- Kocarnik, Jonathan M;
- Pendergrass, Sarah A;
- Carty, Cara L;
- Pankow, James S;
- Schumacher, Fredrick R;
- Cheng, Iona;
- Durda, Peter;
- Ambite, José Luis;
- Deelman, Ewa;
- Cook, Nancy R;
- Liu, Simin;
- Wactawski-Wende, Jean;
- Hutter, Carolyn;
- Brown-Gentry, Kristin;
- Wilson, Sarah;
- Best, Lyle G;
- Pankratz, Nathan;
- Hong, Ching-Ping;
- Cole, Shelley A;
- Voruganti, V Saroja;
- Bůžkova, Petra;
- Jorgensen, Neal W;
- Jenny, Nancy S;
- Wilkens, Lynne R;
- Haiman, Christopher A;
- Kolonel, Laurence N;
- Lacroix, Andrea;
- North, Kari;
- Jackson, Rebecca;
- Le Marchand, Loic;
- Hindorff, Lucia A;
- Crawford, Dana C;
- Gross, Myron;
- Peters, Ulrike
Background
C-reactive protein (CRP) is a biomarker of inflammation. Genome-wide association studies (GWAS) have identified single-nucleotide polymorphisms (SNPs) associated with CRP concentrations and inflammation-related traits such as cardiovascular disease, type 2 diabetes mellitus, and obesity. We aimed to replicate previous CRP-SNP associations, assess whether these associations generalize to additional race/ethnicity groups, and evaluate inflammation-related SNPs for a potentially pleiotropic association with CRP.Methods and results
We selected and analyzed 16 CRP-associated and 250 inflammation-related GWAS SNPs among 40 473 African American, American Indian, Asian/Pacific Islander, European American, and Hispanic participants from 7 studies collaborating in the Population Architecture using Genomics and Epidemiology (PAGE) study. Fixed-effect meta-analyses combined study-specific race/ethnicity-stratified linear regression estimates to evaluate the association between each SNP and high-sensitivity CRP. Overall, 18 SNPs in 8 loci were significantly associated with CRP (Bonferroni-corrected P<3.1×10(-3) for replication, P<2.0×10(-4) for pleiotropy): Seven of these were specific to European Americans, while 9 additionally generalized to African Americans (1), Hispanics (5), or both (3); 1 SNP was seen only in African Americans and Hispanics. Two SNPs in the CELSR2/PSRC1/SORT1 locus showed a potentially novel association with CRP: rs599839 (P=2.0×10(-6)) and rs646776 (P=3.1×10(-5)).Conclusions
We replicated 16 SNP-CRP associations, 10 of which generalized to African Americans and/or Hispanics. We also identified potentially novel pleiotropic associations with CRP for two SNPs previously associated with coronary artery disease and/or low-density lipoprotein-cholesterol. These findings demonstrate the benefit of evaluating genotype-phenotype associations in multiple race/ethnicity groups and looking for pleiotropic relationships among SNPs previously associated with related phenotypes.