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Bayesian network analysis of panomic biological big data identifies the importance of triglyceride-rich LDL in atherosclerosis development

  • Szilard Voros
  • , Aruna T. Bansal
  • , Michael R. Barnes
  • , Jagat Narula
  • , Pal Maurovich-Horvat
  • , Gustavo Vazquez
  • , Idean B. Marvasty
  • , Bradley O. Brown
  • , Isaac D. Voros
  • , William Harris
  • , Viktor Voros
  • , Thomas Dayspring
  • , David Neff
  • , Alex Greenfield
  • , Leon Furchtgott
  • , Bruce Church
  • , Karl Runge
  • , Iya Khalil
  • , Boris Hayete
  • , Diego Lucero
  • Alan T. Remaley, Roger S. Newton

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Introduction: We sought to explore biomarkers of coronary atherosclerosis in an unbiased fashion. Methods: We analyzed 665 patients (mean ± SD age, 56 ± 11 years; 47% male) from the GLOBAL clinical study (NCT01738828). Cases were defined by the presence of any discernable atherosclerotic plaque based on comprehensive cardiac computed tomography (CT). De novo Bayesian networks built out of 37,000 molecular measurements and 99 conventional biomarkers per patient examined the potential causality of specific biomarkers. Results: Most highly ranked biomarkers by gradient boosting were interleukin-6, symmetric dimethylarginine, LDL-triglycerides [LDL-TG], apolipoprotein B48, palmitoleic acid, small dense LDL, alkaline phosphatase, and asymmetric dimethylarginine. In Bayesian analysis, LDL-TG was directly linked to atherosclerosis in over 95% of the ensembles. Genetic variants in the genomic region encoding hepatic lipase (LIPC) were associated with LIPC gene expression, LDL-TG levels and with atherosclerosis. Discussion: Triglyceride-rich LDL particles, which can now be routinely measured with a direct homogenous assay, may play an important role in atherosclerosis development. Clinical trial registration: GLOBAL clinical study (Genetic Loci and the Burden of Atherosclerotic Lesions); [https://clinicaltrials.gov/ct2/show/NCT01738828?term=NCT01738828&rank=1], identifier [NCT01738828].

Original languageEnglish
Article number960419
JournalFrontiers in Cardiovascular Medicine
Volume9
DOIs
StatePublished - Jan 4 2023

Bibliographical note

Publisher Copyright:
Copyright © 2023 Voros, Bansal, Barnes, Narula, Maurovich-Horvat, Vazquez, Marvasty, Brown, Voros, Harris, Voros, Dayspring, Neff, Greenfield, Furchtgott, Church, Runge, Khalil, Hayete, Lucero, Remaley and Newton.

Funding

Global Genomics Group sponsored and funded the study and has filed patents on biomarker diagnosis of coronary artery disease. Denka Seiken provided financial support for manuscript preparation. Research by DL and AR was supported by intramural DIR funds from the National Heart, Lung and Blood Institute, NIH, Bethesda, MD.

Funders
National Institutes of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)

    Keywords

    • Bayesian network analysis
    • LDL-triglycerides
    • cardiovascular risk
    • hepatic lipase
    • omics
    • triglyceride-rich LDL

    ASJC Scopus subject areas

    • Cardiology and Cardiovascular Medicine

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