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A genomic exploration identifies mechanisms that may explain adverse cardiovascular effects of COX-2 inhibitors
University of Lübeck, Institute for Cardiogeneticss; DZHK (German Research Center for Cardiovascular Research), partner site Hamburg/Lübeck/Kiel; University Heart Center Lübeck.ORCID iD: 0000-0003-4591-0326
University of Lübeck, Institute for Cardiogeneticss.
University Medical Center Utrecht, Division Heart and Lungs, Department of Cardiology.
Technische Universität München, Deutsches Herzzentrum München.
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2017 (English)In: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 7, article id 10252Article in journal (Refereed) Published
Abstract [en]

Cyclooxygenase-2 inhibitors (coxibs) are characterized by multiple molecular off-target effects and increased coronary artery disease (CAD) risk. Here, we systematically explored common variants of genes representing molecular targets of coxibs for association with CAD. Given a broad spectrum of pleiotropic effects of coxibs, our intention was to narrow potential mechanisms affecting CAD risk as we hypothesized that the affected genes may also display genomic signals of coronary disease risk. A Drug Gene Interaction Database search identified 47 gene products to be affected by coxibs. We traced association signals in 200-kb regions surrounding these genes in 84,813 CAD cases and 202,543 controls. Based on a threshold of 1 x 10(-5) (Bonferroni correction for 3131 haplotype blocks), four gene loci yielded significant associations. The lead SNPs were rs7270354 (MMP9), rs4888383 (BCAR1), rs6905288 (VEGFA1), and rs556321 (CACNA1E). By additional genotyping, rs7270354 at MMP9 and rs4888383 at BCAR1 also reached the established GWAS threshold for genome-wide significance. The findings demonstrate overlap of genes affected by coxibs and those mediating CAD risk and points to further mechanisms, which are potentially responsible for coxib-associated CAD risk. The novel approach furthermore suggests that genetic studies may be useful to explore the clinical relevance of off-target drug effects.

Place, publisher, year, edition, pages
NATURE PUBLISHING GROUP , 2017. Vol. 7, article id 10252
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Cardiac and Cardiovascular Systems
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URN: urn:nbn:se:uu:diva-334934DOI: 10.1038/s41598-017-10928-4ISI: 000408781200111OAI: oai:DiVA.org:uu-334934DiVA, id: diva2:1161906
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AstraZenecaNovo NordiskEU, FP7, Seventh Framework Programme, 261123German Research Foundation (DFG)Available from: 2017-12-01 Created: 2017-12-01 Last updated: 2017-12-01Bibliographically approved

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Brænne, IngridWallentin, LarsAsselbergs, Folkert W.Erdmann, Jeanette
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