Tumor necrosis factor receptor 2 gene (TNFRSF1B) in genetic basis of coronary artery disease

A V Benjafield1, X L Wang, B J Morris

  • 1Department of Physiology and Institute for Biomedical Research, The University of Sydney, Australia.

Journal of Molecular Medicine (Berlin, Germany)
|May 19, 2001
PubMed

Insights

Genetic variations in the tumor necrosis factor receptor superfamily member 1B (TNFRSF1B) gene are strongly associated with coronary artery disease (CAD). Specific alleles influence CAD risk and related factors like overweight and angina severity.

Area of Science:

  • Genetics
  • Cardiovascular Disease
  • Immunology

Background:

  • Tumor necrosis factor (TNF)-alpha plays a role in coronary artery disease (CAD) pathophysiology.
  • TNF receptor 2 (TNFRSF1B) is implicated in mediating these effects and is linked to hypertension, high cholesterol, and insulin resistance.

Purpose of the Study:

  • To investigate the association between a microsatellite marker in the TNFRSF1B gene and the genetic basis of CAD.
  • To determine if specific TNFRSF1B alleles influence CAD risk and related clinical factors.

Main Methods:

  • A case-control study was conducted with 1006 CAD patients and 183 healthy controls.
  • A microsatellite marker (CA13-CA17) in intron 4 of TNFRSF1B was analyzed.
  • Statistical analyses included chi-squared tests, odds ratios, and stepwise logistic regression.

Main Results:

  • A significant association was found between the TNFRSF1B marker and CAD (P=0.00000069).
  • The CA16 allele was more frequent in CAD patients and associated with overweight.
  • The CA15 allele was less frequent in CAD patients, suggesting a protective effect.
  • Soluble TNFRSF1B levels were elevated in CAD patients and correlated with disease severity and other biomarkers.

Conclusions:

  • Genetic variation in or near the TNFRSF1B locus may predispose individuals to CAD.
  • TNFRSF1B genotype influences CAD risk, overweight, and angina severity.
  • Soluble TNFRSF1B levels are associated with CAD and may serve as a biomarker.

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