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A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
C/T polymorphism of the intercellular adhesion molecule-1 gene (exon 6, codon 469). A risk factor for coronary heart
Hong Jiang1, Rolf Michael Klein, Dieter Niederacher
1Heart Center Wuppertal, University of Witten-Herdecke, Arrenbergerstr. 20, 42117 Wuppertal, Germany. hong.jiang@uni-duesseldorf.de
Insights
The intercellular adhesion molecule-1 (ICAM-1) C/T gene polymorphism is linked to increased risk of coronary heart disease (CHD) and myocardial infarction (MI). Individuals with TT or TC genotypes show higher susceptibility to these cardiovascular conditions.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Molecular Biology
Background:
- Intercellular adhesion molecule-1 (ICAM-1) is crucial in endothelial cell-leukocyte interactions and coronary atherosclerosis pathogenesis.
- A known C/T polymorphism in ICAM-1 exon 6 codon 469 results in an amino acid substitution.
- Understanding genetic predispositions for cardiovascular disease is vital.
Purpose of the Study:
- To investigate if the ICAM-1 C/T polymorphism influences the risk of coronary heart disease (CHD).
- To determine the association between the ICAM-1 C/T polymorphism and myocardial infarction (MI) risk.
Main Methods:
- Genotyping of ICAM-1 polymorphism using polymerase chain reaction and allele-specific oligonucleotide techniques.
- Case-control study design involving 349 CHD patients (179 with MI) and 213 controls.
- Statistical analysis including multivariable logistic regression.
Main Results:
- Frequencies of the T genotype (TT+TC) were significantly higher in CHD and MI patients compared to controls (P<0.001).
- Multivariable logistic regression confirmed a significant association between CHD/MI and TT/TC genotypes (P=0.011, OR 2.21).
Conclusions:
- The TT and TC genotypes of the ICAM-1 gene polymorphism at codon 469 are associated with increased susceptibility to CHD.
- This ICAM-1 polymorphism may serve as a genetic marker for predicting individual risk of coronary heart disease and myocardial infarction.
Background:
The intercellular adhesion molecule-1 (ICAM-1) mediates the interaction of activated endothelial cells with leukocytes and plays a fundamental role in the pathogenesis of coronary atherosclerosis. ICAM-1 single-base C/T polymorphism, which determines an amino acid substitution in the ICAM-1 protein in exon 6 codon 469, has been described. Our purpose was to determine whether this C/T polymorphism influences the risk of coronary heart disease (CHD) and myocardial infarction (MI) in humans.
Methods And Results:
We enrolled 349 patients with angiographically documented CHD, including a sub-group of 179 patients with acute or chronic MI. The control group consisted of 213 patients with normal left ventricular function and no documented evidence of CHD. All patients and controls were Germans genotyped by polymerase chain reaction and allele-specific oligonucleotide techniques for the ICAM-1 polymorphism. In the patients with CHD and MI the frequencies of the T genotype (TT+TC) were significantly higher than the CC genotype compared to the control subjects (P<0.001). With the additional use of multivariable logistic regression analysis for CHD (TT+TC versus CC; P=0.011, odds ratio 2.21, 95% CI 1.20-4.07), we found a significant association between CHD and MI and the TT and TC genotype of the ICAM-1 gene polymorphism.
Conclusions:
These results suggest that the TT and TC genotype of the ICAM-1 gene polymorphism in codon 469 is a genetic factor that may determine an individual's susceptibility for CHD and MI.
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