PEAR1 is not a major susceptibility gene for cardiovascular disease in a Flemish population

W.Y. Yang, T. Petit, N. Cauwenberghs, Z.Y. Zhang, C.S. Sheng, L. Thijs, E. Salvi, B. Izzi, C. Vandenbriele, F.F. Wei, Y.M. Gu, L. Jacobs, L. Citterio, S.D. Carpini, C. Barlassina, D. Cusi, M.F. Hoylaerts, P. Verhamme, T. Kuznetsova, J.A. Staessen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Platelet Endothelial Aggregation Receptor 1 (PEAR1), a membrane protein highly expressed in platelets and endothelial cells, plays a role in platelet contact-induced activation, sustained platelet aggregation and endothelial function. Previous reports implicate PEAR1 rs12041331 as a variant influencing risk in patients with coronary heart disease. We investigated whether genetic variation in PEAR1 predicts cardiovascular outcome in a white population.Methods: In 1938 participants enrolled in the Flemish Study on Environment, Genes and Health Outcomes (51.3% women; mean age 43.6 years), we genotyped 9 tagging SNPs in PEAR1, measured baseline cardiovascular risk factors, and recorded Cardiovascular disease incidence. For SNPs, we contrasted cardiovascular disease incidence of minor-allele heterozygotes and homozygotes (variant) vs. major-allele homozygotes (reference) and for haplotypes carriers vs. non-carriers. In adjusted analyses, we accounted for family clusters and baseline covariables, including sex, age, body mass index, mean arterial pressure, the total-to-HDL cholesterol ratio, smoking and drinking, antihypertensive drug treatment, and history of cardiovascular disease and diabetes mellitus.Results: Over a median follow-up of 15.3 years, 238 died and 181 experienced a major cardiovascular endpoint. The multivariable-adjusted hazard ratios of eight PEAR1 SNPs, including rs12566888, ranged from 0.87 to 1.07 (P >= 0.35) and from 0.78 to 1.30 (P >= 0.15), respectively. The hazard ratios of three haplotypes with frequency >= 10% ranged from 0.93 to 1.11 (P >= 0.49) for mortality and from 0.84 to 1.03 (P >= 0.29) for a cardiovascular complications. These results were not influenced by intake of antiplatelet drugs, nonsteroidal anti-inflammatory drugs, or both (P-values for interaction >= 0.056).Conclusions: In a White population, we could not replicate previous reports from experimental studies or obtained in patients suggesting that PEAR1 might be a susceptibility gene for cardiovascular complications.
Original languageEnglish
Article number45
Number of pages9
JournalBMC Medical Genetics
Volume18
Issue number1
DOIs
Publication statusPublished - 27 Apr 2017

Keywords

  • Clinical genetics
  • Cardiovascular risk
  • PEAR1
  • Population science
  • Replication research
  • ENDOTHELIAL AGGREGATION RECEPTOR-1
  • GENOME-WIDE ASSOCIATION
  • PLATELET-AGGREGATION
  • IDENTIFICATION
  • POLYMORPHISMS
  • AGGREGABILITY
  • CLOPIDOGREL
  • ACTIVATION
  • RESISTANCE
  • OUTCOMES

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