Prevention & lipids

Rare SCARB1 mutations associate with high-density lipoprotein cholesterol but not with coronary artery disease

Eur Heart JPublished Genetic association study

Main findingResult — go to the resultOdds ratio 0.90 95% CI 0.67–1.22

Authors' conclusion

Elevated HDL-C due to genetically compromised SR-BI function is not a marker of CAD risk.

Study context

Population
Icelanders (whole-genome sequenced resource)HDL cholesterol (HDL-C) analysis
Participants
136,672 participants
Comparison
HDL-C-raising SCARB1 mutation carriers vs non-carriers
Outcome
Association of SCARB1 HDL-C-raising alleles with HDL-C and CAD risk
Methodological detailswhole-genome sequencing, case-control
  • Whole-genome sequencing
  • Case-control

Main finding

As reported in the abstract

Odds ratio

0.90

95% CI 0.67–1.22

P = 0.49

p.G319V, p.V111M, p.V32M carriersvs Non-carriers
OR 0.90 (95% CI 0.67–1.22); P = 0.49
p.G319V HDL-C β = 11.1 mg/dL
P = 8.0 × 10-7
p.V111M HDL-C β = 8.3 mg/dL
P = 1.1 × 10-6
p.V32M HDL-C β = 10.2 mg/dL
P = 8.1 × 10-4

Observational data: associations, not effects.

Further findings

Common non-coding SCARB1 variants and low-frequency p.V135I

rs61941676-C HDL-C β = 1.25 mg/dL
P = 1.7 × 10-18
HDL-C-raising alleles do not confer increased coronary artery disease (CAD) risk

Original publication

Rare SCARB1 mutations associate with high-density lipoprotein cholesterol but not with coronary artery disease. Eur Heart J. Published 27 March 2018. doi:10.1093/eurheartj/ehy169

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