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Plasma ferritin levels, genetic variations in HFE gene, and coronary heart disease in Chinese: a case-control study
1Department of Cardiology, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Insights
Iron stores and coronary heart disease (CHD) link is unclear. In Chinese Han individuals, HFE gene variations, specifically SNP rs9366637, showed a higher CHD risk, while plasma ferritin levels did not significantly correlate with CHD.
Area of Science:
- Cardiovascular Disease Research
- Human Genetics
- Biochemistry
Background:
- Inconsistent findings exist regarding the association between body iron stores and coronary heart disease (CHD).
- The role of hemochromatosis (HFE) gene variations in CHD risk requires further investigation.
Purpose of the Study:
- To explore the association between iron stores and CHD in the Chinese Han population.
- To examine the relationship between HFE gene variations and CHD risk.
Main Methods:
- A case-control study involved 1334 CHD patients and 1334 matched controls.
- Plasma ferritin levels were measured using enzyme-linked immunosorbent assay.
- Genotyping of tagSNPs, including rs9366637, was performed using TaqMan SNP allelic discrimination.
Main Results:
- Plasma ferritin levels were higher in CHD cases than controls (P=0.028), but this association became non-significant after adjusting for traditional risk factors.
- The C allele of tagSNP rs9366637 in the HFE gene was associated with increased CHD risk (OR=1.35 for TC, 1.76 for CC; P<0.001), independent of conventional risk factors.
- No significant difference in plasma ferritin levels was observed among different genotypes of rs9366637.
Conclusions:
- Plasma ferritin levels were not significantly associated with CHD risk in this population.
- The SNP rs9366637 in the HFE gene is associated with a higher risk of CHD in the Chinese Han population.
- The underlying biological mechanisms require further elucidation.
Background:
The association between body iron stores and coronary heart disease (CHD) was inconsistent. We sought to explore this association in Chinese Han population and further examine the association of the variations in hemochromatosis (HFE) gene and CHD risk.
Methods:
We conducted a case-control study including 1334 CHD patients and 1334 age- and sex-frequency matched controls. The plasma ferritin levels were measured by enzyme linked immunosorbent assay. Genotypes of the tagging single nucleotide polymorphisms (tagSNPs) were determined by TaqMan SNP allelic discrimination.
Results:
The plasma ferritin levels in CHD cases (197.9μg/L [2.7-932.9μg/L]) were higher than those in controls (179.9μg/L [21.1-878.2μg/L]; P=0.028). The odds ratios (ORs) across the tertiles of plasma ferritin levels were 1.0 (reference), 0.93 (0.76-1.13), and 1.23 (1.02-1.48; P for trend=0.028). Adjustment for the traditional risk factors attenuated the associations to null (P for trend=0.22). Compared with the TT genotype of tagSNP rs9366637, subjects with C allele had higher risk of CHD (OR=1.35 for TC and 1.76 for CC; P=0.001 and <0.001 respectively). After adjustment for the conventional risk factors the results remained unchanged. We did not find significantly different plasma ferritin levels among different genotypes of rs9366637 (P=0.52).
Conclusions:
The plasma ferritin levels were not significantly associated with CHD risk. However, the SNP rs9366637 in HFE gene was associated with higher CHD risk in Chinese Han population. The underlie mechanism remained to be elucidated in further studies.
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