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Volume 358:2299-2300 May 22, 2008 Number 21
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A PCSK9 Missense Variant Associated with a Reduced Risk of Early-Onset Myocardial Infarction

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To the Editor: Cohen et al. (March 23, 2006, issue)1 describe a missense variant in the proprotein convertase subtilisin/kexin type 9 (PCSK9) gene that was associated with reductions in low-density lipoprotein (LDL) cholesterol levels and in the risk of coronary heart disease. They report that among whites, the L allele at R46L (rs11591147) was associated with a 15% reduction in plasma levels of LDL cholesterol and a decreased risk of incident coronary heart disease (hazard ratio, 0.50; 95% confidence interval [CI], 0.32 to 0.79; P=0.003). Although the association of R46L with reduced LDL cholesterol levels has been convincingly . . . [Full Text of this Article]


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