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.
Abstract

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