Multiancestry Genome-Wide Association Study of Lipid Levels Incorporating Gene-Alcohol Interactions

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Abstract

A person's lipid profile is influenced by genetic variants and alcohol consumption, but the contribution of interactions between these exposures has not been studied. We therefore incorporated gene-alcohol interactions into a multiancestry genome-wide association study of levels of high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides. We included 45 studies in stage 1 (genome-wide discovery) and 66 studies in stage 2 (focused follow-up), for a total of 394,584 individuals from 5 ancestry groups. Analyses covered the period July 2014-November 2017. Genetic main effects and interaction effects were jointly assessed by means of a 2-degrees-of-freedom (df) test, and a 1-df test was used to assess the interaction effects alone. Variants at 495 loci were at least suggestively associated (P < 1 × 10-6) with lipid levels in stage 1 and were evaluated in stage 2, followed by combined analyses of stage 1 and stage 2. In the combined analysis of stages 1 and 2, a total of 147 independent loci were associated with lipid levels at P < 5 × 10-8 using 2-df tests, of which 18 were novel. No genome-wide-significant associations were found testing the interaction effect alone. The novel loci included several genes (proprotein convertase subtilisin/kexin type 5 (PCSK5), vascular endothelial growth factor B (VEGFB), and apolipoprotein B mRNA editing enzyme, catalytic polypeptide 1 (APOBEC1) complementation factor (A1CF)) that have a putative role in lipid metabolism on the basis of existing evidence from cellular and experimental models.

Original languageEnglish
Pages (from-to)1033-1054
Number of pages22
JournalAmerican Journal of Epidemiology
Volume188
Issue number6
DOIs
Publication statusPublished - 1 Jun 2019

Bibliographical note

Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health 2019.

Keywords

  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking/epidemiology
  • Cholesterol, HDL/blood
  • Cholesterol, LDL/blood
  • Female
  • Genome-Wide Association Study
  • Genotype
  • Humans
  • Life Style
  • Lipids/blood
  • Male
  • Middle Aged
  • Phenotype
  • Racial Groups
  • Triglycerides/blood
  • Vascular Endothelial Growth Factor B
  • Young Adult

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