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PHACTR1 Is a Genetic Susceptibility Locus for Fibromuscular Dysplasia Supporting Its Complex Genetic Pattern of Inheritance

Fibromuscular dysplasia (FMD) is a nonatherosclerotic vascular disease leading to stenosis, dissection and aneurysm affecting mainly the renal and cerebrovascular arteries. FMD is often an underdiagnosed cause of hypertension and stroke, has higher prevalence in females (~80%) but its pathophysiolog...

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Published in:PLoS genetics 2016-10, Vol.12 (10), p.e1006367-e1006367
Main Authors: Kiando, Soto Romuald, Tucker, Nathan R, Castro-Vega, Luis-Jaime, Katz, Alexander, D'Escamard, Valentina, Tréard, Cyrielle, Fraher, Daniel, Albuisson, Juliette, Kadian-Dodov, Daniella, Ye, Zi, Austin, Erin, Yang, Min-Lee, Hunker, Kristina, Barlassina, Cristina, Cusi, Daniele, Galan, Pilar, Empana, Jean-Philippe, Jouven, Xavier, Gimenez-Roqueplo, Anne-Paule, Bruneval, Patrick, Hyun Kim, Esther Soo, Olin, Jeffrey W, Gornik, Heather L, Azizi, Michel, Plouin, Pierre-François, Ellinor, Patrick T, Kullo, Iftikhar J, Milan, David J, Ganesh, Santhi K, Boutouyrie, Pierre, Kovacic, Jason C, Jeunemaitre, Xavier, Bouatia-Naji, Nabila
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container_end_page e1006367
container_issue 10
container_start_page e1006367
container_title PLoS genetics
container_volume 12
creator Kiando, Soto Romuald
Tucker, Nathan R
Castro-Vega, Luis-Jaime
Katz, Alexander
D'Escamard, Valentina
Tréard, Cyrielle
Fraher, Daniel
Albuisson, Juliette
Kadian-Dodov, Daniella
Ye, Zi
Austin, Erin
Yang, Min-Lee
Hunker, Kristina
Barlassina, Cristina
Cusi, Daniele
Galan, Pilar
Empana, Jean-Philippe
Jouven, Xavier
Gimenez-Roqueplo, Anne-Paule
Bruneval, Patrick
Hyun Kim, Esther Soo
Olin, Jeffrey W
Gornik, Heather L
Azizi, Michel
Plouin, Pierre-François
Ellinor, Patrick T
Kullo, Iftikhar J
Milan, David J
Ganesh, Santhi K
Boutouyrie, Pierre
Kovacic, Jason C
Jeunemaitre, Xavier
Bouatia-Naji, Nabila
description Fibromuscular dysplasia (FMD) is a nonatherosclerotic vascular disease leading to stenosis, dissection and aneurysm affecting mainly the renal and cerebrovascular arteries. FMD is often an underdiagnosed cause of hypertension and stroke, has higher prevalence in females (~80%) but its pathophysiology is unclear. We analyzed ~26K common variants (MAF>0.05) generated by exome-chip arrays in 249 FMD patients and 689 controls. We replicated 13 loci (P
doi_str_mv 10.1371/journal.pgen.1006367
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FMD is often an underdiagnosed cause of hypertension and stroke, has higher prevalence in females (~80%) but its pathophysiology is unclear. We analyzed ~26K common variants (MAF&gt;0.05) generated by exome-chip arrays in 249 FMD patients and 689 controls. We replicated 13 loci (P&lt;10-4) in 402 cases and 2,537 controls and confirmed an association between FMD and a variant in the phosphatase and actin regulator 1 gene (PHACTR1). Three additional case control cohorts including 512 cases and 669 replicated this result and overall reached the genomic level of significance (OR = 1.39, P = 7.4×10-10, 1,154 cases and 3,895 controls). The top variant, rs9349379, is intronic to PHACTR1, a risk locus for coronary artery disease, migraine, and cervical artery dissection. The analyses of geometrical parameters of carotids from ~2,500 healthy volunteers indicate higher intima media thickness (P = 1.97×10-4) and wall to lumen ratio (P = 0.002) in rs9349379-A carriers, suggesting indices of carotid hypertrophy previously described in carotids of FMD patients. Immunohistochemistry detected PHACTR1 in endothelium and smooth muscle cells of FMD and normal human carotids. The expression of PHACTR1 by genotypes in primary human fibroblasts showed higher expression in rs9349379-A carriers (N = 86, P = 0.003). Phactr1 knockdown in zebrafish resulted in dilated vessels indicating subtle impaired vascular development. We report the first susceptibility locus for FMD and provide evidence for a complex genetic pattern of inheritance and indices of shared pathophysiology between FMD and other cardiovascular and neurovascular diseases.</description><identifier>ISSN: 1553-7404</identifier><identifier>ISSN: 1553-7390</identifier><identifier>EISSN: 1553-7404</identifier><identifier>DOI: 10.1371/journal.pgen.1006367</identifier><identifier>PMID: 27792790</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Animals ; Arteries - metabolism ; Arteries - pathology ; Biology and Life Sciences ; Carotid Arteries - metabolism ; Carotid Arteries - pathology ; Carotid Intima-Media Thickness ; Colleges &amp; universities ; Danio rerio ; Disease Models, Animal ; Disease susceptibility ; Dysplasia ; Epigenetic inheritance ; Exome - genetics ; Experiments ; Female ; Fibromuscular Dysplasia - genetics ; Fibromuscular Dysplasia - pathology ; Gene Expression Regulation ; Genetic aspects ; Genetic Association Studies ; Genetic Predisposition to Disease ; Genetics ; Genotype ; Health aspects ; Hospitals ; Human genetics ; Humans ; Hypertension ; Hypertension - genetics ; Hypertension - pathology ; Internal medicine ; Life Sciences ; Male ; Medicine ; Medicine and Health Sciences ; Microfilament Proteins - biosynthesis ; Microfilament Proteins - genetics ; Myocytes, Smooth Muscle ; Nephrology ; Population genetics ; Stroke - genetics ; Stroke - pathology ; Zebrafish - genetics</subject><ispartof>PLoS genetics, 2016-10, Vol.12 (10), p.e1006367-e1006367</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Is a Genetic Susceptibility Locus for Fibromuscular Dysplasia Supporting Its Complex Genetic Pattern of Inheritance. PLoS Genet 12(10): e1006367. doi:10.1371/journal.pgen.1006367</rights><rights>Attribution</rights><rights>2016 Kiando et al 2016 Kiando et al</rights><rights>2016 Public Library of Science. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited: Is a Genetic Susceptibility Locus for Fibromuscular Dysplasia Supporting Its Complex Genetic Pattern of Inheritance. 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FMD is often an underdiagnosed cause of hypertension and stroke, has higher prevalence in females (~80%) but its pathophysiology is unclear. We analyzed ~26K common variants (MAF&gt;0.05) generated by exome-chip arrays in 249 FMD patients and 689 controls. We replicated 13 loci (P&lt;10-4) in 402 cases and 2,537 controls and confirmed an association between FMD and a variant in the phosphatase and actin regulator 1 gene (PHACTR1). Three additional case control cohorts including 512 cases and 669 replicated this result and overall reached the genomic level of significance (OR = 1.39, P = 7.4×10-10, 1,154 cases and 3,895 controls). The top variant, rs9349379, is intronic to PHACTR1, a risk locus for coronary artery disease, migraine, and cervical artery dissection. The analyses of geometrical parameters of carotids from ~2,500 healthy volunteers indicate higher intima media thickness (P = 1.97×10-4) and wall to lumen ratio (P = 0.002) in rs9349379-A carriers, suggesting indices of carotid hypertrophy previously described in carotids of FMD patients. Immunohistochemistry detected PHACTR1 in endothelium and smooth muscle cells of FMD and normal human carotids. The expression of PHACTR1 by genotypes in primary human fibroblasts showed higher expression in rs9349379-A carriers (N = 86, P = 0.003). Phactr1 knockdown in zebrafish resulted in dilated vessels indicating subtle impaired vascular development. We report the first susceptibility locus for FMD and provide evidence for a complex genetic pattern of inheritance and indices of shared pathophysiology between FMD and other cardiovascular and neurovascular diseases.</description><subject>Animals</subject><subject>Arteries - metabolism</subject><subject>Arteries - pathology</subject><subject>Biology and Life Sciences</subject><subject>Carotid Arteries - metabolism</subject><subject>Carotid Arteries - pathology</subject><subject>Carotid Intima-Media Thickness</subject><subject>Colleges &amp; universities</subject><subject>Danio rerio</subject><subject>Disease Models, Animal</subject><subject>Disease susceptibility</subject><subject>Dysplasia</subject><subject>Epigenetic inheritance</subject><subject>Exome - genetics</subject><subject>Experiments</subject><subject>Female</subject><subject>Fibromuscular Dysplasia - genetics</subject><subject>Fibromuscular Dysplasia - pathology</subject><subject>Gene Expression 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Nabila</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c859t-7188803b9a60dc2838e70b5e1593d82ea499344494000ae94ee40f4d3aa6aa9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Animals</topic><topic>Arteries - metabolism</topic><topic>Arteries - pathology</topic><topic>Biology and Life Sciences</topic><topic>Carotid Arteries - metabolism</topic><topic>Carotid Arteries - pathology</topic><topic>Carotid Intima-Media Thickness</topic><topic>Colleges &amp; universities</topic><topic>Danio rerio</topic><topic>Disease Models, Animal</topic><topic>Disease susceptibility</topic><topic>Dysplasia</topic><topic>Epigenetic inheritance</topic><topic>Exome - genetics</topic><topic>Experiments</topic><topic>Female</topic><topic>Fibromuscular Dysplasia - genetics</topic><topic>Fibromuscular Dysplasia - pathology</topic><topic>Gene Expression Regulation</topic><topic>Genetic aspects</topic><topic>Genetic Association Studies</topic><topic>Genetic Predisposition to Disease</topic><topic>Genetics</topic><topic>Genotype</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Human genetics</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - genetics</topic><topic>Hypertension - pathology</topic><topic>Internal medicine</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Microfilament Proteins - biosynthesis</topic><topic>Microfilament Proteins - genetics</topic><topic>Myocytes, Smooth Muscle</topic><topic>Nephrology</topic><topic>Population genetics</topic><topic>Stroke - genetics</topic><topic>Stroke - pathology</topic><topic>Zebrafish - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kiando, Soto Romuald</creatorcontrib><creatorcontrib>Tucker, Nathan R</creatorcontrib><creatorcontrib>Castro-Vega, Luis-Jaime</creatorcontrib><creatorcontrib>Katz, Alexander</creatorcontrib><creatorcontrib>D'Escamard, Valentina</creatorcontrib><creatorcontrib>Tréard, Cyrielle</creatorcontrib><creatorcontrib>Fraher, Daniel</creatorcontrib><creatorcontrib>Albuisson, Juliette</creatorcontrib><creatorcontrib>Kadian-Dodov, Daniella</creatorcontrib><creatorcontrib>Ye, Zi</creatorcontrib><creatorcontrib>Austin, Erin</creatorcontrib><creatorcontrib>Yang, Min-Lee</creatorcontrib><creatorcontrib>Hunker, Kristina</creatorcontrib><creatorcontrib>Barlassina, Cristina</creatorcontrib><creatorcontrib>Cusi, Daniele</creatorcontrib><creatorcontrib>Galan, Pilar</creatorcontrib><creatorcontrib>Empana, Jean-Philippe</creatorcontrib><creatorcontrib>Jouven, Xavier</creatorcontrib><creatorcontrib>Gimenez-Roqueplo, Anne-Paule</creatorcontrib><creatorcontrib>Bruneval, Patrick</creatorcontrib><creatorcontrib>Hyun Kim, Esther Soo</creatorcontrib><creatorcontrib>Olin, Jeffrey W</creatorcontrib><creatorcontrib>Gornik, Heather L</creatorcontrib><creatorcontrib>Azizi, Michel</creatorcontrib><creatorcontrib>Plouin, Pierre-François</creatorcontrib><creatorcontrib>Ellinor, Patrick T</creatorcontrib><creatorcontrib>Kullo, Iftikhar J</creatorcontrib><creatorcontrib>Milan, David J</creatorcontrib><creatorcontrib>Ganesh, Santhi K</creatorcontrib><creatorcontrib>Boutouyrie, Pierre</creatorcontrib><creatorcontrib>Kovacic, Jason C</creatorcontrib><creatorcontrib>Jeunemaitre, Xavier</creatorcontrib><creatorcontrib>Bouatia-Naji, Nabila</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale in Context : Opposing Viewpoints</collection><collection>Gale In Context: Canada</collection><collection>Gale in Context: Science</collection><collection>ProQuest Central 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UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Biological Science Journals</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS genetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kiando, Soto Romuald</au><au>Tucker, Nathan R</au><au>Castro-Vega, Luis-Jaime</au><au>Katz, Alexander</au><au>D'Escamard, Valentina</au><au>Tréard, Cyrielle</au><au>Fraher, Daniel</au><au>Albuisson, Juliette</au><au>Kadian-Dodov, Daniella</au><au>Ye, Zi</au><au>Austin, Erin</au><au>Yang, Min-Lee</au><au>Hunker, Kristina</au><au>Barlassina, Cristina</au><au>Cusi, Daniele</au><au>Galan, Pilar</au><au>Empana, Jean-Philippe</au><au>Jouven, Xavier</au><au>Gimenez-Roqueplo, Anne-Paule</au><au>Bruneval, Patrick</au><au>Hyun Kim, Esther Soo</au><au>Olin, Jeffrey W</au><au>Gornik, Heather L</au><au>Azizi, Michel</au><au>Plouin, Pierre-François</au><au>Ellinor, Patrick T</au><au>Kullo, Iftikhar J</au><au>Milan, David J</au><au>Ganesh, Santhi K</au><au>Boutouyrie, Pierre</au><au>Kovacic, Jason C</au><au>Jeunemaitre, Xavier</au><au>Bouatia-Naji, Nabila</au><au>McPherson, Ruth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PHACTR1 Is a Genetic Susceptibility Locus for Fibromuscular Dysplasia Supporting Its Complex Genetic Pattern of Inheritance</atitle><jtitle>PLoS genetics</jtitle><addtitle>PLoS Genet</addtitle><date>2016-10-28</date><risdate>2016</risdate><volume>12</volume><issue>10</issue><spage>e1006367</spage><epage>e1006367</epage><pages>e1006367-e1006367</pages><issn>1553-7404</issn><issn>1553-7390</issn><eissn>1553-7404</eissn><abstract>Fibromuscular dysplasia (FMD) is a nonatherosclerotic vascular disease leading to stenosis, dissection and aneurysm affecting mainly the renal and cerebrovascular arteries. FMD is often an underdiagnosed cause of hypertension and stroke, has higher prevalence in females (~80%) but its pathophysiology is unclear. We analyzed ~26K common variants (MAF&gt;0.05) generated by exome-chip arrays in 249 FMD patients and 689 controls. We replicated 13 loci (P&lt;10-4) in 402 cases and 2,537 controls and confirmed an association between FMD and a variant in the phosphatase and actin regulator 1 gene (PHACTR1). Three additional case control cohorts including 512 cases and 669 replicated this result and overall reached the genomic level of significance (OR = 1.39, P = 7.4×10-10, 1,154 cases and 3,895 controls). The top variant, rs9349379, is intronic to PHACTR1, a risk locus for coronary artery disease, migraine, and cervical artery dissection. The analyses of geometrical parameters of carotids from ~2,500 healthy volunteers indicate higher intima media thickness (P = 1.97×10-4) and wall to lumen ratio (P = 0.002) in rs9349379-A carriers, suggesting indices of carotid hypertrophy previously described in carotids of FMD patients. Immunohistochemistry detected PHACTR1 in endothelium and smooth muscle cells of FMD and normal human carotids. The expression of PHACTR1 by genotypes in primary human fibroblasts showed higher expression in rs9349379-A carriers (N = 86, P = 0.003). Phactr1 knockdown in zebrafish resulted in dilated vessels indicating subtle impaired vascular development. We report the first susceptibility locus for FMD and provide evidence for a complex genetic pattern of inheritance and indices of shared pathophysiology between FMD and other cardiovascular and neurovascular diseases.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27792790</pmid><doi>10.1371/journal.pgen.1006367</doi><orcidid>https://orcid.org/0000-0003-4555-769X</orcidid><orcidid>https://orcid.org/0000-0001-7407-2697</orcidid><orcidid>https://orcid.org/0000-0001-9492-5730</orcidid><orcidid>https://orcid.org/0000-0001-5925-381X</orcidid><orcidid>https://orcid.org/0000-0002-5849-4010</orcidid><orcidid>https://orcid.org/0000-0002-8947-6499</orcidid><orcidid>https://orcid.org/0000-0002-4816-670X</orcidid><orcidid>https://orcid.org/0000-0002-6748-7728</orcidid><orcidid>https://orcid.org/0000-0002-0815-0586</orcidid><orcidid>https://orcid.org/0000-0002-2350-2914</orcidid><orcidid>https://orcid.org/0000-0003-1706-3107</orcidid><orcidid>https://orcid.org/0000-0002-1469-7772</orcidid><oa>free_for_read</oa></addata></record>
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1553-7390
1553-7404
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subjects Animals
Arteries - metabolism
Arteries - pathology
Biology and Life Sciences
Carotid Arteries - metabolism
Carotid Arteries - pathology
Carotid Intima-Media Thickness
Colleges & universities
Danio rerio
Disease Models, Animal
Disease susceptibility
Dysplasia
Epigenetic inheritance
Exome - genetics
Experiments
Female
Fibromuscular Dysplasia - genetics
Fibromuscular Dysplasia - pathology
Gene Expression Regulation
Genetic aspects
Genetic Association Studies
Genetic Predisposition to Disease
Genetics
Genotype
Health aspects
Hospitals
Human genetics
Humans
Hypertension
Hypertension - genetics
Hypertension - pathology
Internal medicine
Life Sciences
Male
Medicine
Medicine and Health Sciences
Microfilament Proteins - biosynthesis
Microfilament Proteins - genetics
Myocytes, Smooth Muscle
Nephrology
Population genetics
Stroke - genetics
Stroke - pathology
Zebrafish - genetics
title PHACTR1 Is a Genetic Susceptibility Locus for Fibromuscular Dysplasia Supporting Its Complex Genetic Pattern of Inheritance
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