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. 2023 Jun 30;44(29):2682–2697. doi: 10.1093/eurheartj/ehad386

Table 2.

Single-nucleotide polymorphisms associated with the risk of abdominal aortic aneurysm validated in genome-wide association studies

rs number Nearest gene OR (95% CI) Proposed mechanisms
rs11591147 PCSK9 1.58 (1.38, 1.82) Degradation of the LDL receptor, thereby controlling circulating levels of LDL-C and inhibit VSMC proliferation and apoptosis45,50
rs118039278 LPA 1.28 (1.21, 1.35) Lipoprotein(a) concentrations45,51
rs73149487 ABHD16B 1.26 (1.16, 1.36) Endocannabinoid homeostasis45
rs4007642 CDKN2BAS1 1.21 (1.17, 1.25) Long non-coding RNA controlling apoptosis and inflammation43,44,52
rs964184 ZNF259/APOA5 1.18 (1.14, 1.23) Triglyceride, cholesterol, and glucose concentrations45,53
rs429358 APOE 1.17 (1.12, 1.21) Cholesterol transport45
rs646776 PSRC1-CELSR2-SORT1 1.15 (1.11, 1.20) Cholesterol homeostasis45,48
rs73015016 LDLR 1.15 (1.09, 1.21) Cholesterol homeostasis44,45,47
rs8124182 MMP9 1.15 (1.10, 1.20) Matrix remodeling44,45
rs12730935 IL-6R 1.14 (1.10, 1.18) Inflammation45,54–56
rs7994761 LINC00540 1.14 (1.09, 1.19) Unknown44,45
rs4936098 ADAMTS8 1.13 (1.10, 1.16) VSMC proliferation and AMPK activity45,57
rs7025486 DAB2IP 1.12 (1.08, 1.16) Cell apoptosis49,58
rs55958997 CHRNA3 1.12 (1.09, 1.16) Nicotine dependance45
rs4401144 CTAGE1 1.11 (1.08, 1.14) T cell function45
rs12125521 SMYD2 1.10 (1.06, 1.14) Histone methylation44,45,59
rs11172113 LRP1 1.10 (1.06, 1.14) VSMC MMP-9 clearance45,46,60
rs2836411 ERG 1.10 (1.06, 1.14) Inflammation44,45,61
rs7255 AC012065.7 1.10 (1.07, 1.13) Long non-coding RNA expression45,62
rs3176336 CDKN1A 1.10 (1.07, 1.13) Cell cycle progression45
rs10808546 RP11-136O12.2/TRIB1 1.10 (1.07, 1.13) Long non-coding RNA45
rs1412445 LIPA 1.10 (1.07, 1.13) Lipid homeostasis45,63
rs10023907 MEPE 1.09 (1.06, 1.12) Calcium-binding phosphoprotein involved in bone mineralisation45
rs35254673 CRISPLD2 1.09 (1.06, 1.13) Unknown45

Single-nucleotide polymorphisms were selected based on genome-wide significance (P < 5 × 108) during discovery in one of nine previously published AAA genome-wide association studies and validation to be significantly associated with AAA in at least one other cohort including the largest and most recent study from the Million Veteran Program.44–46,48,49 The ORs and 95% CIs shown are all taken from the Million Veterans Program study to allow comparison of effect sizes.45 CDKN2BAS1, CDKN2B antisense RNA-1; IL-6R, interleukin-6 receptor; LDLR, low-density lipoprotein receptor; PSRC1-CELSR2-SORT1, proline/serine-rich coiled coil 1—cadherin, EGF LAG seven-pass G-type receptor 2-sortilin; MMP9, matrix metallopeptidase 9; SMYD2, SET And MYND domain containing 2; ERG, erythroblast transformation-specific related gene; LINC00540, long intergenic non–protein coding RNA-540; DAB2IP, disabled homolog 2 interacting protein; AC012065.7, clone-based Vega gene; CDKN1A, cyclin-dependent kinase inhibitor 1A; RP11-136O12.2/TRIB1, RP11-136O12.2 tribbles pseudokinase 1; LIPA, lysosomal acid lipase; ZNF259/APOA5, zinc finger protein/apolipoprotein A5; ADAMTS8, ADAM metallopeptidase with thrombospondin type 1 motif 8; CTAGE1, cutaneous T cell lymphoma-associated antigen 1; APOE, apolipoprotein E; PCSK9, proprotein convertase subtilisin/kexin type 9; LPA, lipoprotein(a); CHRNA3: cholinergic receptor nicotinic alpha 3 subunit; ABHD16B, abhydrolase domain containing 16B; VSMC, vascular smooth muscle cells; AMPK, AMP-activated protein kinase; LDL-C, low-density lipoprotein cholesterol; MEPE, matrix extracellular phosphoglycoprotein; CRISPLD2, cysteine-rich secretory protein LCCL domain containing 2.