Asociación entre variantes genéticas de enfermedad coronaria y aterosclerosis subclínica: estudio de asociación y metanálisis

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REVISTA ESPAÑOLA DE CARDIOLOGÍA Material suplementario Asociación entre variantes genéticas de enfermedad coronaria y aterosclerosis subclínica: estudio de asociación y metanálisis Michel Zabalza a,b,c, Isaac Subirana b,d, Carla Lluis-Ganella b, Sergi Sayols-Baixeras b, Eric de Groot e,f, Roman Arnold g, Ana Cenarro h, Rafel Ramos i,c, Jaume Marrugat b y Roberto Elosua b, * a Servicio de Cardiología, Hospital Universitario Josep Trueta, Girona, España b Grupo de Epidemiología y Genética Cardiovascular, IMIM (Instituto Hospital del Mar de Investigaciones Médicas), Barcelona, España c Facultad de Medicina, Universidad de Girona, Girona, España d CIBER de Epidemiología y Salud Pública, Barcelona, España e Academic Medical Center, Thoracic Surgery, Ámsterdam, Países Bajos f Imagelab Online & Cardiovascular, Science Park, Matrix II, 1.08, Ámsterdam, Países Bajos g ICICORELAB, Hospital Clínico Universitario, Valladolid, España h Laboratorio de Investigación Molecular, Hospital Universitario Miguel Servet, Instituto de Investigación Sanitaria de Aragón, Zaragoza, España i Unidad de Investigación en Atención Primaria, Institut d Investigació en Atenció Primària (IDIAP) Jordi Gol, y Unidad Docente de Medicina de Familia de Girona, Institut Català de la Salut (ICS), Girona, España Table 1, Supplementary Material. Age- and Sex-adjusted Mean and Standard Deviation of the Mean and Maximum Carotid Bulb and Internal Carotid Artery Intima Media Thickness Across the Groups Defined by the Genotypes Studied

Genetic variant Mean IMTbul Maximum IMTbul Mean IMTica Maximum IMTica Single Nucleotide Polymorphisms rs17465637 AA N=210 0.733±0.015 N=179 1.024±0.029 N=202 0.581±0.011 N=163 0.800±0.02 0 AC N=1020 0.765±0.007 N=904 1.052±0.013 N=1000 0.593±0.005 N=853 0.796±0.00 9 CC N=1248 0.766±0.006 N=1105 1.051±0.012 N=1222 0.593±0.005 N=1036 0.799±0.00 8 P Value.122.657.579.948 rs6725887 CC N=45 0.770±0.032 N=41 1.118±0.060 N=44 0.624±0.024 N=38 0.845±0.04 1 CT N=611 0.765±0.009 N=548 1.047±0.016 N=602 0.600±0.007 N=498 0.812±0.01 1 TT N=1779 0.759±0.005 N=1561 1.045±0.010 N=1737 0.589±0.004 N=1483 0.792±0.00 7 P Value.808.488.163.179 rs9818870 CC N=1843 0.762±0.005 N=1645 1.047±0.009 N=1802 0.592±0.004 N=1531 0.796±0.00 7 CT N=578 0.764±0.009 N=497 1.051±0.017 N=567 0.593±0.007 N=472 0.804±0.01 2 TT N=34 0.720±0.037 N=28 1.016±0.073 N=33 0.612±0.028 N=31 0.822±0.04 6 P Value.525.895.786.706 rs12526453 CC N=1018 0.764±0.007 N=909 1.053±0.013 N=995 0.593±0.005 N=835 0.806±0.00 9 CG N=1124 0.758±0.006 N=990 1.037±0.012 N=1103 0.590±0.005 N=949 0.787±0.00 8 GG N=315 0.765±0.012 N=273 1.067±0.023 N=306 0.599±0.009 N=254 0.813±0.01

6 P Value.824.433.720.169 rs1333049 CC N=650 0.768±0.009 N=572 1.060±0.016 N=636 0.592±0.006 N=542 0.799±0.01 1 GC N=1233 0.769±0.006 N=1095 1.060±0.012 N=1207 0.595±0.005 N=1013 0.802±0.00 8 GG N=595 0.744±0.009 N=521 1.013±0.017 N=581 0.586±0.007 N=498 0.787±0.01 1 P Value.067.048.536.564 rs1746048 CC N=1863 0.761±0.005 N=1637 1.051±0.010 N=1822 0.589±0.004 N=1558 0.796±0.00 6 TC N=560 0.772±0.009 N=500 1.045±0.017 N=548 0.603±0.007 N=446 0.806±0.01 2 TT N=50 0.725±0.031 N=46 0.979±0.057 N=49 0.576±0.023 N=43 0.767±0.03 9 P Value.277.444.173.573 rs9982601 CC N=1874 0.762±0.005 N=1662 1.052±0.009 N=1835 0.594±0.004 N=1535 0.798±0.00 7 CT N=548 0.763±0.009 N=478 1.042±0.018 N=538 0.592±0.007 N=474 0.805±0.01 2 TT N=32 0.730±0.038 N=29 0.936±0.071 N=30 0.548±0.029 N=26 0.719±0.05 0 P Value.699.248.310.245 rs10455872 AA N=2116 0.758±0.005 N=1872 1.041±0.009 N=2070 0.590±0.004 N=1747 0.793±0.00 6 GA N=371 0.791±0.011 N=324 1.094±0.021 N=364 0.604±0.009 N=303 0.821±0.01 5 GG N=13 0.767±0.061 N=11 1.114±0.116 N=12 0.615±0.047 N=10 0.781±0.08 1

P Value.027.061.271.207 ALOX5AP Haplotype B 0* N=1433 0.763±0.006 N=1262 1.049±0.011 N=1401 0.593±0.004 N=1195 0.798±0.00 7 1* N=899 0.764±0.007 N=804 1.051±0.014 N=880 0.589±0.005 N=735 0.799±0.00 9 2* N=157 0.754±0.018 N=131 1.041±0.034 N=154 0.598±0.013 N=130 0.786±0.02 2 P Value.875.966.726.871 IMTbul, carotid bulb intima-media thickness; IMTica, internal carotid intima-media thickness *Number of risk alleles (AGA)

Table 2, Supplementary Material. Summary of Results of the Process of Selecting Manuscripts for Inclusion in the Metaanalysis According to the PRISMA Statement Number of Manuscripts Including Each SNP Identified Through the PubMed Search Initially Selected After Titleabstract Screening Excluded After Review of Full Manuscript Identified Through Other Sources Total Included in Metaanalysis rs17465637 2 1 1 1 2 2 2,3 rs6725887 0 0 0 2 2 2,3 rs9818870 29 0 0 2 2 2,3 rs12526453 1 0 0 2 2 2,3 rs1746048* 78 2 1 4 2 3 2,3,5 rs9982601 0 0 0 2 2 2,3 rs1333049 124 7 2 6,7 2 7 2,3,8-12 rs10455872 2 1 0 0 1 13 SNP, single nucleotide polymorphisms. *Some studies analyzed the SNP rs501120 in linkage disequilibrium (LD) with rs1746048 Some studies analyzed the SNP rs4977574 in LD with rs1333049

Table 3, Supplementary Material. Results of the Association Between the Different Genetic Variants Included in Our Study and Mean Common Carotid Intima Media Thickness in the Individual Studies Included in the Meta-analysis. SNP N Beta SE rs17465637 CAPS 2 993 0.004 0.007 KORA 2 1552-0.002 0.005 YFS 3 (rs17011666) 2015 0.001 0.004 REGICOR 2116 0.010 0.004 rs6725887 CAPS 2 993-0.027 0.009 KORA 2 1552-0.024 0.006 YFS 2 2425-0.002 0.004 Bogalusa 3 755-0.011 0.011 REGICOR 2076-0.007 0.006 rs9818870 CAPS 2 993 0.008 0.008 KORA 2 1552 0.003 0.006 YFS 2 2425 0.004 0.005 REGICOR 2096-0.007 0.006 rs12526453 CAPS 2 993-0.002 0.007 KORA 2 1552 0.004 0.004 YFS 2 2425-0.003 0.003 Bogalusa 3 755-0.020 0.008 REGICOR 2096 0.001 0.004 rs1333049 CAPS (rs4977574) 2 993-0.002 0.006 KORA (rs4977574) 2 1552-0.000 0.004 Bogalusa (rs4977574) 3 755-0.004 0.007 YFS 8 2277-0.001 0.005 Health 2000 8 1295 0.011 0.011

PAGE 9 European Americans African Americans American Indians 8418 3299 5411 0.000-0.001-0.007 0.002 0.006 0.004 Three City + EVA studies 10 4097 0.003 0.002 Han Chinese population [11] Men 490 0.022 0.012 Women 584 0.001 0.002 Bruneck 12 769 0 0.010 REGICOR 2116-0.010 0.004 rs1746048 CAPS 2 993 0.007 0.009 KORA 2 1552 0.003 0.006 YFS 2 2425 0.002 0.004 Bogalusa 3 755 0.012 0.011 Bruneck 5 (rs501120) 738 0.042 0.013 Health 2000 5 (rs501120) 1237 0.017 0.010 HTO 5 (rs501120) 770 0.011 0.016 REGICOR 2111 0.001 0.006 rs9982601 CAPS 2 993-0.001 0.009 KORA 2 1552 0.002 0.006 YFS 2 2425-0.004 0.004 Bogalusa 3 755-0.020 0.012 REGICOR 2092 0.003 0.006 rs10455872 IMPROVE 13 * 2984-0.003 0.002 KORA 13 * 1552-0.000 0.011 REGICOR 2140 0.002 0.007 *Results are presented as an association between carotid intima-media thickness and a genetic risk score composed by two SNPs in the LPA gene. It is assumed that the effect of the SNP of interest represents half of the magnitude shown in the original publication.

SE, standard error; SNP, single nucleotide polymorphisms.

Figure, Supplementary Material. Results of the meta-regression analyses showing that the heterogeneity between studies assessing the association between rs6725887 and carotid intima-media thickness was explained by the population mean intima-media thickness. IMT, intima-media thickness

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