Functional analysis of the C-reactive protein (CRP) gene -717A>G polymorphism associated with coronary heart disease
Laiyuan Wang1, Xiangfeng Lu, Yun Li
1Department of Evidence Based Medicine & Division of Population Genetics, Fu Wai Hospital & Cardiovascular Institute, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, PR China. wanglaiyuan@yahoo.com.cn
Insights
Genetic variation in the C-reactive protein (CRP) gene promoter, specifically rs2794521, influences CRP expression and is linked to coronary heart disease (CHD). This SNP likely affects CHD risk by altering CRP levels.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Inflammation Research
Background:
- Atherosclerosis, a key mechanism in coronary heart disease (CHD), involves inflammation.
- C-reactive protein (CRP) is a marker of inflammation and plays a proatherogenic role.
- A previous study linked the CRP gene promoter polymorphism rs2794521 (-717A>G) to CHD in Chinese individuals.
Purpose of the Study:
- To investigate the biological significance of the rs2794521 genetic variation in vitro.
- To determine how the G to A substitution at rs2794521 affects CRP gene transcriptional activity.
- To examine the differential binding of protein factors to the rs2794521 A and G alleles.
Main Methods:
- Luciferase reporter assays were used to assess the impact of the rs2794521 G to A substitution on CRP promoter activity.
- Electrophoretic Mobility Shift Assay (EMSA) was employed to detect protein binding to the rs2794521 site.
Main Results:
- The G to A exchange at rs2794521 significantly increased the transcriptional activity of the CRP gene promoter.
- Glucocorticoid receptor (GR) protein binding differed substantially between the A and G alleles at the rs2794521 site.
Conclusions:
- The findings provide functional evidence supporting the association between the CRP gene SNP rs2794521 and CHD.
- This association is likely mediated by the differential regulation of CRP expression due to variations at rs2794521.
Background:
Atherosclerosis underlies the major pathophysiological mechanisms of coronary heart disease (CHD), and inflammation contributes to all phases of atherosclerosis. C-reactive protein (CRP), a sensitive, but nonspecific marker of inflammation has been shown to play proatherogenic roles in the process of atherosclerosis. Our previous report showed that rs2794521 (-717A>G), located in the promoter of the CRP gene, was independently associated with CHD in Chinese subjects. In the present study, we tried to investigate the biological significance of this genetic variation in vitro.
Methods:
The influence of G to A substitution at the site of rs2794521 on the transcriptional activity of the promoter of the CRP gene was assessed by luciferase reporter assay, and protein binding to the site of rs2794521 was detected by EMSA assay.
Results:
The G to A exchange at the site of rs2794521 resulted in an increased transcriptional activity of the promoter of CRP gene, and glucocorticoid receptor (GR) protein factor bound drastically differently to the A and G alleles at the site of rs2794521.
Conclusion:
These results provided functional evidence supporting the association of the SNP rs2794521 of the CRP gene with CHD probably through regulating the expression level of CRP by different variations of rs2794521.
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