Smit, Roelof AJ; Postmus, Iris; Trompet, Stella; Barnes, Michael R; Warren, Helen; Arsenault, Benoit J; Chasman, Daniel I; Cupples, L Adrienne; Hitman, Graham A; Krauss, Ronald M; Li, Xiaohui; Psaty, Bruce M; Stein, Charles M; Rotter, Jerome I; Jukema, J Wouter

doi:10.2217/pgs-2016-0091

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Rooted in risk: genetic predisposition for low-density lipoprotein cholesterol level associates with diminished low-density lipoprotein cholesterol response to statin treatment

2016

Published Web Location

https://doi.org/10.2217/pgs-2016-0091

Abstract

Aims

To utilize previously reported lead SNPs for low-density lipoprotein cholesterol (LDL-c) levels to find additional loci of importance to statin response, and examine whether genetic predisposition to LDL-c levels associates with differential statin response.

Methods

We investigated effects on statin response of 59 LDL-c SNPs, by combining summary level statistics from the Global Lipids Genetics and Genomic Investigation of Statin Therapy consortia.

Results

Lead SNPs for APOE, SORT1 and NPC1L1 were associated with a decreased LDL-c response to statin treatment, as was overall genetic predisposition for increased LDL-c levels as quantified with 59 SNPs, with a 5.4% smaller statin response per standard deviation increase in genetically raised LDL-c levels.

Conclusion

Genetic predisposition for increased LDL-c level may decrease efficacy of statin therapy.

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