Cross‐Ancestry Associations of Spontaneous Coronary Artery Dissection Genetic Risk With Coronary Atherosclerosis and Migraine Headache
Research studies of spontaneous coronary artery dissection (SCAD) have been primarily focused on European-ancestry individuals, with limited recognition and investigation in non-European-ancestry individuals. While SCAD has not been well ascertained in non-European-ancestry groups, pleiotropic assoc...
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| Veröffentlicht in: | Journal of the American Heart Association Jg. 14; H. 10; S. e036525 |
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| Hauptverfasser: | , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
England
John Wiley and Sons Inc
20.05.2025
Wiley |
| Schlagworte: | |
| ISSN: | 2047-9980, 2047-9980 |
| Online-Zugang: | Volltext |
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| Zusammenfassung: | Research studies of spontaneous coronary artery dissection (SCAD) have been primarily focused on European-ancestry individuals, with limited recognition and investigation in non-European-ancestry individuals. While SCAD has not been well ascertained in non-European-ancestry groups, pleiotropic associated traits identified in those of European ancestry have been assessed in individuals of other ancestries. Whether these traits are associated with the complex genetic architecture of SCAD in those of non-European ancestry has not been previously investigated.
We investigated the associations of an established SCAD polygenic score with multiple vascular diseases in ≈900 000 ancestrally diverse participants of large-scale studies. Individual-level data from the UK Biobank and the Million Veteran Program and summary statistics of publicly available databases were analyzed.
A set of associations between SCAD polygenic score and related vascular diseases were replicated in non-European samples. Notable associations with the SCAD polygenic score included (1) coronary artery disease, myocardial infarction, and migraine headache in a Hispanic group (coronary artery disease: odds ratio [OR], 0.93 [95% CI, 0.90-0.95];
=2.35×10
; myocardial infarction: OR, 0.88 [95% CI, 0.80-0.96];
=5.73×10
; migraine headache: OR, 1.03 [95% CI, 1.01-1.06];
=1.86×10
) of the Million Veteran Program; (2) headache in an African-ancestry group (OR, 1.22 [95% CI, 1.06-1.41];
=6.94×10
) and a South Asian-ancestry group (OR, 1.18 [95% CI, 1.02-1.37];
=2.43×10
) of the UK Biobank; and (3) coronary artery disease, myocardial infarction, and migraine headache in East Asian-ancestry cohorts (coronary artery disease: OR, 0.95 [95% CI, 0.93-0.98];
=2.66×10
; myocardial infarction: OR, 0.86 [95% CI, 0.83-0.89];
=9.51×10
; migraine headache: OR, 1.27 [95% CI, 1.10-1.47];
=1.03×10
).
Pleiotropic associations of SCAD polygenic risk with related vascular diseases previously identified in European-ancestry groups showed notable, largely consistent patterns in non-European-ancestry groups. |
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| Bibliographie: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 For Sources of Funding and Disclosures, see page 9. This manuscript was sent to Nathan Stitziel, MD, PhD, Associate Editor, for review by expert referees, editorial decision, and final disposition. Contact information for the consortium representative: Themistocles L. Assimes, MD, PhD, FAHA, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305. Email: tassimes@stanford.edu Supplemental Material is available at https://www.ahajournals.org/doi/suppl/10.1161/JAHA.124.036525 |
| ISSN: | 2047-9980 2047-9980 |
| DOI: | 10.1161/JAHA.124.036525 |