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Interleukin-1 receptor antagonist gene VNTR polymorphism is associated with coronary artery disease
Ahmet Arman1, Ozer Soylu, Ahmet Yildirim
1Departamento de Cardiologia, Faculdade de Engenharia, Universidade Marmara, Istambul, Turquia. aarman@eng.marmara.edu.tr
Insights
The IL1 family gene polymorphisms showed no significant association with Coronary Artery Disease (CAD) in the Turkish population. However, the IL1RN 2/2 genotype may increase the risk of Single Vessel Disease (SVD).
Area of Science:
- Genetics
- Cardiovascular Medicine
- Immunology
Background:
- Coronary Artery Disease (CAD) is an inflammatory condition linked to atherosclerosis.
- Variations in cytokine genes, particularly the IL1 family, are implicated in atherosclerosis development.
Purpose of the Study:
- To investigate the association between IL1 family gene polymorphisms (IL1RN VNTR, IL1B -511, and +3953) and CAD in the Turkish population.
- To determine if specific genotypes or alleles correlate with CAD, Single Vessel Disease (SVD), or Multiple Vessel Disease (MVD).
Main Methods:
- Genotyping of IL1RN and IL1B polymorphisms using polymerase chain reaction (PCR) and restriction digestion.
- Analysis of 427 individuals, including 257 CAD patients (91 SVD, 166 MVD) and 170 controls.
Main Results:
- No significant differences in IL1RN and IL1B genotype or allele frequencies were observed between CAD patients and controls, or between MVD patients and controls.
- A significant association was found between the IL1RN 2/2 genotype and SVD compared to controls (P=0.016, OR=2.94).
Conclusions:
- IL1RN and IL1B polymorphisms do not appear to be associated with overall CAD or MVD in the Turkish population.
- The IL1RN 2/2 genotype may serve as a potential risk factor for SVD in this demographic.
Background:
Coronary Artery Disease (CAD) is the atherosclerosis of coronary arteries that carry blood to the heart muscle. Atherosclerosis is an inflammatory disease. Cytokine gene variations such as those associated with the IL1 family are involved in the pathogenesis of atherosclerosis.
Objective:
The purpose of this study was to determine the relationship between IL1 family polymorphisms (IL1RN VNTR, IL1B positions -511 and +3953) and CAD in Turkish population.
Methods:
427 individuals were submitted to coronary angiography and were grouped as 170 control subjects and 257 CAD patients. The CAD subjects were divided into two subgroups: 91 Single Vessel Disease (SVD) and 166 Multiple Vessel Disease (MVD) subjects. The genotypes of IL1RN and of IL1B (-511, +3953) were determined by polymerase chain reaction (PCR) followed by restriction digestion analysis.
Results:
No significant difference was found in IL1RN and IL1B (-511 and +3953) genotype distributions between CAD and control subjects or MVD and control subjects. However, significant association was seen in IL1RN 2/2 genotype between SVD and control subjects (P= 0.016, x2: 10.289, OR: 2.94, 95% CI: 1.183-7.229). Similarly, no statistically significant difference was found in IL1RN and IL1B (-511 and +3953) allele frequencies between CAD and control subjects, MVD and control subjects or SVD and control subjects.
Conclusion:
No association was found in either allele frequency or genotype distribution of IL1RN and IL1B polymorphisms between CAD and the control groups. However; IL1RN 2/2 genotype may be a risk factor for SVD in the Turkish population.
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