir, Anna Thorleifsson, Gudmar Alexandersson, Kristjan F Tragante, Vinicius Þorsteinsdóttir, Margrét Eiriksson, Finnur Freyr Grétarsdóttir, Sólveig Björnsson, Eyþór Magnússon, Ólafur Sveinbjornsson, Gardar Jonsdottir, Ingileif Steinthorsdottir, Valgerdur Ferkingstad, Egil Jensson, Brynjar Ö Stefansson, Hreinn Olafsson, Isleifur Christensen, Alex H Torp-Pedersen, Christian Køber, Lars Pedersen, Ole B Erikstrup, Christian Sørensen, Erik Brunak, Søren Banasik, Karina Hansen, Thomas F Nyegaard, Mette Eyjólfsson, Guðmundur I. Sigurdardottir, Olof Þórarinsson, Björn L Matthíasson, Stefán E. Steingrimsdottir, Thora Björnsson, Einar Stefán Danielsen, Ragnar Asselbergs, Folkert W. Arnar, David O Ullum, Henrik Bundgaard, Henning sulem, patrick Thorsteinsdottir, Unnur Thorgeirsson, Gudmundur Holm, Hilma Gudbjartsson, Daniel Stefansson, Kari Læknadeild (HÍ) Faculty of Medicine (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Verkfræði- og náttúruvísindasvið (HÍ) School of Engineering and Natural Sciences (UI) Háskóli Íslands University of Iceland 2020-07-21 2618-2628 https://hdl.handle.net/20.500.11815/2448 https://doi.org/10.1093/eurheartj/ehaa531 en eng Oxford University Press (OUP) European Heart Journal;41(28) https://academic.oup.com/eurheartj/article/41/28/2618/5875424 Anna Helgadottir, Gudmar Thorleifsson, Kristjan F Alexandersson, Vinicius Tragante, Margret Thorsteinsdottir, Finnur F Eiriksson, Solveig Gretarsdottir, Eythór Björnsson, Olafur Magnusson, Gardar Sveinbjornsson, Ingileif Jonsdottir, Valgerdur Steinthorsdottir, Egil Ferkingstad, Brynjar Ö Jensson, Hreinn Stefansson, Isleifur Olafsson, Alex H Christensen, Christian Torp-Pedersen, Lars Køber, Ole B Pedersen, Christian Erikstrup, Erik Sørensen, Søren Brunak, Karina Banasik, Thomas F Hansen, Mette Nyegaard, Gudmundur I Eyjolfssson, Olof Sigurdardottir, Bjorn L Thorarinsson, Stefan E Matthiasson, Thora Steingrimsdottir, Einar S Bjornsson, Ragnar Danielsen, Folkert W Asselbergs, David O Arnar, Henrik Ullum, Henning Bundgaard, Patrick Sulem, Unnur Thorsteinsdottir, Gudmundur Thorgeirsson, Hilma Holm, Daniel F Gudbjartsson, Kari Stefansson, Genetic variability in the absorption of dietary sterols affects the risk of coronary artery disease, European Heart Journal, Volume 41, Issue 28, 21 July 2020, Pages 2618–2628, https://doi.org/10.1093/eurheartj/ehaa531 0195-668X 1522-9645 (eISSN) https://hdl.handle.net/20.500.11815/2448 European Heart Journal doi:10.1093/eurheartj/ehaa531 info:eu-repo/semantics/openAccess ABCG5/8 Absorption Dietary cholesterol Genetics Phytosterols Kólesteról Erfðarannsóknir Kransæðasjúkdómar info:eu-repo/semantics/article 2020 ftopinvisindi https://doi.org/20.500.11815/2448 https://doi.org/10.1093/eurheartj/ehaa531 2022-11-18T06:52:04Z Publisher's version (útgefin grein) Aims: To explore whether variability in dietary cholesterol and phytosterol absorption impacts the risk of coronary artery disease (CAD) using as instruments sequence variants in the ABCG5/8 genes, key regulators of intestinal absorption of dietary sterols. Methods and results: We examined the effects of ABCG5/8 variants on non-high-density lipoprotein (non-HDL) cholesterol (N up to 610 532) and phytosterol levels (N = 3039) and the risk of CAD in Iceland, Denmark, and the UK Biobank (105 490 cases and 844 025 controls). We used genetic scores for non-HDL cholesterol to determine whether ABCG5/8 variants confer greater risk of CAD than predicted by their effect on non-HDL cholesterol. We identified nine rare ABCG5/8 coding variants with substantial impact on non-HDL cholesterol. Carriers have elevated phytosterol levels and are at increased risk of CAD. Consistent with impact on ABCG5/8 transporter function in hepatocytes, eight rare ABCG5/8 variants associate with gallstones. A genetic score of ABCG5/8 variants predicting 1 mmol/L increase in non-HDL cholesterol associates with two-fold increase in CAD risk [odds ratio (OR) = 2.01, 95% confidence interval (CI) 1.75-2.31, P = 9.8 × 10-23] compared with a 54% increase in CAD risk (OR = 1.54, 95% CI 1.49-1.59, P = 1.1 × 10-154) associated with a score of other non-HDL cholesterol variants predicting the same increase in non-HDL cholesterol (P for difference in effects = 2.4 × 10-4). Conclusions: Genetic variation in cholesterol absorption affects levels of circulating non-HDL cholesterol and risk of CAD. Our results indicate that both dietary cholesterol and phytosterols contribute directly to atherogenesis. This work was supported by deCODE genetics/Amgen. S.B. is supported by the Novo Nordisk Foundation (NNF14CC0001 and NNF17OC0027594). F.W.A. is supported by University College London Hospital National Institute for Health Research Biomedical Research Centre (BRC288A). Peer Reviewed Article in Journal/Newspaper Iceland Opin vísindi (Iceland) European Heart Journal 41 28 2618 2628 |