Does CRP Play a Causal Role in the Development of Coronary Heart Disease: Results of a Mendelian Randomisation Experiment Involving 128,935 People

Background: C-reactive protein (CRP) is associated with risk of coronary heart disease (CHD). Whether CRP is causally associated with CHD or merely a marker of underlying atherosclerosis is uncertain. Methods: We used a Mendelian randomisation design to investigate the causal relationship of CRP with CHD. We identified three genetic variants in the CRP locus (rs7553007, rs1130864 and rs1205) which influence CRP levels. We tested the three SNPs for association with CHD amongst 28,112 CHD cases and 100,823 controls. We then compared the observed relationship between the SNPs and CHD, with that predicted from the association of SNPs with CRP levels, and of CRP levels with CHD. Results: SNPs in the CRP locus were not associated with CHD: rs7553007, OR 0.98 (95% CI, 0.94-1.01); rs1130864, OR 1.00 (95% CI, 0.86-1.15); rs1205, OR 1.03 (95% CI, 0.99-1.07); combined OR for all three SNPs, 1.00 (95% CI, 0.97-1.02), per 20% lower CRP (figure). In contrast, the predicted OR for CHD from a 20% lower CRP level is 0.94 (95% CI, 0.94- 0.95), based on meta-analysis of observational studies. Conclusions: Though CRP variants are associated with CRP levels, and CRP levels with risk of CHD, we observed that CRP variants are not associated with CHD risk. Our Mendelian randomisation experiment strongly argues against a causal association of CRP with CHD.

Discours prononcé par M. Jean-Robert Deschamps-Dumesnil, curé de Saint-Martin...le 23 janvier 1791, pour la prestation du serment, conformément au décret concernant la constitution civile du clergé ([Reprod.])

[Discours. 1791-01-23. Saint-Martin]

22-10-19, congrès de l'U.V.F. [Union vélocipédique de France, debout, de gauche à droite, Alfred Riguelle, René Mathis, Van Steenbrugghe, Georges Duchesne, et assis, Louis Josset, Georges Chollet, Léon Breton, Schrader, Ernest Delamarre, Tristan Bernard, Claude Martin] : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 56597

22-10-19, congrès de l'U.V.F.[Union vélocipédique de France, debout, de gauche à droite, Alfred] Riguelle, [René] Mathis, Van Steenbrugghe, [Georges] Duchesne, [et assis, Louis] Josset, [Georges] Chollet, [Léon] Breton, Schrader, [Ernest] Delamarre, Tristan Bernard, [Claude] Martin : [photographie de presse] / [Agence Rol]

Référence bibliographique : Rol, 56598

Discours de M. Surget, curé de St-Martin à ses paroissiens, dans lequel il expose les motifs qui l'ont déterminé à prêter son serment ([Reprod.])

Collection : Les archives de la Révolution française ; 8.484

Road Safety Audit for James Avenue NW and 250th Street NW, from the North Corporate Limits of Tiffin to I-380, in Johnson County, Iowa, 2010

To address safety concerns on James Avenue NW and 250th Street NW, from the North Corporate Limits (NCL) of Tiffin, north and east to I-380 (at North Liberty), the Johnson County engineer requested a road safety audit (RSA). The audit was conducted on September 1, 2010, through a program supported by the Office of Traffic and Safety at the Iowa Department of Transportation (DOT). This road is a seal-coated roadway, about 25-ft wide, but with only about 0-1 ft of earth shoulders. According to 2006 Iowa DOT estimates, traffic volume is about 820 vehicles per day, north from Tiffin to a commercial entrance on 250th Street, then increasing to 2,990 vehicles per day to the on-ramp of Interstate 380 (I-380). Local traffic uses this road as a short-cut to Cedar Rapids, North Liberty, and the I-380/I-80 interchange (to avoid congestion on IA 965). This report outlines the findings and recommendations of the road safety audit team for addressing the safety concerns on this roadway.