The Role of Genetic Risk Factors in Coronary Artery Disease

Diabetes and Cardiovascular Disease (S Malik, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Diabetes and Cardiovascular Disease

Abstract

Genome-wide association studies for coronary artery disease utilizing the case control association study approach has identified 50 genetic risk variants associated with coronary artery disease or myocardial infarction. All of these genetic variants are of genome wide significance and replicated in an independent population. It is of note that 35 of these 50 genetic risk variants act through mechanisms as yet unknown. These findings have great implications for the pathogenesis of atherosclerosis, as well as new targets for the development of novel therapies for the prevention and treatment of CAD. The genetic variant PCSK9 has already led to the development of a monoclonal anti-body which is undergoing assessment in phases I, II, and III clinical trials. This therapy shows very promising results and since it increases removal of LDL-C, it is complementary to current statin therapy. Assessing the beneficial or deleterious effects of a lifelong exposure to a genetic risk variant (Mendelian randomization) will be an important adjunct to clinical trials.

Keywords

Genetic risk variants Genetics of coronary artery disease CAD Genome-wide association studies GWAS Myocardial infarction Coronary atherosclerosis 

References

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.University of Ottawa Heart InstituteOttawaCanada
  2. 2.John & Jennifer Ruddy Canadian Cardiovascular Genetics CentreOttawaCanada
  3. 3.Department of MedicineMcGill University MontrealQuebecCanada

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