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Published on: April 1, 2019
The LOX-1 3'UTR188CT polymorphism and coronary artery disease in Turkish patients
Ozlem Kurnaz1, A Başak Akadam-Teker, Hülya Yilmaz-Aydoğan
1Department of Molecular Medicine, The Institute of Experimental Medicine, Istanbul University, Capa, 34390, Istanbul, Turkey.
Insights
The lectin-like oxidized low-density lipoproteins receptor-1 (LOX-1) 3'UTR188CT gene variation may increase the risk of left ventricular hypertrophy (LVH) in coronary artery disease (CAD) patients, particularly when associated with elevated blood pressure.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Epidemiology
Background:
- Left ventricular hypertrophy (LVH) is a significant risk factor for cardiac death in coronary artery disease (CAD).
- The lectin-like oxidized low-density lipoproteins receptor-1 (LOX-1) gene's 3'untranslated region (3'UTR) 188CT polymorphism has been linked to increased CAD risk.
- Understanding genetic predispositions to LVH in CAD patients is crucial for risk stratification.
Purpose of the Study:
- To investigate the association between the LOX-1 3'UTR188CT gene polymorphism and the development of LVH in a Turkish population with CAD.
- To determine if this specific genetic variation influences cardiovascular risk factors in CAD patients.
Main Methods:
- A population-based case-control study was conducted.
- 83 CAD patients and 99 healthy controls were genotyped for the LOX-1 3'UTR188CT polymorphism using PCR-RFLP.
- Genotypes were analyzed for associations with LVH and lipid profiles.
Main Results:
- The LOX-1 3'UTR188 TT genotype was significantly associated with increased systolic blood pressure (P=0.047) and a higher risk of LVH (P=0.014, OR: 3.541) compared to C allele carriers.
- In control subjects, the TT genotype correlated with decreased HDL-cholesterol (P=0.031).
- In CAD patients, the TT genotype was linked to increased VLDL-cholesterol (P=0.009).
Conclusions:
- The LOX-1 3'UTR188CT gene polymorphism may contribute to the development of LVH in CAD patients.
- This predisposition appears to be dependent on blood pressure levels.
- The findings highlight the role of specific genetic variations in modulating cardiovascular disease phenotypes.
Abstract:
In coronary artery disease (CAD), a potentially reversible factor leading to cardiac death is left ventricular hypertrophy (LVH). The 3'untranslated region (3'UTR) 188CT polymorphism of lectin-like oxidized low-density lipoproteins receptor-1 (LOX-1) gene has been associated with an increased risk for CAD. We aim to investigate, in a Turkish population, whether 3'UTR188CT variation could affect the development of LVH in CAD patients. In a population-based case-control study, we compared 83 cases with CAD and 99 healthy controls for this polymorphism. The LOX-1 3'UTR188CT genotypes were determined by PCR-RFLP technique. LOX-1 3'UTR188 TT genotype was associated with significantly increased systolic blood pressure (P = 0.047) and risk of LVH (P = 0.014, OR: 3.541) when compared with the C allele carriers. In addition, the TT genotype was positively associated with decreased levels of HDL-cholesterol in the control subjects (P = 0.031) and increased levels of VLDL-C in the patient group (P = 0.009). The LOX-1 3'UTR188CT gene polymorphism may predispose to the development of LVH in CAD patients, dependent on blood pressure.
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