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Updated: Jun 23, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Fractalkine receptor/ligand genetic variants and carotid intima-media thickness
Insights
Genetic variants in the fractalkine ligand/receptor (CX3CL1/CX3CR1) system were investigated for links to carotid atherosclerosis. No consistent associations were found across two large European cohorts, suggesting limited genetic influence on this vascular disease.
Area of Science:
- Cardiovascular Genetics
- Immunology
- Epidemiology
Background:
- The fractalkine ligand/receptor (CX3CL1/CX3CR1) system plays a role in inflammation and is implicated in vascular diseases.
- This study investigated the association between genetic variations in CX3CL1 and CX3CR1 and carotid atherosclerosis.
- Carotid atherosclerosis, a major risk factor for stroke, involves the buildup of plaque in the carotid arteries.
Discussion:
- Initial findings in a German cohort (CAPS) suggested associations between specific CX3CL1 and CX3CR1 polymorphisms and common carotid artery intima-media thickness (CCA-IMT).
- Interactions between CX3CR1 variants and lifestyle factors (smoking, alcohol) were observed in relation to CCA-IMT in the CAPS cohort.
- However, these associations and interactions were not replicated in a large French cohort (3C Study), and only a borderline association with carotid plaques was noted in the 3C Study.
Key Insights:
- No replicable associations were found between CX3CL1/CX3CR1 polymorphisms and CCA-IMT in a combined analysis of nearly 9000 individuals.
- No consistent genetic links were established between CX3CL1/CX3CR1 variants and the presence of carotid plaques.
- The study did not support a significant role for common genetic variants in these genes in the development of carotid atherosclerosis in European populations.
Outlook:
- Further research may explore rare variants or different functional aspects of the CX3CL1/CX3CR1 system in vascular disease.
- Investigating the interplay of CX3CL1/CX3CR1 with other inflammatory pathways could provide deeper insights.
- The findings highlight the complexity of genetic contributions to atherosclerosis and the need for robust replication in diverse populations.
Background And Purpose:
The fractalkine ligand/receptor (CX3CL1/CX3CR1) complex is important in inflammatory responses and has been associated with vascular disease. We determined whether genetic variants in CX3CL1 and CX3CR1 are associated with carotid atherosclerosis in 2 large European populations.
Methods:
18 polymorphisms in CX3CL1 and CX3CR1 were genotyped in 2763 German community individuals (CAPS). Positive results were tested for replication on 6049 French community individuals (3C Study).
Results:
In CAPS we found associations of common carotid artery (CCA)-IMT with 2 CX3CL1 (rs170364, rs614230) and 1 CX3CR1 (rs3732378) variants, and significant interactions of CX3CR1 rs11129820, rs3732378, and rs614230 variants with smoking and alcohol consumption in relation with CCA-IMT. None of these were replicated in 3C. In 3C only there was a borderline significant association of rs3732378 with carotid plaques.
Conclusions:
In almost 9000 subjects, we found no replicable associations of CX3CL1 and CX3CR1 polymorphisms with CCA-IMT or plaque.
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