C-reactive protein gene polymorphisms, C-reactive protein blood levels, and cardiovascular disease risk
Fadi G Hage1, Alexander J Szalai
1Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. fadihage@uab.edu
Insights
C-reactive protein (CRP) gene variations strongly influence blood CRP levels, a key inflammation marker. These genetic differences may impact cardiovascular disease risk and offer future clinical utility for risk assessment.
Area of Science:
- Biochemistry
- Genetics
- Cardiovascular Medicine
Background:
- C-reactive protein (CRP) is a blood marker for inflammation and acute-phase response.
- CRP is a known predictor of cardiovascular event risk in healthy individuals.
Purpose of the Study:
- To review C-reactive protein (CRP) gene polymorphisms.
- To discuss the impact of CRP gene variations on CRP epidemiology and cardiovascular disease (CVD).
- To examine the clinical usefulness of CRP gene profiling.
Main Methods:
- Review of existing literature on CRP gene polymorphisms.
- Analysis of associations between CRP gene variations and cardiovascular disease correlates.
Main Results:
- Subtle variations in the CRP gene sequence, primarily single nucleotide polymorphisms (SNPs), predictably and strongly influence blood CRP levels.
- Certain CRP gene variations are associated with clinical indicators of cardiovascular disease.
Conclusions:
- CRP gene polymorphisms significantly affect CRP levels.
- CRP gene profiling may have future clinical utility for assessing cardiovascular disease risk if causality is confirmed.
Abstract:
C-reactive protein (CRP), a blood marker of inflammation and a hallmark of the acute-phase response, has been shown to be a powerful and specific predictor of cardiovascular event risk in populations of otherwise healthy persons. Here we review what is known about CRP gene polymorphisms, discuss how these might affect the epidemiology of CRP and our understanding of CRP's contribution to cardiovascular disease, and examine their potential clinical usefulness. Evidence shows that certain subtle variations in the CRP gene sequence, mostly single nucleotide polymorphisms, predictably and strongly influence the blood level of CRP. Some of these variations are associated with clinical correlates of cardiovascular disease. If future studies can establish with certainty that CRP influences cardiovascular biology, then CRP gene profiling could have clinical utility.
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