TY - JOUR
T1 - A 3-SNP gene risk score and a metabolic risk score both predict hypertriglyceridemia and cardiovascular disease risk
AU - Verbeek, Rutger
AU - Oldoni, Federico
AU - Surendran, R. Preethi
AU - Zwinderman, Ailko H.
AU - Khaw, Kay T.
AU - Stroes, Erik S. G.
AU - Wareham, Nick J.
AU - Boekholdt, S. Matthijs
AU - Dallinga-Thie, Geesje M.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Background: Evidence on the causal link between plasma triglyceride (TG) levels and risk for cardiovascular disease (CVD) has recently emerged. Individuals with the metabolic syndrome have an increased risk for acquiring elevated TG levels later in life. Moreover, common DNA sequence variations in genes affecting TG levels identify individuals at risk for elevated plasma TG levels. Objective: We evaluated whether a 3-single nucleotide polymorphism (SNP) TG gene risk score (GRS) and a metabolic risk score (MetRS) both improved CVD risk prediction. Methods: A 3-SNP GRS and MetRS were generated in the EPIC-Norfolk cohort (n = 20,074) based on 3 SNPs in LPL and APOA5 or the number of Metabolic Syndrome criteria present (maximum 5), respectively. The associations between the 3-SNP GRS, MetRS, TG levels, and CVD risk were evaluated. Results: The 3-SNP GRS and MetRS were both linearly associated with plasma TG levels, that is, +0.25 mmol/L [95% CI 0.22–0.27] per allele change (P < .001) and +0.72 mmol/L [95% CI 0.70–0.73] per increase of number of metabolic syndrome risk score points (P < .001), respectively. We observed a positive association between the 3-SNP GRS and the risk of CVD with an adjusted hazard ratio (HR) of 1.35 [95% CI 1.04–1.74] for the highest versus the lowest GRS, which was independent of the MetRS. For the MetRS, the adjusted HR was 2.03 [95% CI 1.73–2.40] for the highest versus the lowest MetRS. Conclusion: Both the 3-SNP GRS and the MetRS are associated with increased plasma TG levels and increased risk for CVD.
AB - Background: Evidence on the causal link between plasma triglyceride (TG) levels and risk for cardiovascular disease (CVD) has recently emerged. Individuals with the metabolic syndrome have an increased risk for acquiring elevated TG levels later in life. Moreover, common DNA sequence variations in genes affecting TG levels identify individuals at risk for elevated plasma TG levels. Objective: We evaluated whether a 3-single nucleotide polymorphism (SNP) TG gene risk score (GRS) and a metabolic risk score (MetRS) both improved CVD risk prediction. Methods: A 3-SNP GRS and MetRS were generated in the EPIC-Norfolk cohort (n = 20,074) based on 3 SNPs in LPL and APOA5 or the number of Metabolic Syndrome criteria present (maximum 5), respectively. The associations between the 3-SNP GRS, MetRS, TG levels, and CVD risk were evaluated. Results: The 3-SNP GRS and MetRS were both linearly associated with plasma TG levels, that is, +0.25 mmol/L [95% CI 0.22–0.27] per allele change (P < .001) and +0.72 mmol/L [95% CI 0.70–0.73] per increase of number of metabolic syndrome risk score points (P < .001), respectively. We observed a positive association between the 3-SNP GRS and the risk of CVD with an adjusted hazard ratio (HR) of 1.35 [95% CI 1.04–1.74] for the highest versus the lowest GRS, which was independent of the MetRS. For the MetRS, the adjusted HR was 2.03 [95% CI 1.73–2.40] for the highest versus the lowest MetRS. Conclusion: Both the 3-SNP GRS and the MetRS are associated with increased plasma TG levels and increased risk for CVD.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85063226015&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30910668
U2 - https://doi.org/10.1016/j.jacl.2019.02.005
DO - https://doi.org/10.1016/j.jacl.2019.02.005
M3 - Article
C2 - 30910668
SN - 1933-2874
VL - 13
SP - 492
EP - 501
JO - Journal of clinical lipidology
JF - Journal of clinical lipidology
IS - 3
ER -