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Published on: July 14, 2016
Complement factor H Y402H polymorphism, plasma concentration and risk of coronary artery disease
Qi Qian1, Zhong Chen, Genshan Ma
1Clinical Medical College of Southeast University, Nanjing, 210009, People's Republic of China.
Insights
The Complement Factor H (CFH) Y402H gene polymorphism is linked to an increased risk of early-onset coronary artery disease (CAD) in the Chinese population. This finding contributes to understanding genetic factors in CAD development.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Molecular Biology
Background:
- Inflammation is a key factor in coronary artery disease (CAD).
- Previous studies on the Complement Factor H (CFH) gene and CAD have yielded conflicting results.
- The CFH Y402H polymorphism's role in CAD requires further investigation, particularly in diverse ethnic groups.
Purpose of the Study:
- To investigate the association between the CFH Y402H polymorphism and CAD in a Chinese population.
- To determine if CFH Y402H genotype influences CAD risk.
- To analyze plasma CFH levels in relation to CAD.
Main Methods:
- Genotyping of the CFH Y402H single nucleotide polymorphism (SNP) using ligase detection reaction.
- Quantification of plasma CFH levels via enzyme-linked immunosorbent assay.
- Case-control study involving 166 CAD patients and 170 controls.
Main Results:
- No significant difference in CFH Y402H genotype frequencies was observed between overall CAD patients and controls.
- Significant differences in C allele and C allele carrier frequencies were found in early-onset CAD cases compared to controls.
- Carriers of the C allele for CFH Y402H exhibited a significantly higher risk of early-onset CAD (OR 4.66, P=0.02) after adjusting for clinical parameters.
- Plasma CFH levels did not differ between CAD patients and controls.
Conclusions:
- The CFH Y402H polymorphism is significantly associated with an increased risk of early-onset CAD in the Chinese population.
- The C allele of the CFH Y402H polymorphism is a potential genetic risk factor for early-onset CAD.
- Plasma CFH levels are not associated with CAD in this cohort.
Background:
Inflammation plays an important role in coronary artery disease (CAD). Complement Factor H (CFH) gene has been analyzed in relation to CAD in several studies with conflicting results. The aim of the present study was to investigate the association between the CFH Y402H polymorphism and CAD in Chinese.
Methods And Results:
About 336 patients were enrolled, included 166 patients with CAD and 170 controls. The SNP at CFH Y402H was genotyped by ligase detection reaction and plasma levels of CFH were assayed by enzyme-linked immunosorbent assay. Analysis of genotype frequencies did not reveal any significant difference between CAD patients and controls. There were significant differences in the frequencies of C allele and C allele carriers between early-onset CAD and controls. After adjustment of clinical parameters, significant association was identified for CFH Y402H polymorphism, with C allele carriers having a higher risk of early-onset CAD than carriers of TT genotype (odds ratio [OR] 4.66, 95% CI: 1.23-17.62, P = 0.02). There was no difference of plasma CFH levels between CAD group and controls.
Conclusions:
CFH Y402H polymorphism is associated with early-onset CAD in Chinese.
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