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GWAS for plasma lipid levels have mapped numerous genomic loci, with each region often containing many protein-coding genes. Targeted re-sequencing of exons is a strategy to pinpoint causal variants and genes. The study used this approach in individuals with extremely high as well as low to normal levels of low-density lipoprotein cholesterol (n = 311), triglycerides (n = 308), and high-density lipoprotein cholesterol (n = 684), and tested whether coding sequence variants, individually or aggregated within a gene, were associated with plasma lipid levels. Findings were replicated by sequencing in independent participants (n = 6,424). Overall, the study identified 6 variants with significant associations with plasma lipids; however, only one of these had a novel association with triglycerides (p.Ser147Asn variant in APOA4, 14.3% frequency).
In conclusion, these results provide further insight into the genetic control of lipid traits, specifically elevated triglycerides. Fine mapping GWAS loci may, however, have limitations in studying the cause of these signals.