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Associations among periostin gene polymorphisms, clinical parameters and heart failure: a case-control study in 1104
Fangfang Wang1, Ying Song, Ye Jiang
1Department of Cardiovascular Disease, Changzhou No. 2 People's Hospital, Affiliated Nanjing Medical University, Changzhou, Jiangsu Province, China.
Insights
Genetic variations in the periostin gene, specifically rs3829365, are linked to heart failure susceptibility and severity. Certain genotypes show protective effects in smokers and individuals with hypertriglyceridemia.
Area of Science:
- Genetics and Cardiovascular Disease
Background:
- Heart failure is a significant global health concern.
- Genetic factors play a role in heart failure development and progression.
Purpose of the Study:
- To investigate the association between periostin gene polymorphisms (rs3829365 and rs1028728) and heart failure in a Chinese population.
- To explore the relationship between these polymorphisms and clinical parameters in heart failure patients.
Main Methods:
- A case-control study involving 464 heart failure patients and 640 controls.
- Genotyping of rs3829365 and rs1028728 using PCR and restriction fragment length polymorphism.
- Multivariate logistic regression analysis to assess associations with clinical parameters and heart failure.
Main Results:
- rs3829365 was significantly associated with heart failure (P = 0.043).
- The CG or GG genotype of rs3829365 was an independent risk factor for heart failure (P = 0.015, OR = 1.88).
- Specific genotypes of rs3829365 and rs1028728 demonstrated protective effects in smokers and individuals with hypertriglyceridemia, respectively.
- Heart failure severity was associated with rs3829365 genotype.
Conclusions:
- Periostin gene polymorphism rs3829365 may influence susceptibility and severity of heart failure.
- Interactions between rs3829365 and smoking, and rs1028728 and hypertriglyceridemia require further investigation.
Aims:
To determine the associations among periostin gene polymorphisms, clinical parameters and heart failure in a Chinese population.
Methods:
In total, 464 patients with heart failure and 640 control individuals were included in this study. rs3829365 and rs1028728 were genotyped through PCR and restriction fragment length polymorphism. Multivariate logistic regression was employed to analyze the independent strength of association among clinical parameters, genotypes and heart failure.
Results:
rs3829365 was associated with heart failure (P = 0.043), whereas rs1028728 was not (P = 0.188). After adjusting for age, sex, hypertension, diabetes mellitus, smoking and hypertriglyceridemia in multivariate logistic regression, we found that CG or GG of rs3829365 [P = 0.015, odds ratio (OR) = 1.88] was an independent risk factor for heart failure and that CG or GG of rs3829365 (P = 0.039, OR = 0.94) and AT or TT of rs1028728 (P = 0.011, OR = 0.68) were significantly protective factors for heart failure in patients who smoked and in patients with hypertriglyceridemia, respectively. Moreover, heart failure in patients with CG or GG genotype of rs3829365 tended to be more severe than in those with CC genotype.
Conclusion:
These findings suggest that rs3829365 of the periostin gene may be helpful to determine the susceptibility to, and severity of, heart failure. The interactions between rs3829365 and smoking and between rs1028728 and hypertriglyceridemia warrant further investigations for underlying mechanisms.
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