The T allele of the missense Glu(298)Asp endothelial nitric oxide synthase gene polymorphism is associated with coronary heart disease in younger individuals with high atherosclerotic risk profile. |
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Authors: | Andreas Gardemann Jana Lohre Sevim Cayci Norbert Katz Harald Tillmanns Werner Haberbosch |
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Affiliation: | 1. Institut für Klinische Chemie und Pathobiochemie, Klinikum der Justus-Liebig-Universität Gießen, Gaffky-Strasse 11, 35392 Gießen, Germany;2. Abteilung Kardiologie und Angiologie der Justus-Liebig-Universität Gießen, 35392 Gießen, Germany;1. Duke Molecular Physiology Institute, Duke University School of Medicine, Durham, North Carolina;2. Division of Cardiology, Department of Medicine, Duke University School of Medicine, Durham, North Carolina;3. Regeneron Genetics Center, Regeneron Pharmaceuticals Inc., Tarrytown, New York;4. Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee;5. Center for Applied Genomics and Precision Medicine, Duke University, Durham, North Carolina;1. Department of Cardiac Sciences, Libin Cardiovascular Institute of Alberta, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada;2. Comprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany;3. Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;4. Variety Children’s Heart Centre, University of Manitoba, Winnipeg, Manitoba, Canada;5. Department of Medical Genetics, Alberta Health Services, Calgary, Alberta, Canada;6. Department of Biochemistry and Medical Genetics, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;7. Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada;8. Cumming School of Medicine Centre for Health Genomics and Informatics, University of Calgary, Calgary, Alberta, Canada;9. Department of Human Genetics, The University of Chicago, Chicago, Illinois, USA;10. Department of Pediatrics and Child Health, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada;11. Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany |
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Abstract: | AIMS: Nitric oxide (NO) plays a protective role during atherogenesis. In the endothelium, NO is synthesised by the constitutive NO synthase (ecNOS). We analysed the relation of the ecNOS Glu(298)Asp and 4a/b gene polymorphisms to coronary artery disease (CAD) and myocardial infarction (MI) in a population of 3250 German subjects (533 healthy controls and 2717 individuals who underwent coronary angiography). RESULTS: Although in the total sample, the ecNOS T allele was not associated with the risk of CAD (P=0.054) and the extent of this disease (P=0.078), a restriction to younger individuals (age=61, mean age) revealed an association of the ecNOS T allele with an increased risk of CAD (1.43, 1.05-1.96; P=0.025) and with the severity of this disease (P=0.037). Similar observations were made in various high-risk populations. These associations were even more pronounced when the high-risk subgroups were restricted to younger individuals. For example, an odds ratio of 7.66 for CAD (95% CI, 2.0-29; P=0.003) was detected in diabetic individuals who were younger than 61 years. Also with respect to MI, the most pronounced associations of the ecNOS T allele with the risk of this disease were detected in younger individuals with at least one other cardiovascular risk factor. For example, in diabetics younger than 61 years, the relative risk for ecNOS T allele carriers was 9.73 (95% CI, 1.8-53; P=0.008). In contrast, the allele frequencies of the ecNOS 4a/b gene variation were essentially the same in controls and in CAD and MI patients. CONCLUSION: The present data extends earlier observations by the findings that predominantly younger T allele carriers of the ecNOS Glu(298)Asp gene polymorphism with various coronary high-risk profiles had an increased risk to suffer CAD and/or MI. In contrast, no evidence was found for an association of the ecNOS 4a/b gene polymorphism with coronary heart disease. |
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