handsThe BHF Family Heart Study

Hunting culprit genes for heart disease

BHF Professors Stephen Ball and Nilesh Samani collaborated as lead researchers with colleagues in Leeds and Leicester* in the BHF Family Heart Study.

At the time (2000-2005) it was the largest ever reported study of families that began to unravel how our genetic inheritance can predispose some people to coronary heart disease.

The study analysed DNA kindly donated by brothers and sisters from over 2,000 families in the UK with premature (younger than 65) heart disease. Families were recruited during the ‘Big Red Bus Tour’.

Big Red Bus Tour

The tour of 40 UK cities and towns was a quirky way to focus both local and national media attention on the study and helped generate more than 12,000 calls to the freephone number in just four months. The tour was sponsored by Sainsbury's.

An extra stop at the House of Commons persuaded 135 MPs to join the fight against heart disease by signing our 40th Anniversary pledge that "every child born today has the right to live to at least 65 without suffering from avoidable heart disease."

Genetic clues

Completed in 2005, the Family Heart Study identified a region on chromosome 2 that seems to be linked to the increased risk of some families to heart disease.

Importantly, it also showed that there is no single culprit gene, suggesting that it is the cumulative effect of a number of genes that predispose families to coronary heart disease. Understanding this will be crucial for disease prevention and treatment in the future.

The investment in recruiting the families is providing many other research opportunities and, for example, the samples are being currently studied in a world-leading project (The Wellcome Trust Case Control Consortium) using the latest technology to examine 500,000 gene variants with potentially important but less powerful effects than detectable in the first phase.

This consortium approach has already enabled Professor Samani and colleagues to pinpoint ten new suspect genes that may contribute to early heart disease. These findings may provide us with vital information about how heart problems can affect some families prematurely.

Listen to our podcast - Prof Samani talks about the latest findings stemming from the Family Heart Study, and we meet Arvind and Jasu Mistry who both suffered heart attacks in middle-age and donated a sample of their DNA to help with the study.

*BHF Family Heart Study Group
Leeds: SG Ball, AS Hall, AJ Balmforth, T Bishop, J Barrett, A Maqbool, N Yuldasheva , BM Jackson, C Morrell,  P Tooze, L Barthorpe, N Burtonwood, M Dorsch, N Durham, C Forest, N Kelly, V Hall, R Lawrance, J Oldham, E Rennie, A Smith, S Thompson, S Ellis, S Mason, L Midgley, N Pleasants, R Cuthbert, M Platts, J Fox, S Pickett, K Walters, J Nsengimana.

Leicester: NJ Samani, P Burton, M Mangino, P Braund, S Adams, J Stribling, P de Souza, R Singh, J Ogleby, C Ridge, E Logtens, L Hopwood, J Faulkes, J-R Clemitson, C Bodycote, A Koekemoer, S Raleigh, R Dixon, N Sheehan, K Scurrah.

Reference
A genomewide linkage study of 1,933 families affected by premature coronary artery disease: The British Heart Foundation (BHF) Family Heart Study.
Am J Hum Genet. 2005 Dec;77(6):1011-20


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