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Blood, 13 August 2009, Vol. 114, No. 7, pp. 1417-1422.
Prepublished online as a Blood First Edition Paper on June 12, 2009; DOI 10.1182/blood-2009-04-215269.


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Submitted April 7, 2009
Accepted June 7, 2009

Identification of ZNF366 and PTPRD as novel determinants of plasma homocysteine in a family-based genome-wide association study

Anders Malarstig*, Alfonso Buil, Juan Carlos Souto, Robert Clarke, Francisco Blanco-Vaca, Jordi Fontcuberta, John Peden, Malin Andersen, Angela Silveira, Simona Barlera, Udo Seedorf, Hugh Watkins, Laura Almasy, Anders Hamsten, and Jose Manuel Soria

Atherosclerosis Research Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden
Unit of Genomics of Complex Diseases, Research Institute Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Department of Hematology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Clinical Trials Service and Epidemiological Studies Unit (CTSU), University of Oxford, Oxford, United Kingdom
Department of Biochemistry, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
Department of Cardiovascular Medicine, University of Oxford, Oxford, United Kingdom
Department of Cardiovascular Research, 'MarioNegri' Institute for Pharmacological Research, Milano, Italy
Leibniz-Institut fur Arterioskleroseforschung an der Universitat Munster, Munster, Germany
Department of Population Genetics, Southwest Foundation for Biomedical Research, San Antonio, TX, United States

* Corresponding author; email: anders.malarstig{at}ki.se.

Total plasma homocysteine concentration (tHcy) is a biomarker for atherothrombotic disease, but causality remains uncertain. Polymorphisms in the genes involved in methionine metabolism explain only a small fraction of the heritability of tHcy levels. In a genome-wide association study, we examined the genetic determinants of tHcy using a 2-stage design. Firstly, 283,437 single nucleotide polymorphisms (SNPs) were tested for association with tHcy in 387 individuals recruited from 21 large Spanish families. Of those, 17 SNPs showed equal or stronger association with tHcy level compared with the MTHFR C677T SNP (beta=0.10, p=0.0001). Secondly, a replication analysis of these 17 SNPs was performed in patients with premature myocardial infarction (n=1238). Novel associations were found for SNPs near the ZNF366 gene (lead SNP rs7445013; discovery stage: adjusted beta =-0.12, p=5.30E-06, replication stage: adjusted beta= -0.13, p=0.0004) and the PTPRD gene (lead SNP rs973117; discovery stage: adjusted beta=0.11, p=5.5E-06, replication stage: adjusted beta= 0.10, p=0.005). These associations were independent of known confounders, including creatinine clearance and plasma fibrinogen concentration. Our findings implicate novel pathways in homocysteine metabolism, and highlight the need for investigation of the associated genes in the etiology of vascular diseases.


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