Polymorphism of the complement 5 gene and cardiovascular outcome in patients with atherosclerosis

Matthias Hoke1, Walter Speidl, Martin Schillinger

  • 1Department of Internal Medicine II, Division of Angiology, Medical University Vienna, Vienna, Austria. matthias.hoke@meduniwien.ac.at

Insights

The C5 rs17611 GG genotype is linked to higher C5a levels and increased cardiovascular risk in men with carotid atherosclerosis. This finding highlights a genetic risk factor for cardiovascular events in this population.

Area of Science:

  • Cardiovascular Science
  • Genetics
  • Immunology

Background:

  • Inflammation, particularly the complement system, plays a role in atherosclerosis.
  • A prior study linked the C5 rs17611 single-nucleotide polymorphism (SNP) to stroke.
  • The effect of C5 rs17611 on atherosclerosis progression and cardiovascular outcomes in asymptomatic patients was unknown.

Purpose of the Study:

  • To investigate the association between the C5 rs17611 polymorphism and cardiovascular outcomes.
  • To determine if C5 rs17611 influences the progression of carotid atherosclerosis.
  • To explore the relationship between C5 rs17611 and C5a plasma levels.

Main Methods:

  • A cohort of 1065 patients with asymptomatic carotid atherosclerosis was studied.
  • Patients were followed prospectively for carotid atherosclerosis progression and major adverse cardiovascular events (MACE).
  • Genotyping for C5 rs17611 and plasma C5a levels were analyzed.

Main Results:

  • The homozygous C5 rs17611 GG genotype was associated with an increased risk of MACE (adjusted HR: 1.36).
  • In men, the C5 rs17611 CC genotype was an independent risk factor for MACE (HR 1.50).
  • No association was found between C5 rs17611 and carotid stenosis progression, but the variant correlated with C5a plasma levels.

Conclusions:

  • The C5 rs17611 GG genotype is linked to elevated C5a plasma levels.
  • This genotype represents a risk factor for adverse cardiovascular outcomes, particularly in male patients with carotid atherosclerosis.
Abstract

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