{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:17:57Z","timestamp":1780733877759,"version":"3.54.1"},"reference-count":64,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["ATVB"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>\n              Reported associations between kidney risk variants (G1 and G2) in\n              <jats:italic>APOL1<\/jats:italic>\n              (apolipoprotein L1), encoding APOL1, and cardiovascular disease have been conflicting. We sought to explore associations of\n              <jats:italic>APOL1<\/jats:italic>\n              risk variants with cause of sudden death using the CVPath Sudden Death Autopsy Registry.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Approach and Results:<\/jats:title>\n            <jats:p>\n              <jats:italic>APOL1<\/jats:italic>\n              haplotypes and causes of sudden death, as determined through autopsy and histopathology, were obtained for 764 Black subjects. Genotyping revealed\n              <jats:italic>APOL1<\/jats:italic>\n              risk alleles in 452 of 764 (59%) subjects with 347 (77%) subjects carrying one risk allele and 105 (23%) subjects harboring 2 risk alleles.\n              <jats:italic>APOL1<\/jats:italic>\n              risk allele carrier status was associated with a significantly increased risk of coronary thrombosis due to plaque rupture, versus noncarriers (odds ratio for rupture, 1.655 [95% CI, 1.079\u20132.539];\n              <jats:italic>P<\/jats:italic>\n              =0.021). Histological examinations showed coronary plaques in carriers of 2\n              <jats:italic>APOL1<\/jats:italic>\n              risk alleles had larger necrotic cores compared with noncarriers (necrotic core area\/total plaque area: 46.79%\u00b16.47% versus 20.57%\u00b15.11%;\n              <jats:italic>P<\/jats:italic>\n              =0.0343 in ruptured plaques, and 41.48%\u00b17.49% versus 18.93%\u00b13.97%;\n              <jats:italic>P<\/jats:italic>\n              =0.0342 in nonruptured plaques), and immunohistochemical and immunofluorescent staining revealed APOL1-positive areas localized primarily to the necrotic core.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>\n              <jats:italic>APOL1<\/jats:italic>\n              risk alleles were independently associated with an increased risk of thrombotic coronary death due to plaque rupture. Our results suggest that carriers of both 1 and 2\n              <jats:italic>APOL1<\/jats:italic>\n              risk alleles have greater accumulation of APOL1 protein within culprit plaques and greater necrotic core sizes than noncarriers. These findings suggest that APOL1 plays a role in determining plaque stability.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/atvbaha.120.315788","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T09:03:53Z","timestamp":1622106233000},"page":"2201-2214","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["<i>APOL1<\/i>\n            Genetic Variants Are Associated With Increased Risk of Coronary Atherosclerotic Plaque Rupture in the Black Population"],"prefix":"10.1161","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5452-4657","authenticated-orcid":true,"given":"Anne","family":"Cornelissen","sequence":"first","affiliation":[{"name":"CVPath Institute, Gaithersburg, MD (A.C., D.T.F., R.F., X.Z., R. Kutys, A.S, K.H.P., Y.S., R. Kawakami, M.M., K.K., F.D.K., R.V., H.R.D., L.G., A.V.F.)."},{"name":"Department of Cardiology, University Hospital RWTH Aachen, Germany (A.C.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5653-7849","authenticated-orcid":true,"given":"Daniela T.","family":"Fuller","sequence":"additional","affiliation":[{"name":"CVPath Institute, Gaithersburg, MD (A.C., D.T.F., R.F., X.Z., R. Kutys, A.S, K.H.P., Y.S., R. Kawakami, M.M., K.K., F.D.K., R.V., H.R.D., L.G., A.V.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel","family":"Fernandez","sequence":"additional","affiliation":[{"name":"CVPath Institute, Gaithersburg, MD (A.C., D.T.F., R.F., X.Z., R. Kutys, A.S, K.H.P., Y.S., R. Kawakami, M.M., K.K., F.D.K., R.V., H.R.D., L.G., A.V.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqing","family":"Zhao","sequence":"additional","affiliation":[{"name":"CVPath Institute, Gaithersburg, MD (A.C., D.T.F., R.F., X.Z., R. Kutys, A.S, K.H.P., Y.S., R. Kawakami, M.M., K.K., F.D.K., R.V., H.R.D., L.G., A.V.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Kutys","sequence":"additional","affiliation":[{"name":"CVPath Institute, Gaithersburg, MD (A.C., D.T.F., R.F., X.Z., R. Kutys, A.S, K.H.P., Y.S., R. Kawakami, M.M., K.K., F.D.K., R.V., H.R.D., L.G., A.V.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Binns-Roemer","sequence":"additional","affiliation":[{"name":"Center for Cancer Research, National Cancer Institute, National Institutes of Health, Frederick, MD (E.B.-R.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Delsante","sequence":"additional","affiliation":[{"name":"Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD (M.D., T.Y., K.Z.L., J.H., J.B.K., A.Z.R.)."},{"name":"Dipartimento di Medicina e Chirurgia Universit\u00e0 di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria, Italy (M.D.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"CVPath Institute, Gaithersburg, MD (A.C., D.T.F., R.F., X.Z., R. 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