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Intercellular adhesion molecule 1 gene K469E polymorphism is associated with coronary heart disease risk: a
Ya-Nan Ji1, Qin Wang, Ping Zhan
1Jiangsu Province Hospital of Traditional Chinese Medicine, 155 Hanzhong Road, Nanjing, 210029, China.
Insights
The ICAM1 gene K469E polymorphism is linked to increased coronary heart disease (CHD) risk. Specifically, the K allele is a significant risk factor for CHD in Asian and Caucasian populations.
Area of Science:
- Genetics and Cardiovascular Disease Research
- Molecular Biology and Epidemiology
Background:
- Coronary atherosclerosis is a primary cause of coronary heart disease (CHD).
- Atherosclerotic lesions result from complex polygenic interactions influenced by environmental factors.
- Previous studies on the association between the ICAM1 gene E469K polymorphism and CHD have yielded conflicting results.
Purpose of the Study:
- To conduct a systematic review and meta-analysis to clarify the association between the ICAM1 gene E469K polymorphism and coronary heart disease (CHD).
Main Methods:
- A comprehensive search of PubMed, Embase, and CNKI databases was performed for relevant case-control studies published up to August 2011.
- Data from twelve eligible studies, including 2,157 cases and 1,952 controls, were extracted and analyzed.
- Pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated to assess the association.
Main Results:
- The meta-analysis revealed a significant association between the ICAM1 gene E469K polymorphism and an increased risk of CHD.
- The K allele demonstrated a higher risk (OR = 1.496, 95% CI = 1.363-1.642) compared to the E allele.
- Carriers of the K allele showed a significantly increased risk (OR = 1.919, 95% CI = 1.635-2.253) compared to individuals with the EE genotype.
Conclusions:
- The ICAM1 gene K469E polymorphism is significantly associated with the risk of coronary heart disease (CHD).
- The K allele of the ICAM1 gene represents a notable risk factor for developing CHD, particularly in Asian and Caucasian populations.
Abstract:
Coronary atherosclerosis is a leading cause of coronary heart disease (CHD). Atherosclerotic lesion is a complex polygenic disease in which gene-environment interactions play a critical role in disease onset and progression. The ICAM1 gene-E469K polymorphism has been reported to be associated with CHD, but results were conflicting. A systematic review and meta-analysis of the published studies were performed to gain a clearer understanding of this association. The PubMed, Embase, and CNKI databases were searched for case-control studies published up to August 2011. Data were extracted and pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated. Twelve eligible studies, comprising 2,157 cases and 1,952 controls, were included in the meta-analysis. The pooled result showed that the ICAM1 gene-E469K polymorphism was significantly associated with an increased risk of CHD (OR = 1.496, 95% CI = 1.363-1.642, for the allele K vs. allele E; OR = 1.919, 95% CI = 11.635-2.253, for the K allele carriers vs. EE). Subgroup analysis supported the results in the Asian populations and in the Caucasian populations. This meta-analysis suggests that the ICAM1 gene K469E polymorphism is associated with CHD risk and the K allele is a more significant risk factor for developing CHD among Asian and Caucasians populations.
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