Contribution of clinical correlates and 13 C-reactive protein gene polymorphisms to interindividual variability in
Sekar Kathiresan1, Martin G Larson, Ramachandran S Vasan
1Framingham Heart Study, Framingham, MA 01702-5827, USA.
Insights
Clinical factors explain 26% of C-reactive protein (CRP) variability, with a common CRP gene variant modestly contributing. Further research is needed to link CRP genetic variations to cardiovascular disease risk.
Area of Science:
- Genetics
- Cardiovascular Disease Research
- Biomarkers
Background:
- Serum C-reactive protein (CRP) is a heritable trait linked to cardiovascular disease.
- Understanding interindividual variability in CRP is crucial for risk prediction.
Purpose of the Study:
- To investigate clinical and genetic factors influencing serum CRP levels.
- To identify specific genetic variations within the CRP gene associated with CRP levels.
Main Methods:
- Analysis of serum CRP in 3301 Framingham Heart Study participants.
- Genotyping of 13 single-nucleotide polymorphisms (SNPs) in the CRP locus.
- Statistical analysis to assess the contribution of clinical covariates and SNPs to CRP variability.
Main Results:
- Twelve clinical covariates explained 26% of CRP variability; body mass index accounted for 15%.
- Nine of 13 CRP SNPs were associated with CRP levels after covariate adjustment.
- A triallelic SNP (rs3091244) in the CRP promoter explained 1.4% of CRP variation, with minor alleles linked to higher CRP levels.
Conclusions:
- Clinical variables significantly contribute to CRP interindividual variation.
- A common CRP gene SNP has a modest effect on CRP levels.
- Larger studies are recommended to explore the association between CRP genetic variation and cardiovascular disease risk.
Background:
Serum C-reactive protein (CRP) level is a heritable complex trait that predicts incident cardiovascular disease. We investigated the clinical and genetic sources of interindividual variability in serum CRP.
Methods And Results:
We studied serum CRP in 3301 Framingham Heart Study (FHS) participants (mean age 61 years, 53% women). Twelve clinical covariates explained 26% of the variability in CRP level, with body mass index alone explaining 15% (P<0.0001) of the variance. To investigate the influence of genetic variation at the CRP gene on CRP levels, we first constructed a dense linkage disequilibrium map for common single-nucleotide polymorphisms (SNPs) spanning the CRP locus (1 SNP every 850 bases, 26 kilobase [kb] genomic region). Thirteen CRP SNPs were genotyped in 1640 unrelated FHS participants with measured CRP levels. After adjustment for clinical covariates, 9 of 13 SNPs were associated with CRP level (P<0.05). To account for correlation among SNPs, we conducted forward stepwise selection among all 13 SNPs; a triallelic SNP (rs3091244) remained associated with CRP level (stepwise P<0.0001). The triallelic SNP (C-->T-->A; allele frequencies 62%, 31%, and 7%), located in the promoter sequence, explained 1.4% of total serum CRP variation; haplotypes harboring the minor T and A alleles of this SNP were associated with higher CRP level (haplotype P=0.0002 and 0.004).
Conclusions:
In our community-based sample, clinical variables explained 26% of the interindividual variation in CRP, whereas a common triallelic CRP SNP contributed modestly. Studies of larger samples are warranted to assess the association of genetic variation in CRP and risk of cardiovascular disease.
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