An Increased Burden of Common and Rare Lipid-Associated Risk Alleles Contributes to the Phenotypic Spectrum of Hypertriglyceridemia Journal Articles uri icon

  • Overview
  • Research
  • Identity
  • Additional Document Info
  • View All


  • Objective— Earlier studies have suggested that a common genetic architecture underlies the clinically heterogeneous polygenic Fredrickson hyperlipoproteinemia (HLP) phenotypes defined by hypertriglyceridemia (HTG). Here, we comprehensively analyzed 504 HLP-HTG patients and 1213 normotriglyceridemic controls and confirmed that a spectrum of common and rare lipid-associated variants underlies this heterogeneity. Methods and Results— First, we demonstrated that genetic determinants of plasma lipids and lipoproteins, including common variants associated with plasma triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) from the Global Lipids Genetics Consortium were associated with multiple HLP-HTG phenotypes. Second, we demonstrated that weighted risk scores composed of common TG-associated variants were distinctly increased across all HLP-HTG phenotypes compared with controls; weighted HDL-C and LDL-C risk scores were also increased, although to a less pronounced degree with some HLP-HTG phenotypes. Interestingly, decomposition of HDL-C and LDL-C risk scores revealed that pleiotropic variants (those jointly associated with TG) accounted for the greatest difference in HDL-C and LDL-C risk scores. The APOE E2/E2 genotype was significantly overrepresented in HLP type 3 versus other phenotypes. Finally, rare variants in 4 genes accumulated equally across HLP-HTG phenotypes. Conclusion— HTG susceptibility and phenotypic heterogeneity are both influenced by accumulation of common and rare TG-associated variants.


  • Johansen, Christopher
  • Wang, Jian
  • Lanktree, Matthew
  • McIntyre, Adam D
  • Ban, Matthew R
  • Martins, Rebecca A
  • Kennedy, Brooke A
  • Hassell, Reina G
  • Visser, Maartje E
  • Schwartz, Stephen M
  • Voight, Benjamin F
  • Elosua, Roberto
  • Salomaa, Veikko
  • O'Donnell, Christopher J
  • Dallinga-Thie, Geesje M
  • Anand, Sonia
  • Yusuf, Salim
  • Huff, Murray W
  • Kathiresan, Sekar
  • Cao, Henian
  • Hegele, Robert A

publication date

  • August 2011

has subject area