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. 2009 Jul;40(7):2307-12.
doi: 10.1161/STROKEAHA.109.554121. Epub 2009 Jun 4.

Heritability and linkage analysis for carotid intima-media thickness: the family study of stroke risk and carotid atherosclerosis

Affiliations

Heritability and linkage analysis for carotid intima-media thickness: the family study of stroke risk and carotid atherosclerosis

Ralph L Sacco et al. Stroke. 2009 Jul.

Abstract

Background and purpose: The aim of this study was to identify quantitative trait loci (QTL) for carotid intima-media thickness (CIMT) a risk factor for stroke and cardiovascular disease.

Methods: Probands were selected from Caribbean Hispanic subjects of the population-based Northern Manhattan Study. CIMT was measured by high-resolution B-mode ultrasound and expressed as the mean (IMTx) and mean of the maximum (IMTm). Variance components methodology was used to detect linkage using SOLAR and calculate locus-specific heritability. Ordered-subset Analysis was done based on history of hypertension and total cholesterol levels.

Results: Among 100 Dominican families, 1390 subjects had CIMT measured (848 females; mean age 46.2 years). CIMT had a heritability of 0.65 after adjusting for age, age(2), sex, cigarette pack-years, waist hip ratio, and BMI. Adjusted maximum multipoint LOD scores >2 were found on chromosomes 14q (D14S606) and 7p (D7S817). Linkage to chromosome 14q was significantly increased in a subset of families with the greatest history of hypertension (MLOD=4.12). The QTL on Ch14q accounted for 0.21 of the heritability of IMTm, and on Ch7p 0.27 of the heritability of BIFm.

Conclusions: Several QTLs for CIMT were found on chromosomes 7p and 14q. The QTL on 14q replicates a suggestive linkage peak delimited in the Framingham Heart Study. These QTLs accounted for a substantial amount of trait heritability and warrant further fine mapping.

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Conflict of interest statement

Disclosures: The authors have no conflicts of interest to disclose regarding this work.

Figures

Figure 1
Figure 1
(a) Maximum multipoint linkage results for mean overall IMT (IMTx) and at individual carotid sites (common carotid CCA, internal carotid ICA, and carotid bifurcations (BIF). (b) Maximum multipoint linkage results for mean of the maximum measurements for overall IMTm and the specific segments.
Figure 1
Figure 1
(a) Maximum multipoint linkage results for mean overall IMT (IMTx) and at individual carotid sites (common carotid CCA, internal carotid ICA, and carotid bifurcations (BIF). (b) Maximum multipoint linkage results for mean of the maximum measurements for overall IMTm and the specific segments.
Figure 2
Figure 2
a, b: Multipoint linkage plots for chromosome 7p and 14q for our IMT traits including OSA by the prevalence of elevated systolic BP > 140
Figure 2
Figure 2
a, b: Multipoint linkage plots for chromosome 7p and 14q for our IMT traits including OSA by the prevalence of elevated systolic BP > 140

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