coronary 2.0.0: 2026 evidence rebuild of the Generation I expert module (O. Borysova). Adds every independent genome-wide-significant lead of the largest 2021-2026 GWAS for the trait plus functional variants, with evidence tiers (S-D); errors in the original rows corrected with recorded reasons (provenance in logs/authoring.log); gnomAD v4.1 frequencies; closed. Built with just-dna-compiler main a05cd54.
Browse files- data/coronary/v2.0.0/README.md +141 -0
- data/coronary/v2.0.0/annotations.parquet +3 -0
- data/coronary/v2.0.0/clin_sig_authority_calls.parquet +3 -0
- data/coronary/v2.0.0/clin_sig_concordance.parquet +3 -0
- data/coronary/v2.0.0/frequencies.parquet +3 -0
- data/coronary/v2.0.0/literature.parquet +3 -0
- data/coronary/v2.0.0/logo.png +3 -0
- data/coronary/v2.0.0/logs/authoring.log +13 -0
- data/coronary/v2.0.0/manifest.json +683 -0
- data/coronary/v2.0.0/sources.parquet +3 -0
- data/coronary/v2.0.0/studies.parquet +3 -0
- data/coronary/v2.0.0/weights.parquet +3 -0
data/coronary/v2.0.0/README.md
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| 1 |
+
# Coronary Artery Disease (coronary) — version 2.0.0
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| 2 |
+
|
| 3 |
+
This module reports DNA spots linked to coronary artery disease (CAD): narrowing of the heart's own arteries,
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| 4 |
+
which can cause chest pain (angina) or a heart attack. Each result says whether your version of a spot is
|
| 5 |
+
linked to a slightly higher, slightly lower or typical chance, compared with people who carry the most
|
| 6 |
+
common version. Almost every spot has a small effect on its own. Blood pressure, cholesterol, smoking,
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| 7 |
+
diabetes and family history matter far more than any single spot, and nothing here is a diagnosis.
|
| 8 |
+
|
| 9 |
+
## What changed in 2.0.0 (2026 evidence rebuild)
|
| 10 |
+
|
| 11 |
+
Version 1.x carried 27 hand-curated variants (Olga Borysova). Large GWAS now report hundreds of CAD loci,
|
| 12 |
+
so this version adds every independent genome-wide-significant lead variant from the largest 2022 CAD
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| 13 |
+
meta-analyses, plus a few rare functional variants with large effects. The 27 original rows are kept unchanged.
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| 14 |
+
|
| 15 |
+
| Tier | What | Variants | Genotype rows | Source |
|
| 16 |
+
|---|---|---|---|---|
|
| 17 |
+
| A | GWAS lead variants, Aragam et al. 2022 (anchor) | 257 | 771 | PMID 36474045, Suppl. Tables 3 and 17 |
|
| 18 |
+
| A | Distinct novel loci, Tcheandjieu et al. 2022 | 56 | 168 | PMID 35915156, Suppl. Tables 2 and 3 |
|
| 19 |
+
| B | Rare functional variants (APOB R3527Q, APOC3 R19X) | 2 | 6 | PMID 9603795, PMID 24941081 |
|
| 20 |
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| C | Legacy expert-curated rows (O. Borysova) | 27 | 81 | v1.1.0 |
|
| 21 |
+
| | **Total** | **342** | **1,026** | 63 papers, 437 study rows |
|
| 22 |
+
|
| 23 |
+
### Response to co-author comment C68 ("too few meaningful SNPs")
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| 24 |
+
|
| 25 |
+
The comment was right for v1.x: 27 variants were a literature-triage selection, not a systematic one.
|
| 26 |
+
v2.0.0 applies a stated, reproducible inclusion rule. Every conditionally independent genome-wide-significant
|
| 27 |
+
signal of the largest CAD GWAS (Aragam 2022: 241 signals at 198 loci in 1.17 million people, plus 38
|
| 28 |
+
cross-ancestry loci with Biobank Japan) is included. So is every novel multi-ancestry locus from the Million
|
| 29 |
+
Veteran Program study (Tcheandjieu 2022) that lies outside those regions, including the first X-chromosome
|
| 30 |
+
CAD loci. Rare high-impact variants come from primary literature. Of 374 anchor candidates, 340 passed the
|
| 31 |
+
locus-distinctness rule. 24 of those were then dropped because their effect allele could not be established
|
| 32 |
+
safely (strand-ambiguous SNPs, multi-allelic indels, an allele mismatch), and 3 were already legacy rows.
|
| 33 |
+
The module now covers 342 variants near 283 genes. Every dropped candidate and its reason is listed in
|
| 34 |
+
`REBUILD_REPORT.md`.
|
| 35 |
+
|
| 36 |
+
## Inclusion rule (exact)
|
| 37 |
+
|
| 38 |
+
1. **Tier A — anchor.** Aragam KG et al., *Nat Genet* 2022 (PMID 36474045): all 241 conditionally independent
|
| 39 |
+
associations (GCTA-COJO, p<5e-8) of Supplementary Table 3, and all 38 loci of Supplementary Table 17
|
| 40 |
+
(p<5e-8 after meta-analysis with Biobank Japan).
|
| 41 |
+
2. **Tier A — merge.** Tcheandjieu C et al., *Nat Med* 2022 (PMID 35915156): novel lead SNPs from Supplementary
|
| 42 |
+
Table 2 (Whites, 33) and Table 3 (multi-population, 62) with fixed-effect (METAL) p<5e-8, kept only if they lie more
|
| 43 |
+
than 500 kb (GRCh37) from every Aragam lead and from each other. Result: 61 distinct leads; 3 MR-MEGA-only loci
|
| 44 |
+
were excluded (no single per-allele effect).
|
| 45 |
+
3. **Allele checks.** Strand-ambiguous A/T or C/G SNPs are kept only if the study effect-allele frequency is
|
| 46 |
+
≤0.40 or ≥0.60 **and** the study's minor allele equals the 1000 Genomes minor allele (Ensembl). Indels are kept
|
| 47 |
+
only if the study's two alleles map uniquely to the GRCh38 resolved ref/alt pair by length. rsIDs merged in
|
| 48 |
+
dbSNP are authored under the current ID (rs2457480 → rs527052).
|
| 49 |
+
4. **Tier B.** Rare functional variants with a published carrier odds ratio: APOB R3527Q (R3500Q, familial
|
| 50 |
+
defective apoB-100; ClinVar Pathogenic/Likely pathogenic, 2 stars; OR 7.0 for ischaemic heart disease, PMID 9603795) and
|
| 51 |
+
APOC3 R19X (loss-of-function; carrier OR 0.60 pooled across four APOC3 LoF variants, PMID 24941081). LPA
|
| 52 |
+
rs10455872, PCSK9 R46L, ANGPTL4 E40K, APOE ε2/ε4, the LDLR splice variant rs72658867 and the 9p21 signals are
|
| 53 |
+
already Tier A anchor leads. LPA rs3798220 and PCSK9 R46L also stay as legacy rows.
|
| 54 |
+
5. **Tier C.** All 27 legacy variants kept unchanged. Where a legacy rsID is itself an anchor lead (rs11591147,
|
| 55 |
+
rs515135, rs964184), the legacy rows are kept and only the anchor study was added to `studies.csv`.
|
| 56 |
+
|
| 57 |
+
## Weights (two scales — read before summing)
|
| 58 |
+
|
| 59 |
+
* **New rows** (`method` = `gwas-lead-tierA` or `functional-tierB`): weight = −ln(OR) per copy of the row's
|
| 60 |
+
`effect_allele`, additive. The other homozygote is 0.0 (`neutral`), the heterozygote is −ln(OR) and the
|
| 61 |
+
effect-allele homozygote is −2·ln(OR), rounded to 3 dp. Positive = protective, negative = risk. The effect allele is the allele with
|
| 62 |
+
frequency <0.5 in the anchor data, so the most common genotype is the neutral baseline. The OR is the anchor's
|
| 63 |
+
per-allele OR re-expressed for that allele. Tier A magnitudes are 0.02–1.03 (median 0.06 per non-neutral
|
| 64 |
+
row). Tier B uses the published carrier OR, capped to [−3, 3] (the APOB R3527Q homozygote is capped at −3).
|
| 65 |
+
* **Legacy rows** (`method` empty → default `expert-curated`, curator `just-dna-seq`): Olga Borysova's
|
| 66 |
+
hand-set scale (about −1.7 to +1.2). It is not log-odds and is not comparable with the new rows.
|
| 67 |
+
* Several legacy rows sit in the same region as a Tier A lead (9p21, SORT1/CELSR2, LPA, PCSK9, LDLR, SMAD3,
|
| 68 |
+
MIA3, CXCL12, GUCY1A1 and others), so a simple sum double-counts those signals. The module is a set of
|
| 69 |
+
per-variant annotations, not a polygenic score. For a validated score, use a published PGS (e.g. from the
|
| 70 |
+
PGS Catalog) instead of summing this column.
|
| 71 |
+
|
| 72 |
+
## Populations and limits
|
| 73 |
+
|
| 74 |
+
Effect sizes come mostly from people of European ancestry; the Tcheandjieu and Aragam Table 17 loci add
|
| 75 |
+
African American, Hispanic and East Asian data. Effects may differ in other ancestries. Eight leads are on the X
|
| 76 |
+
chromosome (Tcheandjieu). Genotypes are written as two-copy (female) calls; a man's single X copy usually appears
|
| 77 |
+
as a homozygous call, and how the study scaled male dosage is not stated.
|
| 78 |
+
GWAS leads mark regions; the nearest gene named in each row is not necessarily the causal gene. Gene labels
|
| 79 |
+
use current HGNC symbols where the source used an old one (e.g. GUCY1A3 → GUCY1A1, PPAP2B → PLPP3). The label
|
| 80 |
+
is blank where the source named only an unnamed transcript.
|
| 81 |
+
|
| 82 |
+
## Sources
|
| 83 |
+
|
| 84 |
+
* Aragam KG et al. Discovery and systematic characterization of risk variants and genes for coronary artery
|
| 85 |
+
disease in over a million participants. *Nat Genet* 2022. PMID 36474045. Supplementary Tables 3 and 17
|
| 86 |
+
(file 41588_2022_1233_MOESM4_ESM.xlsx).
|
| 87 |
+
* Tcheandjieu C et al. Large-scale genome-wide association study of coronary artery disease in genetically
|
| 88 |
+
diverse populations. *Nat Med* 2022. PMID 35915156. Supplementary Tables 2 and 3 (41591_2022_1891_MOESM3_ESM.xlsx).
|
| 89 |
+
* Clarke R et al. Genetic variants associated with Lp(a) lipoprotein level and coronary disease. *NEJM* 2009. PMID 20032323.
|
| 90 |
+
* Tybjærg-Hansen A et al. Association of mutations in the apolipoprotein B gene with hypercholesterolemia and the
|
| 91 |
+
risk of ischemic heart disease. *NEJM* 1998. PMID 9603795.
|
| 92 |
+
* TG and HDL Working Group of the Exome Sequencing Project. Loss-of-function mutations in APOC3, triglycerides,
|
| 93 |
+
and coronary disease. *NEJM* 2014. PMID 24941081.
|
| 94 |
+
* Legacy citations (59 papers) are in `studies.csv`, rows 1–118.
|
| 95 |
+
|
| 96 |
+
Effect sizes were transcribed from the supplementary workbooks; per-row `provenance_quote` cells are left empty,
|
| 97 |
+
and the source table of each row is named in `studies.csv` → `statistical_test`.
|
| 98 |
+
|
| 99 |
+
## Authorship and review
|
| 100 |
+
|
| 101 |
+
Original expert curator: Olga Borysova (v1.x, all `expert-curated` rows). The 2026 rebuild (new rows, studies,
|
| 102 |
+
README, weighting) was AI-assisted (recorded in `authorship:` as `kind: [ai, agent]`). No human has reviewed
|
| 103 |
+
the new rows yet. The independent lay-reader and scientific reviews described in module-voice have not been run.
|
| 104 |
+
|
| 105 |
+
## Evidence tiers
|
| 106 |
+
|
| 107 |
+
Every variant carries an evidence tier in `flags` (`tier:S` … `tier:D`) and in `priority`
|
| 108 |
+
(S = high, A = medium, B/C/D = low). The tier never changes `weight`. Most variants in this module are
|
| 109 |
+
weak signals, so the top tier is **S**, kept for the few variants that matter on their own. New (2026) rows
|
| 110 |
+
also start their conclusion with the tier's label.
|
| 111 |
+
|
| 112 |
+
| Tier | Meaning | Variants (of which legacy) |
|
| 113 |
+
|---|---|---|
|
| 114 |
+
| S | Strong evidence: an effect large enough to matter on its own (OR/HR ≥ 1.5 or ≤ 0.67, or ≥ 0.5 SD), robustly supported | 4 (1) |
|
| 115 |
+
| A | Well established, small effect (research grade): genome-wide significant in the anchor GWAS and in ≥ 1 further publication, same direction | 120 (13) |
|
| 116 |
+
| B | Single-study signal, small effect (research grade): genome-wide significant in the anchor GWAS only | 209 (4) |
|
| 117 |
+
| C | Early evidence (research only): not genome-wide significant for this trait | 8 (8) |
|
| 118 |
+
| D | Not supported: contradicted, or null in large GWAS / meta-analysis | 1 (1) |
|
| 119 |
+
|
| 120 |
+
S is rare here on purpose: almost every CAD GWAS lead raises risk by a few percent per copy (median OR 1.04). Replication was read from the GWAS Catalog (REST v2, retrieved 2026-11-03; cohorts of different
|
| 121 |
+
publications may overlap). `also_in:<module>` marks the 23 variants that also appear in another just-dna
|
| 122 |
+
module. Summing weights across modules counts those twice. The rules are adapted from the Longevity Map v2
|
| 123 |
+
requirements (`docs/longevitymap_v2/`).
|
| 124 |
+
|
| 125 |
+
## Corrections to the original expert-curated rows
|
| 126 |
+
|
| 127 |
+
The 2026 audit of the Generation I content (Supplementary Table S14 of the Just-DNA-Lite paper) found errors that were still present in v1.1.0. Version 2.0.0 corrects them, changing only the cell that was wrong. Each change is recorded with its reason in `provenance.json` and `logs/authoring.log`.
|
| 128 |
+
|
| 129 |
+
| Variant | Genotype | Field | What was wrong |
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| 130 |
+
|---|---|---|---|
|
| 131 |
+
| rs4977574 | G/G | conclusion | closing sentence said GG 'does not contain the risk' while the row scores GG as risk (-1.54) |
|
| 132 |
+
| rs383830 | T/T | weight | T/T is the non-risk homozygote: the row's own text says the T allele is not associated with CHD in Europeans and the module names A as the risk allele, so the non-zero risk weight (-0.2) contradicted its own conclusion |
|
| 133 |
+
| rs17514846 | A/C | weight | the conclusion says AC carriers have increased CAD risk but every genotype carried weight 0 |
|
| 134 |
+
| rs17514846 | A/A | weight | the conclusion says AA carriers have increased CAD risk but the weight was 0 |
|
| 135 |
+
| rs12413409 | G/G | conclusion | removed two sentences describing a different SNP (rs7692387, GUCY1A3: aspirin trial, PMID 31228190), which this module covers in its own rs7692387 rows |
|
| 136 |
+
| rs12413409 | A/G | conclusion | as G/G: removed the rs7692387 aspirin-trial sentences, which describe a different SNP |
|
| 137 |
+
| rs7250581 | A/G | weight | the row's own cited estimate for AG (OR 1.06, 95% CI 0.79-1.43, PMID 17554300) is not significant, so a risk weight (-0.5) asserted an effect the cited study did not find |
|
| 138 |
+
| rs7250581 | A/G | conclusion | removed a stray file name ('OA-icon.png') pasted into the PMID bracket and stated that the cited estimate is not significant, matching the corrected neutral weight |
|
| 139 |
+
| rs688034 | C/T | weight | the row's own cited estimate for CT (OR 1.11, 95% CI 0.98-1.25, PMID 17554300) is not significant, so the risk weight (-0.4) asserted an effect the cited study did not find |
|
| 140 |
+
| rs17228212 | C/T | weight | the text gives a per-allele OR (1.26, PMID 17634449), so one copy carries half the two-copy weight (-1.10) on the module's own scale |
|
| 141 |
+
| rs11206510 | C/T | weight | heterozygote and homozygote both carried -0.6 |
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data/coronary/v2.0.0/annotations.parquet
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data/coronary/v2.0.0/clin_sig_authority_calls.parquet
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size 8304
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data/coronary/v2.0.0/logo.png
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Git LFS Details
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data/coronary/v2.0.0/logs/authoring.log
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2026-11-04T07:36:13Z authored rs4977574 conclusion='G/G: Several GWASs have revealed that the single nucleotide polymorphism (SNP) rs4977574 of ANRIL (CDKN2B-AS1) was associated with increased C...' (judged; no value from PMID 17478681 to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 2 |
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2026-11-04T07:36:15Z authored rs383830 weight='T/T: 0.0' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 3 |
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2026-11-04T07:36:18Z authored rs383830 state='T/T: neutral' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 4 |
+
2026-11-04T07:36:20Z authored rs17514846 weight='A/C: -0.061; A/A: -0.122' (judged; no value from PMID 29212778 to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 5 |
+
2026-11-04T07:36:22Z authored rs17514846 state='A/C: risk; A/A: risk' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 6 |
+
2026-11-04T07:36:24Z authored rs12413409 conclusion='G/G: CNNM2 gene affects the risk of coronary heart disease. G-allele is associated with increased risk of coronary disease.; A/G: CNNM2 gene affects the risk of coronary heart disease. G-allele is associated with increased risk of coronary disease.' (judged; no value from PMID 31228190 to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 7 |
+
2026-11-04T07:36:27Z authored rs7250581 weight='A/G: 0.0' (judged; no value from PMID 17554300 to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 8 |
+
2026-11-04T07:36:29Z authored rs7250581 state='A/G: neutral' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 9 |
+
2026-11-04T07:36:31Z authored rs7250581 conclusion='A/G: rs7250581 has been reported in a large study to be associated with heart disease, in particular, coronary artery disease. The risk allele...' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 10 |
+
2026-11-04T07:36:33Z authored rs688034 weight='C/T: 0.0' (judged; no value from PMID 17554300 to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 11 |
+
2026-11-04T07:36:35Z authored rs688034 state='C/T: neutral' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 12 |
+
2026-11-04T07:36:38Z authored rs17228212 weight='C/T: -0.55' (judged; no value from PMID 17634449 to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
| 13 |
+
2026-11-04T07:36:40Z authored rs11206510 weight='C/T: -0.3' (judged; no value from the row's own conclusion and the module's other genotype rows to disagree with) by=AI agent (just-module-creator), 2026 rebuild human_reviewed=false
|
data/coronary/v2.0.0/manifest.json
ADDED
|
@@ -0,0 +1,683 @@
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|
| 1 |
+
{
|
| 2 |
+
"manifest_version": "1.0",
|
| 3 |
+
"schema_version": "1.0",
|
| 4 |
+
"identity": {
|
| 5 |
+
"namespace": null,
|
| 6 |
+
"name": "coronary",
|
| 7 |
+
"version": "2.0.0",
|
| 8 |
+
"version_coerced_from": null,
|
| 9 |
+
"canonical_id": null
|
| 10 |
+
},
|
| 11 |
+
"display": {
|
| 12 |
+
"title": "Coronary",
|
| 13 |
+
"description": "Coronary artery disease risk associations",
|
| 14 |
+
"report_title": "Coronary Artery Disease",
|
| 15 |
+
"icon": "heart",
|
| 16 |
+
"icon_set": "fomantic",
|
| 17 |
+
"color": "#db2828"
|
| 18 |
+
},
|
| 19 |
+
"genome_build": "GRCh38",
|
| 20 |
+
"curator": "just-dna-seq",
|
| 21 |
+
"method": "expert-curated",
|
| 22 |
+
"license": null,
|
| 23 |
+
"authority_precedence": [],
|
| 24 |
+
"weighting": {
|
| 25 |
+
"scale": "Mixed, two scales. (1) Rows with method gwas-lead-tierA or functional-tierB (added 2026): weight = -ln(OR) per copy of the row's effect_allele, additive (heterozygote = -ln OR, effect-allele homozygote = -2 ln OR, other homozygote = 0.0 neutral), rounded to 3 dp; positive = protective, negative = risk. Typical Tier A magnitudes are 0.02-0.3 per copy. Tier B rare-variant weights use the published carrier OR and are capped to [-3, 3]. (2) Rows with method expert-curated (Olga Borysova, v1.x, 27 variants) keep the curator's original hand-set scale (roughly -1.7 to +1.2), which is not log-odds and is not comparable with scale (1).",
|
| 26 |
+
"method": "Tier A: every conditionally independent genome-wide-significant (p<5e-8) lead variant of the anchor CAD GWAS Aragam et al. 2022 Nat Genet (PMID 36474045; Supplementary Table 3, 241 signals, plus the 38 cross-ancestry loci of Supplementary Table 17), plus the novel lead SNPs of Tcheandjieu et al. 2022 Nat Med (PMID 35915156; Supplementary Tables 2-3, fixed-effect p<5e-8) lying >500 kb (GRCh37) from every Aragam lead. Per-allele OR from the anchor table; the effect allele is the allele with frequency <0.5 in the anchor, so the common homozygote is the neutral baseline. Tier B: rare functional variants with a published carrier OR (APOB R3527Q, PMID 9603795; APOC3 R19X, PMID 24941081). Tier C: legacy rows kept unchanged.",
|
| 27 |
+
"note": "Do not sum the two scales together, and do not compare these weights with another module's. A sum of the Tier A rows approximates an unweighted-by-LD polygenic log-odds; legacy rows at the same loci (9p21, SORT1, LPA, PCSK9, LDLR, etc.) can double-count a signal already carried by a Tier A lead. Per-variant effects are small; nothing here is a diagnosis."
|
| 28 |
+
},
|
| 29 |
+
"owner": null,
|
| 30 |
+
"authors": [],
|
| 31 |
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