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A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
The CD40 gene polymorphism rs1883832 is associated with risk of acute coronary syndrome in a Chinese case-control
1Department of Clinical Laboratory, Renmin Hospital of Wuhan University, Wuhan, China.
Insights
A specific gene variant (rs1883832) is linked to increased risk of acute coronary syndrome (ACS) in Chinese individuals. This finding highlights the role of CD40 gene variations in cardiovascular disease development.
Area of Science:
- Cardiovascular Biology
- Immunogenetics
- Molecular Medicine
Background:
- Atherosclerosis is a chronic inflammatory disease driven by lipids.
- The immune mediator CD40-CD40L plays a role in atherogenesis.
- A polymorphism in the CD40 gene (rs1883832) may affect CD40 expression and disease risk.
Purpose of the Study:
- To investigate the association between the CD40 gene polymorphism (rs1883832) and susceptibility to acute coronary syndrome (ACS) in a Chinese population.
- To explore the impact of this polymorphism on CD40 expression and the potential effect of fluvastatin.
Main Methods:
- Case-control study involving 160 ACS patients and 180 controls.
- Genotyping of the rs1883832 polymorphism using PCR-RFLP and sequencing.
- Flow cytometry to measure CD40 expression on peripheral blood mononuclear cells.
- ELISA to determine soluble CD40L levels.
- In vitro experiments with fluvastatin treatment.
Main Results:
- The frequency of the C allele for rs1883832 was significantly higher in ACS patients (60.3%) compared to controls (49.4%).
- ACS patients exhibited increased coexpression of CD40 and soluble CD40L (sCD40L).
- CC genotype carriers showed higher CD40 expression than CT and TT carriers.
- Fluvastatin reduced CD40 expression across all genotypes.
Conclusions:
- The CD40 gene polymorphism rs1883832 is associated with increased susceptibility to ACS in the Chinese population.
- This polymorphism may influence CD40 production, contributing to atherogenesis.
- These findings enhance the understanding of inflammatory mechanisms in atherosclerosis.
Abstract:
Numerous reports in the past few years have demonstrated that atherosclerosis is a lipid-driven, chronic inflammatory disease of the vessel. Recent studies have indicated that the immune mediator CD40-CD40L (CD40 ligand), which is expressed on several inflammatory cells within human atherosclerotic lesions, has roles in atherogenesis. A functional polymorphism (-1C>T, rs1883832) in the 5' untranslated region of TNFRSF5 gene has been reported to affect CD40 expression and be associated with several chronic inflammatory and autoimmune diseases. The aim of the present study was to validate the potential coronary artery disease susceptibility marker in a Chinese case-control study. A total of 160 patients with acute coronary syndrome (ACS) and 180 control subjects were used to genotype and identify this single-nucleotide polymorphism by polymerase chain reaction-restriction fragment length polymorphism and sequencing, respectively. Peripheral blood mononuclear cells were isolated and incubated with interferon-γ with or without pretreatment of fluvastatin, followed by measurement of CD40 expression using flow cytometry. In addition, soluble CD40L was determined by ELISA as another biomarker of coronary artery disease. The distribution of the rs1883832 genotypes (CC, CT, and TT) was 33.1%, 54.4%, and 12.5% in the ACS group and 22.8%, 53.3%, and 23.9% in controls, respectively. The frequency of the C allele was significantly higher among ACS patients compared with controls (60.3% vs. 49.4%, odds ratio=1.554, 95% confidence intervals: 1.146-2.107, p<0.05). ACS patients showed a significant increase of CD40 and sCD40L coexpression compared with controls (p<0.05). Cell culture experiments showed that CC carriers presented significantly higher CD40 expression levels than CT and TT subjects (p<0.05). Additionally, fluvastatin suppressed CD40 expression in all three genotypes. These data suggest that the single-nucleotide polymorphism of CD40 gene is associated with susceptibility to ACS in Chinese population, and the polymorphism may influence the CD40 production. These expand the understanding of inflammatory mechanisms during atherogenesis.
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