Title |
Genome-wide association and pathway analysis of left ventricular function after anthracycline exposure in adults
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Published in |
Pharmacogenetics and Genomics, July 2017
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DOI | 10.1097/fpc.0000000000000284 |
Pubmed ID | |
Authors |
Quinn S. Wells, Olivia J. Veatch, Joshua P. Fessel, Aron Y. Joon, Rebecca T. Levinson, Jonathan D. Mosley, Elizabeth P. Held, Chase S. Lindsay, Christian M. Shaffer, Peter E. Weeke, Andrew M. Glazer, Kevin R. Bersell, Sara L. Van Driest, Jason H. Karnes, Marcia A. Blair, Lore W. Lagrone, Yan R. Su, Erica A. Bowton, Ziding Feng, Bonnie Ky, Daniel J. Lenihan, Michael J. Fisch, Joshua C. Denny, Dan M. Roden |
Abstract |
Anthracyclines are important chemotherapeutic agents, but their use is limited by cardiotoxicity. Candidate gene and genome-wide studies have identified putative risk loci for overt cardiotoxicity and heart failure, but there has been no comprehensive assessment of genomic variation influencing the intermediate phenotype of anthracycline-related changes in left ventricular (LV) function. The purpose of this study was to identify genetic factors influencing changes in LV function after anthracycline chemotherapy. We conducted a genome-wide association study (GWAS) of change in LV function after anthracycline exposure in 385 patients identified from BioVU, a resource linking DNA samples to de-identified electronic medical record data. Variants with P values less than 1×10 were independently tested for replication in a cohort of 181 anthracycline-exposed patients from a prospective clinical trial. Pathway analysis was performed to assess combined effects of multiple genetic variants. Both cohorts were middle-aged adults of predominantly European descent. Among 11 candidate loci identified in discovery GWAS, one single nucleotide polymorphism near PR domain containing 2, with ZNF domain (PRDM2), rs7542939, had a combined P value of 6.5×10 in meta-analysis. Eighteen Kyoto Encyclopedia of Gene and Genomes pathways showed strong enrichment for variants associated with the primary outcome. Identified pathways related to DNA repair, cellular metabolism, and cardiac remodeling. Using genome-wide association we identified a novel candidate susceptibility locus near PRDM2. Variation in genes belonging to pathways related to DNA repair, metabolism, and cardiac remodeling may influence changes in LV function after anthracycline exposure. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 43% |
Unknown | 4 | 57% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 43% |
Scientists | 2 | 29% |
Practitioners (doctors, other healthcare professionals) | 2 | 29% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Netherlands | 1 | 2% |
Unknown | 60 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 10 | 16% |
Student > Bachelor | 9 | 15% |
Researcher | 9 | 15% |
Student > Doctoral Student | 5 | 8% |
Student > Master | 4 | 7% |
Other | 10 | 16% |
Unknown | 14 | 23% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 19 | 31% |
Biochemistry, Genetics and Molecular Biology | 12 | 20% |
Pharmacology, Toxicology and Pharmaceutical Science | 6 | 10% |
Nursing and Health Professions | 3 | 5% |
Agricultural and Biological Sciences | 3 | 5% |
Other | 3 | 5% |
Unknown | 15 | 25% |