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Updated: May 24, 2026

A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
Functional polymorphisms in the LTF gene and risk of coronary artery stenosis
Vibeke Videm1, Hildegunn Dahl, Lise Eid Wålberg
1Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, NO-7491 Trondheim, Norway. vibeke.videm@ntnu.no
Insights
Genetic variations in the lactoferrin (LTF) gene, specifically the G allele of rs1126478, are linked to higher plasma lactoferrin levels and an increased risk of coronary artery stenosis in Europeans.
Area of Science:
- Cardiovascular Genetics
- Biochemistry
Background:
- Plasma lactoferrin concentrations are elevated in individuals with coronary artery stenosis.
- Lactoferrin (LTF) plays roles in lipid metabolism and possesses antibacterial properties.
- LTF gene polymorphisms may influence susceptibility to coronary artery disease.
Purpose of the Study:
- To investigate the association between LTF gene polymorphisms and coronary artery stenosis.
- To determine if LTF gene variants correlate with plasma lactoferrin concentrations.
Main Methods:
- Genotyping of LTF exons 2 and 4 (rs10662431, rs1126478) in 305 healthy donors and 236 patients undergoing coronary angiography.
- Plasma lactoferrin levels measured by enzyme immunoassay.
- Statistical analysis including logistic regression to assess associations with coronary artery stenosis.
Main Results:
- The deletion variant of rs10662431 and the G allele of rs1126478 were associated with higher plasma lactoferrin concentrations in healthy donors.
- The G allele of rs1126478 was significantly more frequent in patients with coronary artery stenosis (p=0.018).
- Logistic regression confirmed rs1126478 G allele as an independent risk factor for stenosis (OR 2.485, p=0.026), though this association weakened when plasma lactoferrin was included.
Conclusions:
- The LTF rs1126478 polymorphism, specifically the G allele, appears to be a risk factor for coronary artery stenosis in a European population.
- This genetic variant may contribute to atherosclerosis risk, potentially through effects on lactoferrin's antibacterial or lipid-metabolizing functions.
- Further research is needed to fully elucidate the complex interplay between LTF genotypes, lactoferrin levels, and cardiovascular disease risk.
Abstract:
Plasma lactoferrin concentrations are increased in patients with coronary artery stenosis. We investigated the effects of LTF gene polymorphisms in 305 healthy blood donors and their associations with coronary artery stenosis in 236 patients admitted for coronary angiography. Lactoferrin concentrations were determined by enzyme immunoassay. Genotyping was performed by polymerase chain reaction and DNA sequencing of LTF exons 2 and 4. In the blood donors, the deletion variant of rs10662431 and the G allele of rs1126478 were associated with higher plasma lactoferrin concentrations. The G allele of rs1126478 was more frequent in patients with significant coronary artery stenosis (p = 0.018, p value limit for significance by permutation = 0.030). The association remained significant in logistic regression with adjustment for clinical risk factors (odds ratio 2.485 [95% confidence interval 1.116-5.536], p = 0.026), but was weakened upon the inclusion of plasma lactoferrin (odds ratio 2.295 [0.949-5.550], p = 0.064). Current evidence indicates that rs1126478 affects the antibacterial effect of lactoferrin and that lactoferrin is involved in lipid metabolism. The relationships among lactoferrin genotypes, lactoferrin concentrations, and clinical factors on the risk for atherosclerosis are not fully understood, but the G allele of rs1126478 seems to have a detrimental effect in a European population.
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