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Interleukin-6 receptor pathways in coronary heart disease : a collaborative meta-analysis of 82 studies

Sarwar, Nadeem (author)
Butterworth, Adam S. (author)
Freitag, Daniel F. (author)
show more...
Gregson, John (author)
Willeit, Peter (author)
Gorman, Donal N. (author)
Gao, Pei (author)
Saleheen, Danish (author)
Rendon, Augusto (author)
Nelson, Christopher P. (author)
Braund, Peter S. (author)
Hall, Alistair S. (author)
Chasman, Daniel I. (author)
Tybjaerg-Hansen, Anne (author)
Karolinska Institutet
Chambers, John C. (author)
Benjamin, Emelia J. (author)
Franks, Paul W. (author)
Lunds universitet,Umeå universitet,Medicin,Lund University, Department of Clinical Science, Genetical & Molecular Epidemiology Unit, Malmö, Sweden and Harvard University, School of Public Health, Department of Nutrition, Boston, USA,Genetisk och molekylär epidemiologi,Forskargrupper vid Lunds universitet,Genetic and Molecular Epidemiology,Lund University Research Groups
Clarke, Robert (author)
Wilde, Arthur A. M. (author)
Trip, Mieke D. (author)
Steri, Maristella (author)
Witteman, Jacqueline C. M. (author)
Qi, Lu (author)
van der Schoot, C. Ellen (author)
de Faire, Ulf (author)
Karolinska Institutet
Erdmann, Jeanette (author)
Stringham, Heather M. (author)
Koenig, Wolfgang (author)
Rader, Daniel J. (author)
Melzer, David (author)
Reich, David (author)
Psaty, Bruce M. (author)
Kleber, Marcus E. (author)
Panagiotakos, Demosthenes B. (author)
Willeit, Johann (author)
Wennberg, Patrik (author)
Woodward, Mark (author)
Adamovic, Svetlana, 1965 (author)
Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi,Institute of Neuroscience and Physiology, Department of Physiology
Rimm, Eric B. (author)
Meade, Tom W. (author)
Gillum, Richard F. (author)
Shaffer, Jonathan A. (author)
Hofman, Albert (author)
Onat, Altan (author)
Sundström, Johan (author)
Uppsala universitet,Institutionen för medicinska vetenskaper
Wassertheil-Smoller, Sylvia (author)
Mellström, Dan, 1945 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Centre for Bone and Arthritis Research,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition,Institute of Medicine, School of Public Health and Community Medicine
Gallacher, John (author)
Cushman, Mary (author)
Tracy, Russell P. (author)
Kauhanen, Jussi (author)
Karlsson, Magnus (author)
Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups
Salonen, Jukka T. (author)
Wilhelmsen, Lars (author)
Amouyel, Philippe (author)
Cantin, Bernard (author)
Best, Lyle G. (author)
Ben-Shlomo, Yoav (author)
Manson, JoAnn E. (author)
Davey-Smith, George (author)
de Bakker, Paul I. W. (author)
Jansson, John-Olov, 1954 (author)
Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för fysiologi,Institute of Neuroscience and Physiology, Department of Physiology
Wilson, James F. (author)
Wilson, Anthony G. (author)
Assimes, Themistocles L. (author)
Jansson, John-Olov (author)
Ohlsson, Claes, 1965 (author)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin och klinisk nutrition,Centre for Bone and Arthritis Research,Institute of Medicine, Department of Internal Medicine and Clinical Nutrition
Tivesten, Åsa, 1969 (author)
Gothenburg University,Göteborgs universitet,Wallenberglaboratoriet,Wallenberg Laboratory
Ljunggren, Östen (author)
Uppsala universitet,Institutionen för medicinska vetenskaper,Metabola bensjukdomar
Reilly, Muredach P. (author)
Hamsten, Anders (author)
Ingelsson, Erik (author)
Karolinska Institutet
Cambien, Francois (author)
Hung, Joseph (author)
Thomas, G. Neil (author)
Boehnke, Michael (author)
Schunkert, Heribert (author)
Asselbergs, Folkert W. (author)
Kastelein, John J. P. (author)
Gudnason, Vilmundur (author)
Salomaa, Veikko (author)
Harris, Tamara B. (author)
Kooner, Jaspal S. (author)
Allin, Kristine H. (author)
Nordestgaard, Borge G. (author)
Hopewell, Jemma C. (author)
Goodall, Alison H. (author)
Ridker, Paul M. (author)
Holm, Hilma (author)
Watkins, Hugh (author)
Ouwehand, Willem H. (author)
Samani, Nilesh J. (author)
Kaptoge, Stephen (author)
Di Angelantonio, Emanuele (author)
Harari, Olivier (author)
Danesh, John (author)
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 (creator_code:org_t)
New York, NY, USA : Elsevier, 2012
2012
English.
In: The Lancet. - New York, NY, USA : Elsevier. - 0140-6736 .- 1474-547X. ; 379:9822, s. 1205-1213
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Persistent inflammation has been proposed to contribute to various stages in the pathogenesis of cardiovascular disease. Interleukin-6 receptor (IL6R) signalling propagates downstream inflammation cascades. To assess whether this pathway is causally relevant to coronary heart disease, we studied a functional genetic variant known to affect IL6R signalling. Methods: In a collaborative meta-analysis, we studied Asp358Ala (rs2228145) in IL6R in relation to a panel of conventional risk factors and inflammation biomarkers in 125 222 participants. We also compared the frequency of Asp358Ala in 51 441 patients with coronary heart disease and in 136 226 controls. To gain insight into possible mechanisms, we assessed Asp358Ala in relation to localised gene expression and to postlipopolysaccharide stimulation of interleukin 6. Findings: The minor allele frequency of Asp358Ala was 39%. Asp358Ala was not associated with lipid concentrations, blood pressure, adiposity, dysglycaemia, or smoking (p value for association per minor allele >= 0.04 for each). By contrast, for every copy of 358Ala inherited, mean concentration of IL6R increased by 34.3% (95% CI 30.4-38.2) and of interleukin 6 by 14.6% (10.7-18.4), and mean concentration of C-reactive protein was reduced by 7.5% (5.9-9.1) and of fibrinogen by 1.0% (0.7-1.3). For every copy of 358Ala inherited, risk of coronary heart disease was reduced by 3.4% (1.8-5.0). Asp358Ala was not related to IL6R mRNA levels or interleukin-6 production in monocytes. Interpretation: Large-scale human genetic and biomarker data are consistent with a causal association between IL6R-related pathways and coronary heart disease.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Allmänmedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- General Practice (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopaedics (hsv//eng)

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Sarwar, Nadeem
Butterworth, Ada ...
Freitag, Daniel ...
Gregson, John
Willeit, Peter
Gorman, Donal N.
show more...
Gao, Pei
Saleheen, Danish
Rendon, Augusto
Nelson, Christop ...
Braund, Peter S.
Hall, Alistair S ...
Chasman, Daniel ...
Tybjaerg-Hansen, ...
Chambers, John C ...
Benjamin, Emelia ...
Franks, Paul W.
Clarke, Robert
Wilde, Arthur A. ...
Trip, Mieke D.
Steri, Maristell ...
Witteman, Jacque ...
Qi, Lu
van der Schoot, ...
de Faire, Ulf
Erdmann, Jeanett ...
Stringham, Heath ...
Koenig, Wolfgang
Rader, Daniel J.
Melzer, David
Reich, David
Psaty, Bruce M.
Kleber, Marcus E ...
Panagiotakos, De ...
Willeit, Johann
Wennberg, Patrik
Woodward, Mark
Adamovic, Svetla ...
Rimm, Eric B.
Meade, Tom W.
Gillum, Richard ...
Shaffer, Jonatha ...
Hofman, Albert
Onat, Altan
Sundström, Johan
Wassertheil-Smol ...
Mellström, Dan, ...
Gallacher, John
Cushman, Mary
Tracy, Russell P ...
Kauhanen, Jussi
Karlsson, Magnus
Salonen, Jukka T ...
Wilhelmsen, Lars
Amouyel, Philipp ...
Cantin, Bernard
Best, Lyle G.
Ben-Shlomo, Yoav
Manson, JoAnn E.
Davey-Smith, Geo ...
de Bakker, Paul ...
Jansson, John-Ol ...
Wilson, James F.
Wilson, Anthony ...
Assimes, Themist ...
Jansson, John-Ol ...
Ohlsson, Claes, ...
Tivesten, Åsa, 1 ...
Ljunggren, Östen
Reilly, Muredach ...
Hamsten, Anders
Ingelsson, Erik
Cambien, Francoi ...
Hung, Joseph
Thomas, G. Neil
Boehnke, Michael
Schunkert, Herib ...
Asselbergs, Folk ...
Kastelein, John ...
Gudnason, Vilmun ...
Salomaa, Veikko
Harris, Tamara B ...
Kooner, Jaspal S ...
Allin, Kristine ...
Nordestgaard, Bo ...
Hopewell, Jemma ...
Goodall, Alison ...
Ridker, Paul M.
Holm, Hilma
Watkins, Hugh
Ouwehand, Willem ...
Samani, Nilesh J ...
Kaptoge, Stephen
Di Angelantonio, ...
Harari, Olivier
Danesh, John
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About the subject
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Endocrinology an ...
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and General Practice
MEDICAL AND HEALTH SCIENCES
MEDICAL AND HEAL ...
and Clinical Medicin ...
and Orthopaedics
Articles in the publication
The Lancet
By the university
Uppsala University
University of Gothenburg
Karolinska Institutet
Umeå University
Lund University

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