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Published on: August 8, 2022
A functional variant in the CARD4 gene and risk of premature coronary heart disease
N E El Mokhtari1, S J Ott, A Nebel
1Department of Cardiology, University Hospital Schleswig-Holstein, UKSH Campus Kiel, Kiel, Germany.
Insights
This study investigated CARD4 gene variants in coronary heart disease (CHD). The analyzed CARD4 mutations were not found to be significantly associated with CHD, suggesting they do not play a major role in its development.
Area of Science:
- Immunology
- Genetics
- Cardiovascular Disease
Background:
- Innate immunity and pattern-recognition receptors (PRRs) are implicated in atherosclerosis pathogenesis.
- Toll-like receptor 4 (TLR4) is known to be involved in atherosclerosis.
- CARD4, encoding nucleotide-binding oligomerization domain 1 (NOD1), is a PRR associated with barrier function and inflammatory diseases.
Purpose of the Study:
- To investigate the association of a functional CARD4 gene variant (ND(1)+32656) and adjacent variants (rs2075822, rs2907748) with early-onset coronary heart disease (CHD).
Main Methods:
- Analysis of genotype and haplotype frequencies of CARD4 variants in 1440 German individuals (CHD patients and healthy controls).
Main Results:
- No significant association was found between the analyzed CARD4 variants and coronary heart disease.
- Genotype and haplotype data did not provide evidence for a link between these CARD4 mutations and CHD.
Conclusions:
- The investigated CARD4 gene mutations do not appear to be a major factor in the etiology of coronary heart disease.
- Further research may be needed to explore other genetic or environmental factors in CHD pathogenesis.
Abstract:
Infection and innate immunity have been suggested as playing an important role in the pathogenesis of atherosclerosis. The recently discovered pattern-recognition receptor (PRR) proteins initiate signalling after host-pathogen interactions and several PRRs, especially the Toll-like receptor 4 (TLR4), have been shown to be involved in the development and progression of atherosclerosis. A new addition to the PRRs is CARD4, a gene that encodes the protein nucleotide-binding oligomerization domain 1 (NOD1) and that seems to be associated with barrier function in chronic inflammatory disorders. Recently, a functional variant in the CARD4 gene, the insertion-deletion polymorphism ND(1)+32656, has been associated with inflammatory barrier diseases (inflammatory bowel diseases and asthma). We analysed the frequencies of this known functional mutation in the CARD4 gene and of the two adjacent variants, rs2075822 and rs2907748, in a German sample of 1440 unrelated early onset coronary heart disease (CHD) patients and healthy controls. Genotype and haplotype data showed no evidence for a significant association of these CARD4 variants with CHD. Our results suggest that the analysed CARD4 mutations do not play a major role in the aetiology of CHD.
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