New quantitative trait loci for carotid atherosclerosis identified in an

Articles in PresS. Physiol Genomics (March 5, 2013). doi:10.1152/physiolgenomics.00099.2012
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
New quantitative trait loci for carotid atherosclerosis identified in an intercross
derived from apolipoprotein E-deficient mouse strains
Short title: QTLs for carotid Atherosclerosis
*Jessica S. Rowlan, *Zhimin Zhang, Qian Wang, Yan Fang, Weibin Shi
Departments of Radiology & Medical Imaging and of Biochemistry & Molecular Genetics,
University of Virginia, Charlottesville, VA 22908
Correspondence to:
Weibin Shi, MD, PhD
University of Virginia
Fontaine Research Park
P.O. Box 801339
480 Ray C Hunt Drive
Charlottesville, VA 22908
Fax: (434) 982 5680
Phone: (434) 243 9420
E-mail: [email protected]
* Authors contributed equally.
23
24
Copyright © 2013 by the American Physiological Society.
25
Abstract
26
Carotid atherosclerosis is the primary cause of ischemic stroke. To identify genetic factors
27
contributing to carotid atherosclerosis, we performed quantitative trait locus (QTL) analysis
28
using female mice derived from an intercross between C57BL/6J (B6) and BALB/cJ (BALB)
29
apolipoprotein E (Apoe−/−) mice. 266 F2 mice were started on a Western diet at 6 weeks of age
30
and fed the diet for 12 weeks. Atherosclerotic lesions in the left carotid bifurcation and plasma
31
lipid levels were measured.
32
genotyped. Three significant QTLs, Cath1 on chromosome (Chr) 12, Cath2 on Chr5, and Cath3
33
on Chr13, and four suggestive QTLs on Chr6, Chr9, Chr17, and Chr18 were identified for
34
carotid lesions. The Chr6 locus replicated a suggestive QTL and was named Cath4. Six QTLs
35
for HDL, three QTLs for non-HDL cholesterol, and three QTLs for triglyceride were found. Of
36
these, a significant QTL for non-HDL on Chr1 at 60.3 cM, named Nhdl13, and a suggestive QTL
37
for HDL on ChrX were new. A significant locus for HDL (Hdlq5) was overlapping with a
38
suggestive locus for carotid lesions on Chr9. A significant correlation between carotid lesion
39
sizes and HDL cholesterol levels was observed in the F2 population (R=-0.153, P=0.0133).
40
Thus, we have identified several new QTLs for carotid atherosclerosis and the locus on Chr9
41
may exert effect through interactions with HDL.
130 microsatellite markers across the entire genome were
42
2
43
Introduction
44
Stroke is the leading cause of disability in adults and the fourth most common cause of death in
45
the United States (33). Ischemic stroke, resulting from the obstruction of blood flow to the brain,
46
accounts for over 80% of all stroke cases (4). Most of the ischemic strokes are caused by
47
atherosclerosis in the carotid arteries. Carotid plaques directly or indirectly, through formation
48
of thrombi, result in stenosis of the vessels and block the blood flow to the brain (24). Due to the
49
ready accessibility and the close association with the brain, the carotid arteries are the most
50
extensively studied vessels in vivo with ultrasonography.
51
stenosis have severely impaired cerebral blood flow and markedly increased risk for ipsilateral
52
stroke (24),(26). For those with no obvious carotid stenosis, perspective studies also show a
53
close association between the intima-media thickening and the risk of stroke (21)(25)(48).
54
Intima-media thickening of the carotid arteries is an established parameter of subclinical
55
atherosclerosis(9)(40).
Patients with noticeable carotid
56
Genetic studies of twin pairs and families have demonstrated the heritability of carotid
57
atherosclerosis or common and internal carotid artery intima media thickness (34)(44)(60).
58
However, identification of susceptibility genes involved has not been achieved. To date, robust
59
and replicatible associations in non-isolated populations are only limited to variants in the APOE
60
gene (29). A recent meta-analysis of genome-wide association studies (GWAS) from the CHARGE
61
consortium has identified a few common variants associated with carotid intima media thickness and
62
plaque, including LRIG1, EDNRA, SLC17A4, PIK3CG, PINX1, ZHX2, APOC1, and LDLR (2).
63
However, it is challenging to establish causality between the variants and the disease in humans
64
due to small gene effect, complex genetic structure, and environmental influences.
65
A complementary approach to the identification of human disease genes is to use model
3
66
organisms.
67
deficient (Apoe-/-) mouse, which develops all phases of atherosclerotic lesions throughout the
68
aorta and its branches (27). We have demonstrated a dramatic influence of genetic backgrounds
69
on the development of carotid atherosclerosis in Apoe-/- mouse strains(19). In an intercross
70
derived from C57BL/6 (B6) and C3H/HeJ (C3H) Apoe-/- mice, we performed quantitative trait
71
locus (QTL) analysis and identified the first significant locus for carotid atherosclerosis (19).
72
Like C3H.Apoe-/- mice, BALB/cJ (BALB) Apoe-/- mice are highly resistant to atherosclerosis
73
(46). In this study, we generated a F2 population from B6.Apoe-/- and BALB.Apoe-/- mice to
74
search for new loci contributing to carotid atherosclerosis and associated lipid traits.
One commonly used mouse model of atherosclerosis is the apolipoprotein E-
75
76
4
77
Methods
78
Mice: B6.Apoe-/- mice were purchased from the Jackson Laboratories, and BALB.Apoe-/- mice at
79
the N10 generation were generated in our laboratory. The creation of a female F2 population
80
from the two Apoe-/- mouse strains was as reported (59). Mice were started on a Western diet
81
containing 21% fat, 34.1% sucrose, 0.15% cholesterol, and 19.5% casein (Harlan Laboratories,
82
TD 88137) at 6 weeks of age and maintained on the diet for 12 weeks. Mice were bled once
83
before initiation of the Western diet and once at the end of the feeding period. Blood samples
84
were collected from overnight fasted mice through a retro-orbital vein puncture with the animals
85
under isoflurane anesthesia. All procedures were performed in accordance with current National
86
Institutes of Health guidelines and approved by the University Animal Care and Use
87
Committees.
88
Plasma lipid analysis: The measurements of total cholesterol, HDL cholesterol, and triglyceride
89
were performed as reported previously (46).
90
difference between total and HDL cholesterol.
91
Quantitation of carotid atherosclerosis: The distal portion of the left common carotid artery
92
and its adjacent branches were harvested en bloc, embedded in OCT compound (Tissue-Tek),
93
and processed, as we previously reported (19). Sections were stained with oil red O and
94
hematoxylin and counterstained with fast green. Lesion areas were quantified using an ocular
95
with a square-micrometer grid on a light microscope. The lesion areas of five sections with the
96
largest readings were averaged for each mouse and this average was used for statistical analysis.
97
Genotyping: A total of 130 microsatellite markers covering all 19 autosomes and the X
98
chromosome at an average interval of ~12 cM were typed. Parental and F1 DNA served as
99
controls for each marker.
Non-HDL cholesterol was calculated as the
5
100
Statistical analysis. QTL analysis was performed using J/qtl software, as we previously reported
101
(41)(42)(57). One thousand permutations of trait values were run to define the genome-wide
102
LOD (logarithm of odds) score thresholds for significant and suggestive linkage to each trait.
103
Loci that exceeded the 95th percentile of the permutation distribution were defined as significant
104
(P<0.05) and those exceeding the 37th percentile were suggestive (P<0.63). Pair-wise genome
105
scans were performed to find interacting loci affecting carotid lesions.
106
Prioritization of candidate Genes. The Sanger SNP database (http://www.sanger.ac.uk/cgi-
107
bin/modelorgs/mousegenomes/snps.pl) was searched to prioritize candidate genes for carotid
108
lesion QTL that had been mapped in intercrosses derived from different parental strains.
109
Probable candidate genes should possess one or more SNPs in coding or upstream promoter
110
regions that are shared by the parental strains carrying the “high” allele but are different from the
111
parental strains carrying the “low” allele.
112
113
6
114
Results
115
Trait value frequency distributions. Values of atherosclerotic lesion sizes in the left carotid
116
bifurcation of 266 F2 mice were distributed in the Pareto manner: the proportion of F2 mice with
117
a lesion size ≤ 5,000 μm2/section is the highest, and then decreases as lesion sizes increase (Fig.
118
1). After being square root-transformed, these values approach a normal distribution. Values of
119
LN (natural logarithm)-transformed HDL cholesterol, non-HDL cholesterol, and triglyceride
120
concentrations are approximately normally distributed. These data were then analyzed using
121
J/qtl software to detect significant and suggestive QTLs affecting the traits.
122
Carotid atherosclerotic lesions. Genome-wide QTL analysis of either non-transformed carotid
123
lesion sizes with the non-parametric mode or square root-transformed carotid lesion sizes with
124
the parametric mode revealed 3 significant QTLs, located on chromosomes (Chr) 5, 12, and 13,
125
and 2 suggestive QTLs, on Chr17 and Chr18, for carotid lesion sizes (Fig. 2). The QTL analysis
126
of square root-transformed carotid lesions with the parametric mode also revealed 2 additional
127
suggestive QTLs, located on Chr6 and Chr9. Details of the QTLs detected, including locus
128
name, LOD score, 95% confidence interval (CI), peak location, genome-wide significance P
129
value, high allele, and mode of inheritance are presented in Table 1. The significant QTL on
130
Chr12 and the suggestive QTL on Chr6 replicated 2 previously reported QTLs (19). The other
131
QTLs were novel. The Chr5 locus peaked at 56.7 cM and had a significant LOD score of 6.6
132
and a genome-wide significant P value of 0.0001. We named it Cath2 to represent a locus for
133
mouse carotid atherosclerosis. Interval mapping plots for Chr5 using either non-transformed
134
carotid lesion data or square root-transformed lesion data showed 2 distinct peaks with each
135
surpassing the significant LOD score threshold (Fig. 3), indicating the presence of 2 loci for the
136
trait on the chromosome. The bootstrap test, a statistical method for defining the confidence
7
137
interval of a QTL using simulation (49), also indicated the existence of 2 QTLs in the region for
138
the trait. However, because the 2 loci overlapped in the confidence interval and both exhibited a
139
dominant effect from the B6 allele, we designated them as a single QTL. The Chr13 locus had a
140
significant LOD score of 5.1 and a genome-wide significance P value of 0.001. Its peak
141
appeared at 49 cM. We named it Cath3. The Chr6 locus had a suggestive LOD score of 2.6 and
142
peaked at 35.5 cM. It replicated a suggestive QTL for carotid lesions mapped in the B6.Apoe-/- x
143
C3H.Apoe-/- intercross (19). We named it Cath4. For all 3 significant QTLs and 1 suggestive
144
QTL on Chr17, the B6 allele was responsible for increased lesion sizes and the BALB allele
145
accounted for reduced lesion sizes. In contrast, for the Chr18 locus the BALB allele was
146
associated with increased lesion sizes and the B6 allele was associated with decreased lesion
147
sizes (Table 2). The 2 suggestive QTLs on Chr6 and Chr9 exhibited an under-dominance
148
manner of inheritance in that F2s with the heterozygous genotype had a significantly smaller or
149
larger lesion size than those homozygous for the B6 or BALB allele.
150
Pairwise genome scans were performed to search for interacting loci affecting carotid
151
lesion sizes (Fig. 4). Significant interactions were detected between the Chr1 locus at 64 cM
152
and the Chr16 locus at 21.7 cM, between the Chr2 locus at 50.2 cM and the Chr6 locus at 33.5
153
cM, and between the Chr8 locus at 45.7 cM and the Chr16 locus at 43.7 cM. There were no
154
main effect QTLs for carotid atherosclerosis at any of these loci alone. However, in those F2
155
mice that were homozygous for the B6 allele at 21.7 cM on Chr16, the Chr1 locus exhibited an
156
additive effect from the B6 allele in increasing lesion sizes. In F2 mice homozygous for the B6
157
allele at 33.5 cM on Chr6, the BALB allele of Chr2 locus at 50.2 cM increased lesion sizes in an
158
additive manner. The BALB allele of Chr8 locus at 45.7 cM also increased lesion sizes when the
159
Chr16 locus was homozygous for the BALBc allele at 43.7 cM.
8
160
Plasma lipid levels. Genome-wide QTL analysis showed that plasma HDL cholesterol, non-
161
HDL cholesterol, and triglyceride levels were each controlled by multiple loci (Fig. 5, Table 1).
162
For HDL, 2 significant QTLs, located on Chr1 and Chr9, and 4 suggestive QTLs on Chr13,
163
Chr17, Chr19, and the X chromosome were identified. The 2 significant QTLs on Chr1 and
164
Chr9 replicated Hdlq5 and Hdlq17, respectively, which had been mapped in several crosses (53).
165
The Chr9 locus was partially overlapping with the suggestive locus for carotid atherosclerosis
166
(Table 1). The suggestive locus on Chr13 partially overlapped with Lipq2, a locus identified in
167
B6.C-H25C x BALB/cJ) F2 mice (55).
168
overlapping in the confidence interval with Hdlq29 and Hdlq32, respectively, identified in a
169
NZB x SM F2 cross (16).
170
cholesterol, 2 significant QTLs on Chr1 and 1 suggestive QTL on Chr6 were identified. LOD
171
score plot for Chr1 showed two distinct peaks, located approximately 14 cM apart (Fig. 6). The
172
distal QTL peaked at 74.3 CM, overlapping with Cq1, a locus originally identified in a B6 × KK-
173
Ay intercross for plasma cholesterol concentrations (43). The proximal peak occurred at 60.3
174
cM with a significant LOD score of 5.93. We named Nhdlq13 to represent a significant QTL for
175
non-HDL cholesterol in the mouse. The suggestive QTL on Chr6 replicated Pnhdlc1 mapped in
176
a B6 x CASA/Rk intercross (37). Plasma triglyceride levels were controlled by 1 significant
177
QTL on Chr1 and 2 suggestive QTLs on Chr7 and Chr8. The Chr1 and Chr7 QTLs replicated
178
Tglq1 and Tgq4, respectively, loci originally mapped in a NZB × SM F2 cross (30). The Chr8
179
QTL overlapped with Tql1 mapped in a KK/Ta × (BALB/cxKK/Ta) backcross (39).
180
Relationships of plasma lipids with carotid atherosclerosis. Associations of carotid lesion
181
sizes with plasma lipid levels were analyzed using the F2 population. A small but statistically
182
significant inverse correlation was found between plasma HDL cholesterol levels and carotid
The suggestive QTLs on Chr17 and Chr19 were
The locus on the X chromosome was novel.
For non-HDL
9
183
lesion sizes in the F2 mice (R=-0.153, P=0.0133; Fig. 7). Mice with higher HDL cholesterol
184
levels tended to develop smaller carotid lesions. No statistically significant correlation was
185
observed between non-HDL cholesterol levels and carotid lesion sizes, although there was a
186
trend toward statistical significance (R=0.100; P=0.106). There was also a trend toward a
187
significant inverse correlation between plasma triglyceride levels and carotid lesion sizes (R=-
188
0.094; P=0.130).
189
Probable candidate genes for Cath1. As Cath1 has also been mapped in an intercross between
190
B6.Apoe-/- and C3H.Apoe-/- mice (19), we conducted a haplotype analysis using Sanger SNP
191
database to prioritize candidate genes for the QTL (Table 3). A few candidate genes underneath
192
the linkage peak of Cath1 were found, including Egln3 (55.3Mb), Eapp (55.7Mb), Mipol1
193
(58.3Mb), Foxa1 (58.6Mb), Clec14a (59.3Mb), and Mis18bp1 (66.2Mb). These candidates
194
contain one or more non-synonymous polymorphisms that are shared by the low allele strains
195
(C3H and BALB) but are different from the high allele strain (B6) at the locus. Egln3, encoding
196
EGL nine homolog 3, possesses the prolyl hydroxylase activity, which is required to suppress the
197
activation of NF-kappaB (8). Mipol1, Foxa1, and Mis18bp1 are three genes associated with cell
198
growth and tumor development. Recent GWAS studies have identified several new loci for
199
coronary heart disease that are also associated with cancer (11)(36).
200
endothelial cell-specific protein that plays a role in cell-cell adhesion. Knockdown of Clec14a
201
with siRNA suppressed cell migratory activity in vitro (32).
Clec14a encodes an
202
10
203
Discussion
204
In this study, we used a F2 population derived from an intercross between two phenotypically
205
divergent Apoe−/− mouse strains to localize chromosomal regions contributing to carotid
206
atherosclerosis and associated lipid traits. We have identified three significant QTLs and four
207
suggestive QTLs for carotid atherosclerosis and ten QTLs for plasma lipid levels from the cross.
208
Moreover, we have observed significant associations of carotid lesion sizes with plasma HDL
209
cholesterol levels in the F2 population.
210
Cath1 was the first QTL for carotid atherosclerosis identified in an intercross between
211
B6.Apoe−/− and C3H.Apoe−/− mice (19). It was located on mouse chromosome 12 at 25cM with
212
the B6 allele contributing to an increased lesion size in female mice.
213
replicated this QTL and also a suggestive locus on chromosome 6, now named Cath4, mapped in
214
the previous cross. The confidence interval of Cath1 corresponds to human chromosome 14q12-
215
14q24, a region that has shown linkage to carotid intimal medial thickness and premature
216
coronary artery disease (6)(51). As Cath1. Pik3cg (32.8 Mb) is a gene in the region that has
217
been found to be associated with carotid intima media thickness and plaque in humans on
218
GWAS (2).
219
upstream of the Pik3cg gene. We also conducted a haplotype analysis using parental strains in
220
intercrosses that led to detection of Cath1, and found several probable candidate genes
221
underneath the linkage peak of Cath1, including Egln3 (55.3Mb), Mipol1 (58.3Mb), Foxa1
222
(58.6Mb), Clec14a (59.3Mb), and Mis18bp1 (66.2Mb).
The present study
There are multiple polymorphisms between B6 and BALB mice within and
223
A new major QTL for carotid atherosclerosis mapped in this cross was Cath2, which had
224
a highly significant LOD score. This locus was coincident with a fasting plasma glucose QTL,
225
Bglu13, mapped in this cross (59). A significant correlation between fasting plasma glucose and
11
226
carotid lesion sizes was also observed in the cross (data not shown), suggesting a possibility that
227
both phenotypes were regulated by the same underlying QTL gene(s).
228
encoding hepatocyte nuclear factor 1α, is the most promising candidate in this regard. It is
229
located underneath the linkage peaks of Cath2 and Bglu13. One A/G SNP in exon 9 between B6
230
and BALB leads to amino acid substitution (P580R) in the Hnf1a protein. In humans, Hnf1a
231
mutations are the most common cause of maturity-onset diabetes of the young (MODY) (38).
232
Polymorphisms in the Hnf1a gene are associated with risk for type 2 diabetes and coronary heart
233
disease (31)(50).
234
chromosomal regions of 4q22 and 12q24 in humans. The 12q24 region is associated with
235
coronary heart disease (5)(36), carotid intima media thickening (6), metabolic syndrome (12)(58),
236
type 1 and type 2 diabetes (47)(50)(56). Other probable candidate genes for the QTL include
237
Adamts3 (90.1Mb), Ankrd17 (90.6Mb), and Cxcl5 (91.1Mb). The Adamt proteases are secreted
238
enzymes that regulate extracellular matrix turnover by degrading specific matrix components.
239
Recent studies have suggested a role for the proteases in inflammation and atherosclerosis (35).
240
Ankrd17 encodes an ankyrin repeat protein that mediates protein-protein interactions. Ankyrin
241
repeat proteins are involved in a variety of physiological processes, such as cell cycle control and
242
inflammatory response(17)(54).
Hnf1a (114.9Mb),
The mouse chromosome 5 region from 48 to 67 cM corresponds to
243
A new significant locus for carotid atherosclerosis, named Cath3, was found on
244
chromosome 13 at 49 cM. This QTL was colocalized with a HDL locus, Lipq2, originally
245
mapped in a B6.C-H25c x BALB/cJ cross (55) and replicated in the current cross. Moreover, a
246
significant correlation was found between carotid lesion sizes and HDL cholesterol levels in the
247
F2 population. Bhmt2 (94.4Mb), which is located underneath the linkage peak of Cath3, is a
248
promising candidate gene. It encodes the betaine-homocysteine methyltransferase, an enzyme
12
249
involved in regulating the susceptibility to acetaminophen-induced liver toxicity (20). This
250
enzyme may also affect the susceptibility to high fat diet-induced liver damage. High fat diet
251
results in a spectrum of liver damages, ranging from simple steatosis, to active inflammation, to
252
advanced fibrosis and cirrhosis (3). B6.Apoe−/− mice develop severe hyperglycemia,
253
dyslipidemia and systemic inflammation in response to high fat diet whereas BALB.Apoe−/−
254
mice are resistant to these conditions (18)(46). In humans, steatostic liver disease is associated
255
with increased prevalence of cardiovascular disease (29). F2rl1 (96.2Mb) and F2rl2 (96.4Mb)
256
are also promising candidate genes in the region. They are involved in many processes relevant
257
to atherosclerosis, such as inflammatory response, endothelium dysfunction, diet-induced obesity
258
and insulin resistance (1)(15)(45).
259
We found that QTLs in distal chromosome 1 was responsible for the major variations in
260
plasma HDL, non-HDL cholesterol, and triglyceride levels of the cross.
261
consistent with our observation made in two separate crosses between B6.Apoe−/− and
262
C3H.Apoe−/− mice (19)(42). Apoa2 has been identified as a QTL gene on distal chromosome 1
263
contributing to variations in plasma lipid levels of mice (52). We recently have demonstrated
264
that Soat1 is also a QTL gene contributing to naturally occurring variations in plasma lipid levels
265
of mice (22). In the current cross, we have observed two distinct peaks of the linkage curve for
266
non-HDL cholesterol on chromosome 1 with the distal peak appearing at 74.3cM and the
267
proximal peak at 60.3cM. The bootstrap test, a statistical method for defining the confidence
268
interval of QTLs using simulation (49), also indicated the existence of two QTLs for the trait on
269
chromosome 1. We named the proximal QTL Nhdlq13 to represent a new locus for non-HDL
270
cholesterol in the mouse. Lct (130.2Mb), encoding lactase, is the only candidate gene in the
271
QTL interval that could explain variation in plasma lipid levels.
This finding is
13
272
A significant QTL for HDL was mapped to chromosome 9 at 24 cM in the current cross.
273
This QTL was overlapping with Hdlq17 mapped in a B6 x 129S1/SvImJ intercross (13), Chol10
274
mapped in a 129S1/SvImJ x RIIIS/J intercross (23), and Phdlc1 mapped in B6 x CASA/RkJ
275
intercross (37). There are several promising candidate genes in the region, including St3gal4
276
(34.8Mb), Sorl1 (41.7Mb), Sc5d (42Mb), Phldb1 (44.5Mb), Sik3 (46Mb), Apoa1 (46Mb),
277
Fam55b (48.1Mb), and Fam55d (48.1Mb).
278
Although dyslipidemia is a well-recognized risk factor for ischemic stroke, the present
279
study of F2 mice has only revealed a weak correlation between carotid atherosclerotic lesion
280
sizes and plasma HDL cholesterol levels. Unexpectedly, no correlations were observed between
281
carotid lesions and non-HDL cholesterol or between carotid lesions and triglyceride levels. A
282
previous study of F2 mice derived from B6.Apoe−/− and C3H.Apoe−/− mice also demonstrated no
283
significant associations between carotid lesion sizes and plasma lipoprotein levels (19).
284
In summary, we have identified multiple QTLs contributing carotid atherosclerosis and
285
plasma lipid levels in hyperlipidemic Apoe−/− mice. Most of the QTLs identified for carotid
286
atherosclerosis in this study are novel. The coincidence of QTLs for carotid atherosclerosis and
287
HDL as well as the correlation between the traits suggests that they may be controlled by the
288
same gene in the QTL interval.
289
14
290
Sources of funding:
291
This work was supported by NIH grant HL82881.
292
293
294
15
295
296
References
297
1. Badeanlou L, Furlan-Freguia C, Yang G, Ruf W and Samad F. Tissue factor-protease-
298
activated receptor 2 signaling promotes diet-induced obesity and adipose inflammation.
299
Nat.Med. 17: 11: 1490-1497, 2011.
300
2. Bis JC, Kavousi M, Franceschini N, Isaacs A, Abecasis GR, Schminke U, Post WS, Smith
301
AV, Cupples LA, Markus HS, Schmidt R, Huffman JE, Lehtimaki T, Baumert J, Munzel
302
T, Heckbert SR, Dehghan A, North K, Oostra B, Bevan S, Stoegerer EM, Hayward C,
303
Raitakari O, Meisinger C, Schillert A, Sanna S, Volzke H, Cheng YC, Thorsson B, Fox CS,
304
Rice K, Rivadeneira F, Nambi V, Halperin E, Petrovic KE, Peltonen L, Wichmann HE,
305
Schnabel RB, Dorr M, Parsa A, Aspelund T, Demissie S, Kathiresan S, Reilly MP, Taylor
306
K, Uitterlinden A, Couper DJ, Sitzer M, Kahonen M, Illig T, Wild PS, Orru M, Ludemann
307
J, Shuldiner AR, Eiriksdottir G, White CC, Rotter JI, Hofman A, Seissler J, Zeller T,
308
Usala G, Ernst F, Launer LJ, D'Agostino RB S, O'Leary DH, Ballantyne C, Thiery J,
309
Ziegler A, Lakatta EG, Chilukoti RK, Harris TB, Wolf PA, Psaty BM, Polak JF, Li X,
310
Rathmann W, Uda M, Boerwinkle E, Klopp N, Schmidt H, Wilson JF, Viikari J, Koenig
311
W, Blankenberg S, Newman AB, Witteman J, Heiss G, Duijn C, Scuteri A, Homuth G,
312
Mitchell BD, Gudnason V, O'Donnell CJ and CARDIoGRAM Consortium. Meta-analysis
313
of genome-wide association studies from the CHARGE consortium identifies common variants
314
associated with carotid intima media thickness and plaque. Nat.Genet. 43: 10: 940-947, 2011.
315
3. Day CP. Non-alcoholic fatty liver disease: current concepts and management strategies.
316
Clin.Med. 6: 1: 19-25, 2006.
16
317
4. Donnan GA, Fisher M, Macleod M and Davis SM. Stroke. Lancet 371: 9624: 1612-1623,
318
2008.
319
5. Erdmann J, Grosshennig A, Braund PS, Konig IR, Hengstenberg C, Hall AS, Linsel-
320
Nitschke P, Kathiresan S, Wright B, Tregouet DA, Cambien F, Bruse P, Aherrahrou Z,
321
Wagner AK, Stark K, Schwartz SM, Salomaa V, Elosua R, Melander O, Voight BF,
322
O'Donnell CJ, Peltonen L, Siscovick DS, Altshuler D, Merlini PA, Peyvandi F,
323
Bernardinelli L, Ardissino D, Schillert A, Blankenberg S, Zeller T, Wild P, Schwarz DF,
324
Tiret L, Perret C, Schreiber S, El Mokhtari NE, Schafer A, Marz W, Renner W, Bugert P,
325
Kluter H, Schrezenmeir J, Rubin D, Ball SG, Balmforth AJ, Wichmann HE, Meitinger T,
326
Fischer M, Meisinger C, Baumert J, Peters A, Ouwehand WH, Italian Atherosclerosis,
327
Thrombosis, and Vascular Biology Working Group, Myocardial Infarction Genetics
328
Consortium, Wellcome Trust Case Control Consortium, Cardiogenics Consortium,
329
Deloukas P, Thompson JR, Ziegler A, Samani NJ and Schunkert H. New susceptibility locus
330
for coronary artery disease on chromosome 3q22.3. Nat.Genet. 41: 3: 280-282, 2009.
331
6. Fox CS, Cupples LA, Chazaro I, Polak JF, Wolf PA, D'Agostino RB, Ordovas JM and
332
O'Donnell CJ. Genomewide linkage analysis for internal carotid artery intimal medial thickness:
333
evidence for linkage to chromosome 12. Am.J.Hum.Genet. 74: 2: 253-261, 2004.
334
7. Franchini M, Peyvandi F and Mannucci PM. The genetic basis of coronary artery disease:
335
from candidate genes to whole genome analysis. Trends Cardiovasc.Med. 18: 5: 157-162, 2008.
336
8. Fu J and Taubman MB. Prolyl hydroxylase EGLN3 regulates skeletal myoblast
337
differentiation through an NF-kappaB-dependent pathway. J.Biol.Chem. 285: 12: 8927-8935,
17
338
2010.
339
9. Greenland P, Alpert JS, Beller GA, Benjamin EJ, Budoff MJ, Fayad ZA, Foster E,
340
Hlatky MA, Hodgson JM, Kushner FG, Lauer MS, Shaw LJ, Smith SC,Jr, Taylor AJ,
341
Weintraub WS, Wenger NK, Jacobs AK, Smith SC,Jr, Anderson JL, Albert N, Buller CE,
342
Creager MA, Ettinger SM, Guyton RA, Halperin JL, Hochman JS, Kushner FG,
343
Nishimura R, Ohman EM, Page RL, Stevenson WG, Tarkington LG, Yancy CW,
344
American College of Cardiology Foundation and American Heart Association. 2010
345
ACCF/AHA guideline for assessment of cardiovascular risk in asymptomatic adults: a report of
346
the American College of Cardiology Foundation/American Heart Association Task Force on
347
Practice Guidelines. J.Am.Coll.Cardiol. 56: 25: e50-103, 2010.
348
10. Holdt LM and Teupser D. Recent studies of the human chromosome 9p21 locus, which is
349
associated with atherosclerosis in human populations. Arterioscler.Thromb.Vasc.Biol. 32: 2: 196-
350
206, 2012.
351
11. Hosking FJ, Dobbins SE and Houlston RS. Genome-wide association studies for detecting
352
cancer susceptibility. Br.Med.Bull. 97: 27-46, 2011.
353
12. Illig T, Gieger C, Zhai G, Romisch-Margl W, Wang-Sattler R, Prehn C, Altmaier E,
354
Kastenmuller G, Kato BS, Mewes HW, Meitinger T, de Angelis MH, Kronenberg F,
355
Soranzo N, Wichmann HE, Spector TD, Adamski J and Suhre K. A genome-wide
356
perspective of genetic variation in human metabolism. Nat.Genet. 42: 2: 137-141, 2010.
357
13. Ishimori N, Li R, Kelmenson PM, Korstanje R, Walsh KA, Churchill GA, Forsman-
358
Semb K and Paigen B. Quantitative trait loci that determine plasma lipids and obesity in
18
359
C57BL/6J and 129S1/SvImJ inbred mice. J.Lipid Res. 45: 9: 1624-1632, 2004.
360
14. Jartti L, Ronnemaa T, Kaprio J, Jarvisalo MJ, Toikka JO, Marniemi J, Hammar N,
361
Alfredsson L, Saraste M, Hartiala J, Koskenvuo M and Raitakari OT. Population-based
362
twin study of the effects of migration from Finland to Sweden on endothelial function and
363
intima-media thickness. Arterioscler.Thromb.Vasc.Biol. 22: 5: 832-837, 2002.
364
15. Knecht W, Cottrell GS, Amadesi S, Mohlin J, Skaregarde A, Gedda K, Peterson A,
365
Chapman K, Hollenberg MD, Vergnolle N and Bunnett NW. Trypsin IV or mesotrypsin and
366
p23 cleave protease-activated receptors 1 and 2 to induce inflammation and hyperalgesia.
367
J.Biol.Chem. 282: 36: 26089-26100, 2007.
368
16. Korstanje R, Li R, Howard T, Kelmenson P, Marshall J, Paigen B and Churchill G.
369
Influence of sex and diet on quantitative trait loci for HDL cholesterol levels in an SM/J by
370
NZB/BlNJ intercross population. J.Lipid Res. 45: 5: 881-888, 2004.
371
17. Li J, Mahajan A and Tsai MD. Ankyrin repeat: a unique motif mediating protein-protein
372
interactions. Biochemistry 45: 51: 15168-15178, 2006.
373
18. Li J, Wang Q, Chai W, Chen MH, Liu Z and Shi W. Hyperglycemia in apolipoprotein E-
374
deficient mouse strains with different atherosclerosis susceptibility. Cardiovasc.Diabetol. 10: 1:
375
117, 2011.
376
19. Li Q, Li Y, Zhang Z, Gilbert TR, Matsumoto AH, Dobrin SE and Shi W. Quantitative
377
trait locus analysis of carotid atherosclerosis in an intercross between C57BL/6 and C3H
378
apolipoprotein E-deficient mice. Stroke 39: 1: 166-173, 2008.
19
379
20. Liu HH, Lu P, Guo Y, Farrell E, Zhang X, Zheng M, Bosano B, Zhang Z, Allard J, Liao
380
G, Fu S, Chen J, Dolim K, Kuroda A, Usuka J, Cheng J, Tao W, Welch K, Liu Y, Pease J,
381
de Keczer SA, Masjedizadeh M, Hu JS, Weller P, Garrow T and Peltz G. An integrative
382
genomic analysis identifies Bhmt2 as a diet-dependent genetic factor protecting against
383
acetaminophen-induced liver toxicity. Genome Res. 20: 1: 28-35, 2010.
384
21. Lorenz MW, von Kegler S, Steinmetz H, Markus HS and Sitzer M. Carotid intima-media
385
thickening indicates a higher vascular risk across a wide age range: prospective data from the
386
Carotid Atherosclerosis Progression Study (CAPS). Stroke 37: 1: 87-92, 2006.
387
22. Lu Z, Yuan Z, Miyoshi T, Wang Q, Su Z, Chang CC and Shi W. Identification of Soat1
388
as a quantitative trait locus gene on mouse chromosome 1 contributing to hyperlipidemia. PLoS
389
One 6: 10: e25344, 2011.
390
23. Lyons MA, Korstanje R, Li R, Walsh KA, Churchill GA, Carey MC and Paigen B.
391
Genetic contributors to lipoprotein cholesterol levels in an intercross of 129S1/SvImJ and RIIIS/J
392
inbred mice. Physiol.Genomics 17: 2: 114-121, 2004.
393
24. Markus H and Cullinane M. Severely impaired cerebrovascular reactivity predicts stroke
394
and TIA risk in patients with carotid artery stenosis and occlusion. Brain 124: Pt 3: 457-467,
395
2001.
396
25. Mathiesen EB, Bonaa KH and Joakimsen O. Echolucent plaques are associated with high
397
risk of ischemic cerebrovascular events in carotid stenosis: the tromso study. Circulation 103:
398
17: 2171-2175, 2001.
20
399
26. Matteis M, Vernieri F, Caltagirone C, Troisi E, Rossini PM and Silvestrini M. Patterns
400
of cerebrovascular reactivity in patients with carotid artery occlusion and severe contralateral
401
stenosis. J.Neurol.Sci. 168: 1: 47-51, 1999.
402
27. Nakashima Y, Plump AS, Raines EW, Breslow JL and Ross R. ApoE-deficient mice
403
develop lesions of all phases of atherosclerosis throughout the arterial tree. Arterioscler.Thromb.
404
14: 1: 133-140, 1994.
405
28. Pacifico L, Nobili V, Anania C, Verdecchia P and Chiesa C. Pediatric nonalcoholic fatty
406
liver disease, metabolic syndrome and cardiovascular risk. World J.Gastroenterol. 17: 26: 3082-
407
3091, 2011.
408
29. Paternoster L, Martinez-Gonzalez NA, Charleton R, Chung M, Lewis S and Sudlow
409
CL. Genetic effects on carotid intima-media thickness: systematic assessment and meta-analyses
410
of candidate gene polymorphisms studied in more than 5000 subjects. Circ.Cardiovasc.Genet. 3:
411
1: 15-21, 2010.
412
30. Purcell-Huynh DA, Weinreb A, Castellani LW, Mehrabian M, Doolittle MH and Lusis
413
AJ. Genetic factors in lipoprotein metabolism. Analysis of a genetic cross between inbred mouse
414
strains NZB/BINJ and SM/J using a complete linkage map approach. J.Clin.Invest. 96: 4: 1845-
415
1858, 1995.
416
31. Reiner AP, Gross MD, Carlson CS, Bielinski SJ, Lange LA, Fornage M, Jenny NS,
417
Walston J, Tracy RP, Williams OD, Jacobs DR,Jr and Nickerson DA. Common coding
418
variants of the HNF1A gene are associated with multiple cardiovascular risk phenotypes in
419
community-based samples of younger and older European-American adults: the Coronary Artery
21
420
Risk Development in Young Adults Study and The Cardiovascular Health Study.
421
Circ.Cardiovasc.Genet. 2: 3: 244-254, 2009.
422
32. Rho SS, Choi HJ, Min JK, Lee HW, Park H, Park H, Kim YM and Kwon YG. Clec14a
423
is specifically expressed in endothelial cells and mediates cell to cell adhesion.
424
Biochem.Biophys.Res.Commun. 404: 1: 103-108, 2011.
425
33. Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, Carnethon MR,
426
Dai S, de Simone G, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Greenlund KJ, Hailpern
427
SM, Heit JA, Ho PM, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH,
428
Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, McDermott MM, Meigs
429
JB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Rosamond WD, Sorlie
430
PD, Stafford RS, Turan TN, Turner MB, Wong ND, Wylie-Rosett J and American Heart
431
Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and
432
stroke statistics--2011 update: a report from the American Heart Association. Circulation 123: 4:
433
e18-e209, 2011.
434
34. Sacco RL, Blanton SH, Slifer S, Beecham A, Glover K, Gardener H, Wang L, Sabala E,
435
Juo SH and Rundek T. Heritability and linkage analysis for carotid intima-media thickness: the
436
family study of stroke risk and carotid atherosclerosis. Stroke 40: 7: 2307-2312, 2009.
437
35. Salter RC, Ashlin TG, Kwan AP and Ramji DP. ADAMTS proteases: key roles in
438
atherosclerosis? J.Mol.Med.(Berl) 88: 12: 1203-1211, 2010.
439
36. Schunkert H, Konig IR, Kathiresan S, Reilly MP, Assimes TL, Holm H, Preuss M,
440
Stewart AF, Barbalic M, Gieger C, Absher D, Aherrahrou Z, Allayee H, Altshuler D,
22
441
Anand SS, Andersen K, Anderson JL, Ardissino D, Ball SG, Balmforth AJ, Barnes TA,
442
Becker DM, Becker LC, Berger K, Bis JC, Boekholdt SM, Boerwinkle E, Braund PS,
443
Brown MJ, Burnett MS, Buysschaert I, Cardiogenics, Carlquist JF, Chen L, Cichon S,
444
Codd V, Davies RW, Dedoussis G, Dehghan A, Demissie S, Devaney JM, Diemert P, Do R,
445
Doering A, Eifert S, Mokhtari NE, Ellis SG, Elosua R, Engert JC, Epstein SE, de Faire U,
446
Fischer M, Folsom AR, Freyer J, Gigante B, Girelli D, Gretarsdottir S, Gudnason V,
447
Gulcher JR, Halperin E, Hammond N, Hazen SL, Hofman A, Horne BD, Illig T, Iribarren
448
C, Jones GT, Jukema JW, Kaiser MA, Kaplan LM, Kastelein JJ, Khaw KT, Knowles JW,
449
Kolovou G, Kong A, Laaksonen R, Lambrechts D, Leander K, Lettre G, Li M, Lieb W,
450
Loley C, Lotery AJ, Mannucci PM, Maouche S, Martinelli N, McKeown PP, Meisinger C,
451
Meitinger T, Melander O, Merlini PA, Mooser V, Morgan T, Muhleisen TW, Muhlestein
452
JB, Munzel T, Musunuru K, Nahrstaedt J, Nelson CP, Nothen MM, Olivieri O, Patel RS,
453
Patterson CC, Peters A, Peyvandi F, Qu L, Quyyumi AA, Rader DJ, Rallidis LS, Rice C,
454
Rosendaal FR, Rubin D, Salomaa V, Sampietro ML, Sandhu MS, Schadt E, Schafer A,
455
Schillert A, Schreiber S, Schrezenmeir J, Schwartz SM, Siscovick DS, Sivananthan M,
456
Sivapalaratnam S, Smith A, Smith TB, Snoep JD, Soranzo N, Spertus JA, Stark K,
457
Stirrups K, Stoll M, Tang WH, Tennstedt S, Thorgeirsson G, Thorleifsson G, Tomaszewski
458
M, Uitterlinden AG, van Rij AM, Voight BF, Wareham NJ, Wells GA, Wichmann HE,
459
Wild PS, Willenborg C, Witteman JC, Wright BJ, Ye S, Zeller T, Ziegler A, Cambien F,
460
Goodall AH, Cupples LA, Quertermous T, Marz W, Hengstenberg C, Blankenberg S,
461
Ouwehand WH, Hall AS, Deloukas P, Thompson JR, Stefansson K, Roberts R,
462
Thorsteinsdottir U, O'Donnell CJ, McPherson R, Erdmann J, CARDIoGRAM Consortium
463
and Samani NJ. Large-scale association analysis identifies 13 new susceptibility loci for
23
464
coronary artery disease. Nat.Genet. 43: 4: 333-338, 2011.
465
37. Sehayek E, Duncan EM, Yu HJ, Petukhova L and Breslow JL. Loci controlling plasma
466
non-HDL and HDL cholesterol levels in a C57BL /6J x CASA /Rk intercross. J.Lipid Res. 44: 9:
467
1744-1750, 2003.
468
38. Shepherd M, Ellis I, Ahmad AM, Todd PJ, Bowen-Jones D, Mannion G, Ellard S,
469
Sparkes AC and Hattersley AT. Predictive genetic testing in maturity-onset diabetes of the
470
young (MODY). Diabet.Med. 18: 5: 417-421, 2001.
471
39. Shike T, Hirose S, Kobayashi M, Funabiki K, Shirai T and Tomino Y. Susceptibility and
472
negative epistatic loci contributing to type 2 diabetes and related phenotypes in a KK/Ta mouse
473
model. Diabetes 50: 8: 1943-1948, 2001.
474
40. Staub D, Meyerhans A, Bundi B, Schmid HP and Frauchiger B. Prediction of
475
cardiovascular morbidity and mortality: comparison of the internal carotid artery resistive index
476
with the common carotid artery intima-media thickness. Stroke 37: 3: 800-805, 2006.
477
41. Su Z, Li Y, James JC, Matsumoto AH, Helm GA, Lusis AJ and Shi W. Genetic linkage
478
of hyperglycemia, body weight and serum amyloid-P in an intercross between C57BL/6 and
479
C3H apolipoprotein E-deficient mice. Hum.Mol.Genet. 15: 10: 1650-1658, 2006.
480
42. Su Z, Li Y, James JC, McDuffie M, Matsumoto AH, Helm GA, Weber JL, Lusis AJ and
481
Shi W. Quantitative trait locus analysis of atherosclerosis in an intercross between C57BL/6 and
482
C3H mice carrying the mutant apolipoprotein E gene. Genetics 172: 3: 1799-1807, 2006.
483
43. Suto J, Matsuura S, Yamanaka H and Sekikawa K. Quantitative trait loci that regulate
24
484
plasma lipid concentration in hereditary obese KK and KK-Ay mice. Biochim.Biophys.Acta
485
1453: 3: 385-395, 1999.
486
44. Swan L, Birnie DH, Inglis G, Connell JM and Hillis WS. The determination of carotid
487
intima medial thickness in adults--a population-based twin study. Atherosclerosis 166: 1: 137-
488
141, 2003.
489
45. Tennant GM, Wadsworth RM and Kennedy S. PAR-2 mediates increased inflammatory
490
cell adhesion and neointima formation following vascular injury in the mouse. Atherosclerosis
491
198: 1: 57-64, 2008.
492
46. Tian J, Pei H, James JC, Li Y, Matsumoto AH, Helm GA and Shi W. Circulating
493
adhesion molecules in apoE-deficient mouse strains with different atherosclerosis susceptibility.
494
Biochem.Biophys.Res.Commun. 329: 3: 1102-1107, 2005.
495
47. Todd JA, Walker NM, Cooper JD, Smyth DJ, Downes K, Plagnol V, Bailey R,
496
Nejentsev S, Field SF, Payne F, Lowe CE, Szeszko JS, Hafler JP, Zeitels L, Yang JH, Vella
497
A, Nutland S, Stevens HE, Schuilenburg H, Coleman G, Maisuria M, Meadows W, Smink
498
LJ, Healy B, Burren OS, Lam AA, Ovington NR, Allen J, Adlem E, Leung HT, Wallace C,
499
Howson JM, Guja C, Ionescu-Tirgoviste C, Genetics of Type 1 Diabetes in Finland,
500
Simmonds MJ, Heward JM, Gough SC, Wellcome Trust Case Control Consortium,
501
Dunger DB, Wicker LS and Clayton DG. Robust associations of four new chromosome
502
regions from genome-wide analyses of type 1 diabetes. Nat.Genet. 39: 7: 857-864, 2007.
503
48. Touboul PJ, Elbaz A, Koller C, Lucas C, Adrai V, Chedru F and Amarenco P. Common
504
carotid artery intima-media thickness and brain infarction : the Etude du Profil Genetique de
25
505
l'Infarctus Cerebral (GENIC) case-control study. The GENIC Investigators. Circulation 102: 3:
506
313-318, 2000.
507
49. Visscher PM, Thompson R and Haley CS. Confidence intervals in QTL mapping by
508
bootstrapping. Genetics 143: 2: 1013-1020, 1996.
509
50. Voight BF, Scott LJ, Steinthorsdottir V, Morris AP, Dina C, Welch RP, Zeggini E,
510
Huth C, Aulchenko YS, Thorleifsson G, McCulloch LJ, Ferreira T, Grallert H, Amin N,
511
Wu G, Willer CJ, Raychaudhuri S, McCarroll SA, Langenberg C, Hofmann OM, Dupuis
512
J, Qi L, Segre AV, van Hoek M, Navarro P, Ardlie K, Balkau B, Benediktsson R, Bennett
513
AJ, Blagieva R, Boerwinkle E, Bonnycastle LL, Bengtsson Bostrom K, Bravenboer B,
514
Bumpstead S, Burtt NP, Charpentier G, Chines PS, Cornelis M, Couper DJ, Crawford G,
515
Doney AS, Elliott KS, Elliott AL, Erdos MR, Fox CS, Franklin CS, Ganser M, Gieger C,
516
Grarup N, Green T, Griffin S, Groves CJ, Guiducci C, Hadjadj S, Hassanali N, Herder C,
517
Isomaa B, Jackson AU, Johnson PR, Jorgensen T, Kao WH, Klopp N, Kong A, Kraft P,
518
Kuusisto J, Lauritzen T, Li M, Lieverse A, Lindgren CM, Lyssenko V, Marre M, Meitinger
519
T, Midthjell K, Morken MA, Narisu N, Nilsson P, Owen KR, Payne F, Perry JR, Petersen
520
AK, Platou C, Proenca C, Prokopenko I, Rathmann W, Rayner NW, Robertson NR,
521
Rocheleau G, Roden M, Sampson MJ, Saxena R, Shields BM, Shrader P, Sigurdsson G,
522
Sparso T, Strassburger K, Stringham HM, Sun Q, Swift AJ, Thorand B, Tichet J, Tuomi
523
T, van Dam RM, van Haeften TW, van Herpt T, van Vliet-Ostaptchouk JV, Walters GB,
524
Weedon MN, Wijmenga C, Witteman J, Bergman RN, Cauchi S, Collins FS, Gloyn AL,
525
Gyllensten U, Hansen T, Hide WA, Hitman GA, Hofman A, Hunter DJ, Hveem K, Laakso
526
M, Mohlke KL, Morris AD, Palmer CN, Pramstaller PP, Rudan I, Sijbrands E, Stein LD,
26
527
Tuomilehto J, Uitterlinden A, Walker M, Wareham NJ, Watanabe RM, Abecasis GR,
528
Boehm BO, Campbell H, Daly MJ, Hattersley AT, Hu FB, Meigs JB, Pankow JS, Pedersen
529
O, Wichmann HE, Barroso I, Florez JC, Frayling TM, Groop L, Sladek R,
530
Thorsteinsdottir U, Wilson JF, Illig T, Froguel P, van Duijn CM, Stefansson K, Altshuler
531
D, Boehnke M, McCarthy MI, MAGIC investigators and GIANT Consortium. Twelve type
532
2 diabetes susceptibility loci identified through large-scale association analysis. Nat.Genet. 42: 7:
533
579-589, 2010.
534
51. Wang Q, Rao S, Shen GQ, Li L, Moliterno DJ, Newby LK, Rogers WJ, Cannata R,
535
Zirzow E, Elston RC and Topol EJ. Premature myocardial infarction novel susceptibility locus
536
on chromosome 1P34-36 identified by genomewide linkage analysis. Am.J.Hum.Genet. 74: 2:
537
262-271, 2004.
538
52. Wang X, Korstanje R, Higgins D and Paigen B. Haplotype analysis in multiple crosses to
539
identify a QTL gene. Genome Res. 14: 9: 1767-1772, 2004.
540
53. Wang X and Paigen B. Genetics of variation in HDL cholesterol in humans and mice.
541
Circ.Res. 96: 1: 27-42, 2005.
542
54. Wang Y, Tong X, Li G, Li J, Deng M and Ye X. Ankrd17 positively regulates RIG-I-like
543
receptor (RLR)-mediated immune signaling. Eur.J.Immunol. 2012.
544
55. Welch CL, Bretschger S, Wen PZ, Mehrabian M, Latib N, Fruchart-Najib J, Fruchart
545
JC, Myrick C and Lusis AJ. Novel QTLs for HDL levels identified in mice by controlling for
546
Apoa2 allelic effects: confirmation of a chromosome 6 locus in a congenic strain.
547
Physiol.Genomics 17: 1: 48-59, 2004.
27
548
56. Wellcome Trust Case Control Consortium. Genome-wide association study of 14,000
549
cases of seven common diseases and 3,000 shared controls. Nature 447: 7145: 661-678, 2007.
550
57. Yuan Z, Pei H, Roberts DJ, Zhang Z, Rowlan JS, Matsumoto AH and Shi W.
551
Quantitative trait locus analysis of neointimal formation in an intercross between C57BL/6 and
552
C3H/HeJ apolipoprotein E-deficient mice. Circ.Cardiovasc.Genet. 2: 3: 220-228, 2009.
553
58. Zabaneh D and Balding DJ. A genome-wide association study of the metabolic syndrome
554
in Indian Asian men. PLoS One 5: 8: e11961, 2010.
555
59. Zhang Z, Rowlan JS, Wang Q and Shi W. Genetic analysis of atherosclerosis and glucose
556
homeostasis in an intercross between C57BL/6 and BALB/cJ apolipoprotein E-deficient mice.
557
Circ.Cardiovasc.Genet. 5: 2: 190-201, 2012.
558
60. Zhao J, Cheema FA, Bremner JD, Goldberg J, Su S, Snieder H, Maisano C, Jones L,
559
Javed F, Murrah N, Le NA and Vaccarino V. Heritability of carotid intima-media thickness: a
560
twin study. Atherosclerosis 197: 2: 814-820, 2008.
561
562
28
563
Legends
564
Figure 1. Frequency distributions of carotid atherosclerotic lesion sizes and plasma lipid levels
565
in 266 female F2 mice fed a Western diet for 12 weeks. The F2 mice were generated from an
566
intercross between B6.Apoe−/− and BALB.Apoe−/− mice. A, carotid atherosclerotic lesion sizes;
567
B, squire root-transformed carotid atherosclerotic lesion sizes; C, LN (natural log)-transformed
568
plasma HDL cholesterol levels; D, plasma non-HDL cholesterol levels; and E, plasma
569
triglyceride levels.
570
Figure 2. Genome-wide QTL analysis to search for loci influencing carotid lesion sizes in the F2
571
population derived from B6.Apoe−/− and BALB.Apoe−/− mouse strains. Chromosomes 1 through
572
20 are represented numerically on the X-axis. The relative width of the space allotted for a
573
chromosome reflects the number of microsatellite markers typed for that chromosome. The Y-
574
axis represents the LOD score. Two horizontal dashed lines denote genome-wide thresholds for
575
suggestive (P=0.63) and significant (P=0.05) linkage. The upper panel shows the QTL analysis
576
of original carotid lesion data with the non-parametric mode (A), and the lower panel shows the
577
QTL analysis of squire root-transformed carotid lesions using the parametric mode (B).
578
Figure 3. LOD score plots for carotid atherosclerotic lesions in the F2 population on
579
chromosome 5. The plots were created with the interval mapping function of Map Manager
580
QTX including a bootstrap test shown as a histogram estimating the confidence interval of a
581
QTL. Two straight vertical lines on the plot represent the genome-wide significance thresholds
582
for suggestive and significant linkage. The black line denotes the likelihood-ratio statistic
583
calculated at 1-cM intervals. The blue line represents the effect of the B6 allele, and the red line
584
represents the effect of the BALB allele. The left panel is the interval mapping graph for the
585
original carotid lesion data (A), and the right panel is the interval mapping graph for the squire
29
586
root-transformed carotid lesion data (B). The histogram in both plots suggests the existence of
587
two significant QTLs.
588
Figure 4. Interacting QTLs detected by pairwise genome scans. BB, homozygous for B6 alleles;
589
CC, homozygous for BALB alleles; BC heterozygous. The Y axe denotes carotid lesion sizes.
590
Error bars represent the standard deviation (SD).
591
Figure 5. Genome-wide QTL analysis to search for loci affecting plasma levels of HDL
592
cholesterol, non-HDL cholesterol, and triglyceride in the F2 population. Chromosomes 1 through
593
X are represented numerically on the X-axis and the Y-axis represents the LOD score.
594
Figure 6. LOD score plot for non-HDL cholesterol levels on chromosome 1. The plot was
595
created with the interval mapping function of Map Manager QTX, including a bootstrap test
596
shown as a histogram estimating the confidence interval for the QTL. The plot indicates the
597
existence of two significant QTLs for the trait on chromosome 1.
598
Figure 7. Scatterplots showing the relationship of carotid lesion sizes with lipid levels in the F2
599
population. Each point represents an individual value of a F2 mouse. The correlation coefficient
600
(R) and significance (P) are shown. Plasma levels of HDL cholesterol were significantly
601
correlated with the sizes of carotid lesions but plasma levels of non-HDL cholesterol and
602
triglyceride were not.
603
30
40
30
20
0
Absolute frequency
50
B
10
0 10 20 3
30 40 50 60 70 8
80 90 100
Absolute frequency
A
y
A
0
5
10 15
20 25 30 35 40 45 50
C tid llesion
Carotid
i size
i ((μm2 x 1000)
55
0
70 140 210 280 350 420 490 560 630 700 770
Squire root of carotid lesion size (μm2 x 1000)
2.4 2.8 3.2 3.6
4.0 4.4
4.8 5.2 5.6
Ln of HDL (mg/dl)
E
D
C
60
390 520 650 780 910 1040 1170 1300 1430 1560
Non-HDL (mg/dl)
63
84 105 126 147 168 189 210 231 252
Triglyceride (mg/dl)
Figure 1
4
3
Threshold: 0.05
Threshold: 0.63
0
1
2
LO
OD score
5
6
7
A
1
2
3
4
5
6
7
8
9
10
11
12
13
14 15 16 17 18 19
20
11
12
13
14 15 16 17 18 19
20
4
3
Threshold: 0.05
1
2
Threshold: 0.63
0
LOD s
score
5
B
6
Chromosome
1
2
3
4
5
6
7
8
9
Chromosome
10
Figure 2
A
B
Figure 3
Ca
arotid lesion
n
2
(µm x1000)
250
Chr16 @ 21.7cM
Chr6 @ 33.5cM
Chr16 @ 43.7cM
350
300
200
250
150
200
100
150
100
50
50
0
BB
BC
0
CC
Chr1 @ 64.3cM
Chr2 @ 50.2cM
BB
BC
CC
Chr8 @ 45.7cM
Figure 4
6
5
3
Threshold: 0.63
0
1
2
HDL
4
Threshold: 0.05
2
3
4
5
6
7
8
9
10
11
12
13
14 15 16 17 18 19
20
4
3
2
Threshold: 0.63
0
1
non-HDL
Threshold: 0.05
2
3
4
5
6
7
8
9
10
11
12
13
14 15 16 17 18 19
20
6
1
Triglyceride
0 1 2 3 4 5
LOD score
e
5
6
1
Threshold: 0.05
Threshold: 0.63
1
2
3
4
5
6
7
8
9
10
Chromosome
11
12
13
14 15 16 17 18 19
20
Figure 5
Figure 6
C
Carotid lesions
s (μm2x1000)
Ca
arotid lesions (μm2x1000)
R=-0.153;
R=-0 153; P=0.0133
P=0 0133
600
500
400
300
200
100
0
0
100
200
300
400
HDL (mg/dl)
R=0.100;
R=0 100; P=0.106
P=0 106
600
500
400
300
200
100
0
0
500
1000
1500
Non-HDL (mg/dl)
2000
Ca
arotid lesions (μm2x1000)
R 0 094 P=0.130
P 0 130
R=-0.094;
600
500
400
300
200
100
0
0
50
100
150
200
250
300
Triglyceride (mg/dl)
Figure 7
Table 1. Significant and suggestive QTLs for carotid atherosclerosis and plasma lipid levels in F2 mice derived from B6.Apoe-/- and
BALB.Apoe-/- mice.
Locus
namea
Cath2
Cath1
Cath3
Cath2
Cath4
Cath1
Cath3
Hdlq5
Hdlq17
Lipq2
Hdlq29
Hdlq32
Nhdlq13
Cq1
Pnhdlc1
Tglq1
Tgq4
Tgl1
Chr
5
12
13
17
18
5
6
9
12
13
17
18
1
9
13
17
19
20
1
1
6
1
7
8
Trait
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
HDL
HDL
HDL
HDL
HDL
HDL
Non-HDL
Non-HDL
Non-HDL
Triglyceride
Triglyceride
Triglyceride
b
LOD
6.615
5.095
4.292
2.641
2.274
5.64
2.595
2.064
4.734
3.95
2.861
2.234
4.291
5.917
2.428
2.924
2.509
2.763
5.93
5.85
2.617
6.069
2.28
2.481
Peak
(cM)
56.68
32.59
48.99
22.14
30
48.68
35.5
69.87
32.59
50.99
22.14
30
82.31
23.8
59.69
29.73
40.3
51.49
60.31
74.3
53.5
74.31
41.37
69.7
c
95% CI
48.46-66.68
16.59-44.59
18.99-59.69
8.14-28.14
16-40
48.46-70.68
25.5-57.5
17.8-69.87
14.59-44.59
14.99-60.99
8.14-28.14
18-42
74.31-92.31
19.8-27.8
44.99-67.21
23.97-40.14
18.3-46.3
35.49-76.75
54.31-82.31
69.3-82.3
33.5-67.5
68.31-89.0
33.37-65.37
31.7-72.18
d
P value
0.0001
0.001
0.009
0.248
0.455
0.001
0.295
0.652
0.001
0.019
0.175
0.508
0.008
0.0001
0.415
0.166
0.351
0.217
0.0001
0.0001
0.281
0.0001
0.458
0.347
High
allele
B6
B6
B6
B6
BALB
B6
B6
B6
B6
BALB
BALB
BALB
BALB
BALB
BALB
BALB
BALB
B6
BALB
B6
-
Mode
e
inheritance
Dominant
Additive
Additive
Recessive
Additive
Dominant
of
Underdominance
Underdominance
Additive
Additive
Recessive
Additive
Additive
Additive
Dominant
Dominant
Recessive
Underdominance
Dominant
Additive
Additive
Additive
Additive
Underdominance
The newly identified QTLs were named if they were significant or if they replicated previously reported suggestive ones. The
nomenclature of Cath was for carotid atherosclerosis QTLs. The newly identified QTLs were underlined to easily distinguish them
a
from known ones.
b
LOD scores were obtained from genome-wide QTL analysis using J/qtl software. The significant LOD scores were highlighted in
bold. The suggestive and significant LOD score thresholds were determined by 1,000 permutation tests for each trait. Suggestive and
significant LOD scores were 2.064 and 3.410, respectively, for carotid atherosclerosis (nonparametric); 2.096 and 3.475 for squire
root-transformed carotid atherosclerosis (parametric); 2.090 and 3.600 for HDL cholesterol, 2.081 and 3.513 for NON-HDL
cholesterol, and 2.066 and 3.679 for triglyceride.
c
95% Confidence interval in cM defined by a whole genome QTL scan.
d
The p-values reported represent the level of genome-wide significance as they were generated based on genome-wide permutation
tests.
e
Mode of inheritance was defined according to allelic effect at the nearest marker of a QTL.
2
Table 2. Effects of B6 (B) and BALB (C) alleles in different QTLs on carotid atherosclerosis and plasma lipids in the intercross
between B6.Apoe−/− and BALB.Apoe−/− mouse strains.
Locus
name
Cath2
Cath1
Cath3
Cath2
Cath4
Cath1
Cath3
Hdlq5
Hdlq17
Lipq2
Hdlq29
Hdlq32
Nhdlq13
Cq1
Pnhdlc1
Tglq1
Tgq4
Tgl1
Chr
5
12
13
17
18
5
6
9
12
13
17
18
1
9
13
17
19
20
1
1
6
1
7
8
Trait
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (nonparametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
Carotid lesion (parametric)
HDL
HDL
HDL
HDL
HDL
HDL
Non-HDL
Non-HDL
Non-HDL
Triglyceride
Triglyceride
Triglyceride
Peak
Marker
D5Mit41
D12Mit201
D13Mit147
D17Mit66
D18Mit35
D5Mit155
D6Mit243
D9Mit279
D12Mit201
D13Mit147
D17Mit66
D18Mit35
D1Mit354
D9Mit285
D13Mit148
D17Mit20
D19Mit90
DXMit84
D1Mit495
D1Mit354
D6Mit102
D1Mit354
D7NDS1
D8Mit13
Peaks
(cM)
56.68
32.59
48.99
22.14
30
48.68
35.5
69.87
32.59
50.99
22.14
30
82.31
23.8
59.69
29.73
40.3
51.49
60.31
80.32
53.5
74.31
41.37
69.7
BB
116832.9±109325.5 9 (n=68)
146489.2±110520.6 (n=52)
146242.1±104769.9 (n=58)
149831.4±114851.4 (n=65)
79168.0±75581.7 (n=65)
114473±108135 (n=72)
114825±101947 (n=64)
81594±76681 (n=62)
146489±110521 (n=52)
146242±104770 (n=58)
149831±114851 (n=65)
79168± 75582 (n=65)
65.3 ± 34.1 (n=57)
61.1 ± 37.9 (n=71)
63.5 ± 41.5 (n=56)
61.8 ± 35.8 (n=69)
67.6 ± 36.5 (n=64)
68.1 ± 35.9 (n=79)
845.3 ± 195.0 (n=65)
855.7 ± 199.6 (n=57)
1010.9 ± 197.1 (n=66)
117.2 ± 31.7 (n=57)
143.8 ± 33.2 (n=55)
128.3 ± 33.1 (n=65)
CC
71120.7±92371.5 (n=55)
72933.6±95294.4 (n=59)
79884.7±93992.1 (n=77)
102302.1±107115.5 (n=76)
133860.3±118030.6 (n=63)
64025±90979 (n=51)
145489±127531(n=80)
109173±99109 (n=59)
72934±95294 (n=59)
79885±93992 (n=77)
102302±107116 (n=76)
133860±118031 (n=63)
99.2 ± 31.6 (n=68)
100.5 ± 55.5 (n=52)
84.9 ± 52.2 (n=82)
84.5 ± 51.9 (n=66)
93.7 ± 60.3 (n=68)
68.7 ± 54.5 (n=43)
994.1 ± 196.5 (n=65)
1026.2 ± 215.8 (n=68)
895.2 ± 210.9 (n=73)
145.1 ± 38.0 (n=68)
124.2 ± 29.3 (n=64)
123.3 ± 29.7 (n=64)
BC
129914.7±104129.0 (n=131)
115870.9±100169.5 (n=154)
116396.0±103879.1 (n=130)
99280.7±90916.3 (n=115)
120239.4±105365.8 (n=134)
129348±101158 (n=137)
89273±78934 (n=121)
128345±112776 (n=142)
115871±100170 (n=154)
116396±103879 (n=130)
99281±90916 (n=115)
120239±105366 (n=134)
71.4 ± 12.7 (n=128)
74.8 ± 43.6 (n=135)
77.9 ± 43.6 (n=123)
80.8 ± 46.2 (n=121)
72.2 ± 39.9 (n=128)
84.5 ± 48.3 (n=138)
978.6 ± 215.1 (n=123)
945.2 ± 206.0 (n=128)
953.3 ± 217.5 (n=118)
135.2 ± 31.8 (n=128)
134.2 ± 36.5 (n=134)
140.1 ± 35.7 (n=127)
P-value
2.05E-03
6.66E-04
8.20E-04
3.92E-03
6.06E-03
5.38E-04
7.18E-04
1.14E-02
6.66E-04
8.20E-04
3.92E-03
6.06E-03
2.47E-05
3.76E-06
2.82E-02
6.12E-03
1.52E-03
1.92E-02
2.35E-05
4.20E-05
5.87E-03
2.82E-05
7.29E-03
2.62E-03
Measurements are expressed as means ± SD. The units for these measurements are: µm2/section for carotid atherosclerotic lesions and
mg/dl for plasma lipid levels. BB, homozygous for B6 alleles at the linked peak marker; CC, homozygous for BALB alleles; BC,
heterozygous for B6 and BALB alleles at the peak marker. The number in the bracket represents the number of progeny with a
specific genotype at a peak marker. ANOVA was used to determine the significance level (p value) of differences for a specific
3
phenotype among progeny with three different genotypes at a specific marker.
4
Table 3. Haplotype analysis to prioritize candidate genes for Cath1
High allele
Low allele
Gene
chr
position C57BL/6
BALB C3H
Egln3
Eapp
Gm16382
2700097O09Rik
Prps1l3
Mipol1
Foxa1
Ttc6
Clec14a
12
12
12
12
12
12
12
12
12
12
12
12
55304356
55304602
55304677
55771990
55772852
55773051
55774107
55774193
55774467
55796707
55802602
56146803
A
T
G
T
G
A
A
T
C
G
T
T
G
G
A
C
a
t
T
C
T
A
g
C
G
G
A
C
a
t
T
C
T
A
G
C
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
56149876
56181074
58331404
58331419
58404379
58426585
58426610
58558185
58567779
58597592
58642920
58643254
58677129
59365857
59366183
59366468
59368777
59369326
59369975
G
C
A
C
G
A
A
C
T
C
C
T
G
T
T
G
T
T
C
C
a
G
T
A
G
G
T
G
T
c/g
C
C
C
C
A
C
C
G
C
A
G
T
A
G
G
T
G
T
c/g
C
C
C
C
A
C
C
G
5
Ctage5
Fscb
Klhl28
Fancm
12
12
12
12
12
12
12
12
12
12
12
12
12
59369979
60232475
65572716
65573078
65573952
65574300
66043857
66043917
66043927
66044072
66044105
66051133
66214956
G
T
G
G
C
G
C
G
A
T
A
C
A
C
C
A
C
a
A
G
C
G
G
G
T
+
T
12
66231329
A
C
12
66231384
A
T
12
66231423
A
C
C
C
A
C
A
A
G
C
G
G
G
T
+
T
+
C
+
T
+
C
+
+
+
Mis18bp1
12
66249896
A
a/c
a/c
12
66249994
C
T
T
12
66253824
T
C
C
12
66253867
C
A
A
12
66253871
T
A
A
12
66273454
T
A
A
12
66273538
A
G
G
Analysis was performed using Sanger SNP database (http://www.sanger.ac.uk/cgi-bin/modelorgs/mousegenomes/snps.pl).
Yellow color denotes non-synonymous nucleotide substitution and blue denotes synonymous nucleotide substitution.
6