A genomic exploration identifies mechanisms that may explain adverse cardiovascular effects of COX-2 inhibitors
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A genomic exploration identifies mechanisms that may explain adverse cardiovascular effects of COX-2 inhibitors. / Brænne, Ingrid; Willenborg, Christina; Tragante, Vinicius; Kessler, Thorsten; Zeng, Lingyao; Reiz, Benedikt; Kleinecke, Mariana; von Ameln, Simon; Willer, Cristen J; Laakso, Markku; Wild, Philipp S; Zeller, Tanja; Wallentin, Lars; Franks, Paul W; Salomaa, Veikko; Dehghan, Abbas; Meitinger, Thomas; Samani, Nilesh J; Asselbergs, Folkert W; Erdmann, Jeanette; Schunkert, Heribert.
In: SCI REP-UK, Vol. 7, No. 1, 31.08.2017, p. 10252.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A genomic exploration identifies mechanisms that may explain adverse cardiovascular effects of COX-2 inhibitors
AU - Brænne, Ingrid
AU - Willenborg, Christina
AU - Tragante, Vinicius
AU - Kessler, Thorsten
AU - Zeng, Lingyao
AU - Reiz, Benedikt
AU - Kleinecke, Mariana
AU - von Ameln, Simon
AU - Willer, Cristen J
AU - Laakso, Markku
AU - Wild, Philipp S
AU - Zeller, Tanja
AU - Wallentin, Lars
AU - Franks, Paul W
AU - Salomaa, Veikko
AU - Dehghan, Abbas
AU - Meitinger, Thomas
AU - Samani, Nilesh J
AU - Asselbergs, Folkert W
AU - Erdmann, Jeanette
AU - Schunkert, Heribert
PY - 2017/8/31
Y1 - 2017/8/31
N2 - Cyclooxygenase-2 inhibitors (coxibs) are characterized by multiple molecular off-target effects and increased coronary artery disease (CAD) risk. Here, we systematically explored common variants of genes representing molecular targets of coxibs for association with CAD. Given a broad spectrum of pleiotropic effects of coxibs, our intention was to narrow potential mechanisms affecting CAD risk as we hypothesized that the affected genes may also display genomic signals of coronary disease risk. A Drug Gene Interaction Database search identified 47 gene products to be affected by coxibs. We traced association signals in 200-kb regions surrounding these genes in 84,813 CAD cases and 202,543 controls. Based on a threshold of 1 × 10-5 (Bonferroni correction for 3131 haplotype blocks), four gene loci yielded significant associations. The lead SNPs were rs7270354 (MMP9), rs4888383 (BCAR1), rs6905288 (VEGFA1), and rs556321 (CACNA1E). By additional genotyping, rs7270354 at MMP9 and rs4888383 at BCAR1 also reached the established GWAS threshold for genome-wide significance. The findings demonstrate overlap of genes affected by coxibs and those mediating CAD risk and points to further mechanisms, which are potentially responsible for coxib-associated CAD risk. The novel approach furthermore suggests that genetic studies may be useful to explore the clinical relevance of off-target drug effects.
AB - Cyclooxygenase-2 inhibitors (coxibs) are characterized by multiple molecular off-target effects and increased coronary artery disease (CAD) risk. Here, we systematically explored common variants of genes representing molecular targets of coxibs for association with CAD. Given a broad spectrum of pleiotropic effects of coxibs, our intention was to narrow potential mechanisms affecting CAD risk as we hypothesized that the affected genes may also display genomic signals of coronary disease risk. A Drug Gene Interaction Database search identified 47 gene products to be affected by coxibs. We traced association signals in 200-kb regions surrounding these genes in 84,813 CAD cases and 202,543 controls. Based on a threshold of 1 × 10-5 (Bonferroni correction for 3131 haplotype blocks), four gene loci yielded significant associations. The lead SNPs were rs7270354 (MMP9), rs4888383 (BCAR1), rs6905288 (VEGFA1), and rs556321 (CACNA1E). By additional genotyping, rs7270354 at MMP9 and rs4888383 at BCAR1 also reached the established GWAS threshold for genome-wide significance. The findings demonstrate overlap of genes affected by coxibs and those mediating CAD risk and points to further mechanisms, which are potentially responsible for coxib-associated CAD risk. The novel approach furthermore suggests that genetic studies may be useful to explore the clinical relevance of off-target drug effects.
KW - Cardiotoxicity/etiology
KW - Chromosome Mapping
KW - Computational Biology/methods
KW - Cyclooxygenase 2 Inhibitors/adverse effects
KW - Databases, Genetic
KW - Databases, Pharmaceutical
KW - Gene Expression Profiling
KW - Genetic Predisposition to Disease
KW - Genome-Wide Association Study
KW - Humans
KW - Pharmacogenetics/methods
KW - Polymorphism, Single Nucleotide
U2 - 10.1038/s41598-017-10928-4
DO - 10.1038/s41598-017-10928-4
M3 - SCORING: Journal article
C2 - 28860667
VL - 7
SP - 10252
JO - SCI REP-UK
JF - SCI REP-UK
SN - 2045-2322
IS - 1
ER -