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. 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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
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