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Human genetics to inform drug target discovery and validation for cardiovascular disease Supervisors: Dr A Butterworth, Dr D Freitag, Dr. E Di Angelantonio, Dr. S Burgess, Prof J Danesh, Cardiovascular Epidemiology Unit Project code for application: SCM033 Project description: Late stage failure of pharmaceutical compounds to show efficacy and/or an acceptable safety profile is a key challenge of drug development in the 21st century. Evidence from human genetics can guide discovery of drug targets and help inform investigators of the potential impact of intervening on a pathway prior to clinical trials. Within the cardiovascular epidemiology unit (CEU), there is a range of projects available focusing on areas of therapeutic relevance, e.g. inflammation (e.g. Interleukin-1 & -6), triglycerides (e.g. ApoC3, LPL) or iron metabolism. Approach: The projects will harness several inter-disciplinary resources: - - - - Large-scale epidemiological studies: ultra-fine mapping and sequencing data in several studies of coronary heart disease (~ 100,000 individuals in total); in subsets of these individuals: measurements of relevant circulating biomarkers Functional genomics: use of cellular-reprogramming technology (iPSC), cellular phenotyping and transcriptomics as well as transgenic animal models in order to underpin genetic association signals with a biological mechanism Systems medicine: NMR metabolomics (>200 different metabolic fractions), >50 bloodbased proteins and biomarkers and ~850,000 genetic variants, are available in the 50,000 person UK-based INTERVAL study, which has active follow-up for clinical outcomes using electronic health record linkage. Mendelian randomization methods: analytical frameworks have been developed at CEU to enable testing the causality of biomarkers using Mendelian randomization or factorial Mendelian randomization, in analogy to a randomized controlled trial (RCT) or factorial RCT, respectively. The project will involve close collaboration with pharmaceutical companies (e.g., Pfizer, Merck) and other institutes (e.g. the Wellcome Trust Sanger Institute).