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Genome-wide and phenome-wide analysis of ideal cardiovascular health in the VA Million Veteran Program. | LitMetric

AI Article Synopsis

  • The study aims to identify genetic factors linked to ideal cardiovascular health (CVH) and their relation to cardiovascular disease (CVD) outcomes using data from the Veteran Administration Million Veteran Program.
  • An ideal health score (IHS) was calculated from clinical factors like blood pressure and cholesterol, and behavioral factors like smoking and physical activity, and analyzed through genome-wide association studies (GWAS) and a polygenic risk score (PRSIHS).
  • Results showed that only 4.2% of participants had ideal CVH, but higher PRSIHS scores were linked to lower odds of CVD outcomes and mortality, indicating that certain genetic variants significantly influence CVH in this diverse group of US Veterans.

Article Abstract

Background: Genetic studies may help identify causal pathways; therefore, we sought to identify genetic determinants of ideal CVH and their association with CVD outcomes in the multi-population Veteran Administration Million Veteran Program.

Methods: An ideal health score (IHS) was calculated from 3 clinical factors (blood pressure, total cholesterol, and blood glucose levels) and 3 behavioral factors (smoking status, physical activity, and BMI), ascertained at baseline. Multi-population genome-wide association study (GWAS) was performed on IHS and binary ideal health using linear and logistic regression, respectively. Using the genome-wide significant SNPs from the IHS GWAS, we created a weighted IHS polygenic risk score (PRSIHS) which was used (i) to conduct a phenome-wide association study (PheWAS) of associations between PRSIHS and ICD-9 phenotypes and (ii) to further test for associations with mortality and selected CVD outcomes using logistic and Cox regression and, as an instrumental variable, in Mendelian Randomization.

Results: The discovery and replication cohorts consisted of 142,404 (119,129 European American (EUR); 16,495 African American (AFR)), and 45,766 (37,646 EUR; 5,366 AFR) participants, respectively. The mean age was 65.8 years (SD = 11.2) and 92.7% were male. Overall, 4.2% exhibited ideal CVH based on the clinical and behavioral factors. In the multi-population meta-analysis, variants at 17 loci were associated with IHS and each had known GWAS associations with multiple components of the IHS. PheWAS analysis in 456,026 participants showed that increased PRSIHS was associated with a lower odds ratio for many CVD outcomes and risk factors. Both IHS and PRSIHS measures of ideal CVH were associated with significantly less CVD outcomes and CVD mortality.

Conclusion: A set of high interest genetic variants contribute to the presence of ideal CVH in a multi-ethnic cohort of US Veterans. Genetically influenced ideal CVH is associated with lower odds of CVD outcomes and mortality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132265PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0267900PLOS

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