Dysfunctional Nitric Oxide Signalling Increases Risk of Myocardial Infarction
LETTER doi:10.1038/nature12722 Dysfunctional nitric oxide signalling increases risk of myocardial infarction Jeanette Erdmann1,2*, Klaus Stark3,4*, Ulrike B. Esslinger3,5*, Philipp Moritz Rumpf6,7*, Doris Koesling8, Cor de Wit2,9, Frank J. Kaiser2,10, Diana Braunholz10, Anja Medack1, Marcus Fischer3, Martina E. Zimmermann3, Stephanie Tennstedt1, Elisabeth Graf11,12, Sebastian Eck11,12, Zouhair Aherrahrou1,2, Janja Nahrstaedt1, Christina Willenborg1,2, Petra Bruse1, Ingrid Brænne1, Markus M. No¨then13,14, Per Hofmann13,15, Peter S. Braund16,17, Evanthia Mergia8, Wibke Reinhard6,7, Christof Burgdorf6, Stefan Schreiber18, Anthony J. Balmforth19, Alistair S. Hall20, Lars Bertram21, Elisabeth Steinhagen-Thiessen22, Shu-Chen Li23,24, Winfried Ma¨rz25,26,27, Muredach Reilly28, Sekar Kathiresan29,30,31, Ruth McPherson32, Ulrich Walter33,34, CARDIoGRAM{, Jurg Ott35,36, Nilesh J. Samani16,17, Tim M. Strom11,12, Thomas Meitinger6,11,12, Christian Hengstenberg6,7 & Heribert Schunkert6,7 Myocardialinfarction,a leading cause of death in the Western world1, may provide a new therapeutic target for reducing the risk of myo- usually occurs when the fibrous cap overlying an atherosclerotic pla- cardial infarction. que in a coronary artery ruptures. The resulting exposure of blood The starting point of the present study (work flow in Supplementary to the atherosclerotic material then triggers thrombus formation, Fig. 1) was the identification of a family with 32 members diagnosed which occludes the artery2. The importance of genetic predisposi- with coronary artery disease (CAD), of whom 22 had early onset of the tion to coronary artery disease and myocardial infarction is best disease (#60 years of age). Given the high mortality rates of myocar- documented by the predictive value of a positive family history3.
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