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Published on: April 1, 2019
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.
Abstract:
Tumor necrosis factor (TNF)-alpha has been implicated in pathophysiological processes in coronary artery disease (CAD). TNF receptor 2 is of particular interest in mediating such effects. The gene for this receptor (TNF-RSF1B) has, moreover, been implicated in hypertension, elevated cholesterol and insulin resistance. TNFRSF1B is thus a worthy candidate in studies of the genetic basis of CAD. We therefore conducted a case-control study of a microsatellite marker with five alleles (CA13-CA17) in intron 4 of TNFRSF1B in 1006 well-characterized white patients with angiographically confirmed CAD and a control group of 183 healthy subjects. We found a strong association of the TNFRSF1B marker with CAD (chi2=40, P=0.00000069). The frequency of the CA16 allele was 33% in CAD vs. 21% in control (odds ratio, OR, to have CAD for presence vs. absence of CA16 allele in CA16 homozygotes was 4.5, 95% CI 2.1-9.4, P<0.0001; in CA16 heterozygotes OR was 1.3, 95% CI 0.94-1.89, P=0.10). The frequency of the major allele (CA15) was 43% in CAD vs. 56% in controls (in CA15 homozygotes OR 0.33, 95% CI 0.20-0.52, P<0.0001; in heterozygotes OR 0.41, 95% CI 0.26-0.63, P<0.0001). In a stepwise logistic regression model the CA16 allele was significantly associated with overweight (OR 1.44, 95% CI 1.0-1.9, P=0.027). Apolipoprotein A-I was elevated (P<0.0001), as was high-density lipoprotein (P=0.098), and severity of angina was decreased (P=0.024) as a function of genotype. Plasma soluble (s) TNF-R2 was 5.1 +/- 0.1 ng/ml in CAD vs. 3.2 +/- 0.1 in control (P<0.0001), 5.2 +/- 0.1 in the presence vs. 4.6 +/- 0.2 in the absence of vessel disease (P=0.009), and rose with increasing severity of angina: 4.2 +/- 0.2 (no angina), 5.0 +/- 0.1 (stable angina), 5.4 +/- 0.2 (unstable angina; P=0.003). sTNF-R2 was correlated with age, cholesterol, creatinine, fibrinogen, transforming growth factor beta and homocysteine and was influenced by TNFRSF1B genotype. Thus genetic variation in or near the TNFRSF1B locus may predispose to CAD.
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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