Transcriptome-wide association study discovers functional long non-coding RNAs in coronary artery disease

Abstract Genetically regulated long non-coding RNAs (lncRNAs) in coronary artery disease (CAD) have not been investigated. To discover CAD-relevant lncRNAs, we performed the transcriptome-wide association study (TWAS) using a subset genomic data of CARDIoGRAMplusC4D Consortium and transcriptomic data of nine CAD-relevant tissue types from Genotyped Tissue Expression (GTEx) and Stockholm-Tartu Atherosclerosis Reverse Network Engineering Task (STARNET) projects. We identified 20 lncRNAs associated with CAD in a tissue-specific fashion. The eQTL-GWAS colocalization analysis associated 15 lncRNAs with cardiometabolic traits which could bridge the lncRNA to CAD risk. The co-expression analysis identified co-expressed protein-coding genes of 16 lncRNAs and suggested their involved biological pathways. Four antisense lncRNAs from the same locus, CDH13-AS2, CDH13-AS1, CEDORA, and CTD-3253I12.1, not only shared cardiometabolic traits but also exclusively co-expressed with the host gene, CDH13. Our biological experiments using dRfxCas13d-based RNA immunoprecipitation, CRISPR/Cas9 gene knockdown, and dCas9-VP64-based transcriptional activation in endothelial cells, elucidated CDH13-AS2 as a stabilizer of CDH13 mRNA and suggested therapeutic potential of CDH13-AS2 overexpression.