Article
Author: Hernandez-Cancela, Ryan B ; Psaty, Bruce M ; Morrison, Alanna C ; Lee, Sujin ; Correa, Adolfo ; Haessler, Jeffrey ; Do, Ron ; Florez, Jose C ; Sladek, Robert ; Guo, Xiuqing ; Trompet, Stella ; Kavousi, Maryam ; Jukema, J Wouter ; Damrauer, Scott M ; Nadkarni, Girish N ; Brody, Jennifer A ; Malhotra, Rajeev ; Tsao, Noah L ; Loos, Ruth J F ; Lin, Zhaotong ; de Vries, Paul S ; Sincan, Murat ; Kooperberg, Charles ; Meyer, Mariah ; Yao, Jie ; Hasbani, Natalie R ; Lange, Leslie A ; Rotter, Jerome I ; Bos, Maxime M ; Ahmadizar, Fariba ; Liu, Simin ; Schroeder, Philip H ; Gu, Shaopeng ; Taylor, Kent D ; Noordam, Raymond ; Heckbert, Susan R ; Irvin, Marguerite R ; Ghanbari, Mohsen ; Hajek, Catherine ; Mercader, Josep M ; Wang, Ningyuan ; Meigs, James B ; Rich, Stephen S ; Chen, Yii-Der Ida ; Pankow, James S ; Park, Kyong Soo ; Wiggins, Kerri L ; Carmichael, Lynn K ; Armstrong, Nicole D ; Goodarzi, Mark O ; Merino, Jordi ; Chaudhary, Ninad S ; Judy, Renae ; Condon, David E ; Kwak, Soo Heon ; Manson, JoAnn E ; Jackson, Rebecca D ; Reiner, Alexander P ; Dupuis, Josée ; Vy, Ha My T ; Chasman, Daniel I ; Pitsillides, Achilleas N ; Cho, Nam H ; Wu, Peitao ; Liu, Ching-Ti ; DiCorpo, Daniel A ; van Meurs, Joyce
OBJECTIVETo identify genetic risk factors for incident cardiovascular disease (CVD) among people with type 2 diabetes (T2D).RESEARCH DESIGN AND METHODSWe conducted a multiancestry time-to-event genome-wide association study for incident CVD among people with T2D. We also tested 204 known coronary artery disease (CAD) variants for association with incident CVD.RESULTSAmong 49,230 participants with T2D, 8,956 had incident CVD events (event rate 18.2%). We identified three novel genetic loci for incident CVD: rs147138607 (near CACNA1E/ZNF648, hazard ratio [HR] 1.23, P = 3.6 × 10−9), rs77142250 (near HS3ST1, HR 1.89, P = 9.9 × 10−9), and rs335407 (near TFB1M/NOX3, HR 1.25, P = 1.5 × 10−8). Among 204 known CAD loci, 5 were associated with incident CVD in T2D (multiple comparison–adjusted P < 0.00024, 0.05/204). A standardized polygenic score of these 204 variants was associated with incident CVD with HR 1.14 (P = 1.0 × 10−16).CONCLUSIONSThe data point to novel and known genomic regions associated with incident CVD among individuals with T2D.