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Blood, 13 August 2009, Vol. 114, No. 7, pp. 1405-1416.
Prepublished online as a Blood First Edition Paper on May 8, 2009; DOI 10.1182/blood-2009-02-202614.


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Submitted February 4, 2009
Accepted April 25, 2009

A functional genomics approach reveals novel quantitative trait loci associated with platelet signalling pathways

Chris I Jones, Sarah Bray, Stephen F Garner, Jonathan Stephens, Bernard de Bono, Will GJ Angenent, David Bentley, Philippa Burns, Alison Coffey, Panos Deloukas, Mark Earthrowl, Richard W Farndale, Marc F Hoylaerts, Kerstin Koch, Angela Rankin, Catherine M Rice, Jane Rogers, Nilesh J Samani, Michael Steward, Adam Walker, Nicholas A Watkins, Jan-Willem Akkerman, Frank Dudbridge, Alison H Goodall*, and Willem H Ouwehand

Department of Cardiovascular Science, University of Leicester, Clinical Sciences Wing, Glenfield Hospital, Leicester, United Kingdom
Medical Research Council Biostatistics Unit, Cambridge, United Kingdom
Department of Haematology, Univeristy of Cambridge and National Health Service Blood and Transplant, Cambridge, United Kingdom
European Bioinformatics Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, United Kingdom
The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge, United Kingdom
Department of Biochemistry, University of Cambridge, Cambridge, United Kingdom
Center for Molecular and Vascular Biology, University of Leuven, Leuven, Belgium
Domantis Limited, Cambridge, United Kingdom
Department of Clinical Chemistry and Haematology University Medical Center Utrecht, Utrecht, Netherlands

* Corresponding author; email: ahg5{at}le.ac.uk.

Platelet response to activation varies widely between individuals but shows inter-individual consistency and strong heritability. The genetic basis of this variation has not been properly explored. We therefore systematically measured the effect on function of sequence variation in 97 candidate genes in the collagen and ADP signalling pathways. Resequencing of the genes in 48 European DNA samples nearly doubled the number of known single nucleotide polymorphisms (SNPs) and informed the selection of 1327 SNPs for genotyping in 500 healthy Northern European subjects with known platelet responses to collagen-related peptide (CRP-XL) and ADP. This identified 17 novel associations with platelet function (p<0.005) accounting for ~46% of the variation in response. Further investigations with platelets of known genotype explored the mechanisms behind some of the associations. SNPs in PEAR1 associated with increased platelet response to CRP-XL, and increased PEAR1 protein expression following platelet degranulation. The minor allele of a 3'UTR SNP (rs2769668) in VAV3 was associated with higher protein expression (p=0.03) and increased P-selectin exposure following ADP activation (p=0.004). Furthermore the minor allele of the intronic SNP rs17786144 in ITPR1 modified Ca2+ levels after activation with ADP (p<0.004). These data provide novel insights into key hubs within platelet signalling networks.


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P. F. Bray
Platelet genomics beats the catch-22
Blood, August 13, 2009; 114(7): 1286 - 1287.
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