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Published on: April 19, 2013
Identification of a shared genetic susceptibility locus for coronary heart disease and periodontitis
Arne S Schaefer1, Gesa M Richter, Birte Groessner-Schreiber
1Institute for Clinical Molecular Biology, University Medical Center Schleswig-Holstein, Kiel, Germany. a.schaefer@ikmb.uni-kiel.de
Insights
Coronary heart disease (CHD) and periodontitis share a genetic link on chromosome 9p21.3, specifically involving the ANRIL gene. This discovery offers new insights into the shared inflammatory pathways of these common diseases.
Area of Science:
- Genetics
- Cardiology
- Periodontology
Background:
- Coronary heart disease (CHD) and periodontitis exhibit a bidirectional epidemiological relationship.
- Both conditions share common risk factors and are characterized by chronic inflammation.
Purpose of the Study:
- To identify shared genetic susceptibility loci for CHD and periodontitis.
- To investigate the role of chromosome 9p21.3 in the pathogenesis of these diseases.
Main Methods:
- Candidate-gene association study.
- Analysis of linkage disequilibrium regions on human chromosome 9p21.3.
- Genotyping of single nucleotide polymorphism (SNP) rs1333048.
Main Results:
- Confirmed association of chromosome 9p21.3 loci with CHD.
- Demonstrated a strong association of these loci with aggressive periodontitis risk.
- Identified the ANRIL gene as a potential shared susceptibility factor, independent of diabetes-associated variants.
Conclusions:
- CHD and periodontitis are genetically linked through shared susceptibility loci, particularly within the ANRIL gene.
- The identified genetic locus may play a role in the shared inflammatory mechanisms of CHD and periodontitis.
- Further research into ANRIL transcript variants could illuminate pathogenic pathways and inform therapeutic strategies.
Abstract:
Recent studies indicate a mutual epidemiological relationship between coronary heart disease (CHD) and periodontitis. Both diseases are associated with similar risk factors and are characterized by a chronic inflammatory process. In a candidate-gene association study, we identify an association of a genetic susceptibility locus shared by both diseases. We confirm the known association of two neighboring linkage disequilibrium regions on human chromosome 9p21.3 with CHD and show the additional strong association of these loci with the risk of aggressive periodontitis. For the lead SNP of the main associated linkage disequilibrium region, rs1333048, the odds ratio of the autosomal-recessive mode of inheritance is 1.99 (95% confidence interval 1.33-2.94; P = 6.9 x 10(-4)) for generalized aggressive periodontitis, and 1.72 (1.06-2.76; P = 2.6 x 10(-2)) for localized aggressive periodontitis. The two associated linkage disequilibrium regions map to the sequence of the large antisense noncoding RNA ANRIL, which partly overlaps regulatory and coding sequences of CDKN2A/CDKN2B. A closely located diabetes-associated variant was independent of the CHD and periodontitis risk haplotypes. Our study demonstrates that CHD and periodontitis are genetically related by at least one susceptibility locus, which is possibly involved in ANRIL activity and independent of diabetes associated risk variants within this region. Elucidation of the interplay of ANRIL transcript variants and their involvement in increased susceptibility to the interactive diseases CHD and periodontitis promises new insight into the underlying shared pathogenic mechanisms of these complex common diseases.
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