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Published on: July 14, 2016
Association of COMT gene polymorphisms with systemic atherosclerosis in elderly Japanese
Maung Kyi Chan Ko1, Shinobu Ikeda, Makiko Mieno-Naka
1Department of Molecular Epidemiology, Medical Research Institute, Tokyo Medical and Dental University, Tokyo, Japan.
Aim:
Atherosclerotic disease is a major health problem among the elderly, which arises from a complex interaction between genetic and environmental factors. The catechol-O-methyltransferase (COMT) gene encodes an enzyme that degrades catecholamines and estrogens to less active metabolites. The objective of this study was to examine whether polymorphisms of the COMT gene affected the severity of atherosclerotic disease in a Japanese elderly population.
Method:
A total of 1536 autopsy cases of hospital deaths were assessed for the degree of pathological atherosclerotic index (PAI), coronary stenotic index (CSI) and intracranial stenotic index (ICAI), which were obtained by macroscopic examination of the luminal surface of formalin-fixed arteries. Two single nucleotide polymorphisms (SNPs) in the COMT gene, rs4633 (C/T) and rs4680 (G/A) were genotyped. The rs4680 (G/A) corresponds to a functional SNP with the substitution of valine to methionine.
Result:
The CC genotype of rs4633 (C/T) and the GG genotype of rs4680 (G/A) showed a significantly higher degree of PAI and the association remained positive after adjustment for age, hypertension, diabetes, smoking and drinking (p=0.035 and p=0.031, respectively). There were no significant associations between COMT genotypes and CSI or ICAI. When male and female subjects were analyzed separately, the association was observed only in female subjects (p=0.012 and p=0.027) after adjustment for age, hypertension, diabetes, smoking and drinking.
Conclusion:
The functional SNP in the COMT gene associated with the severity of atherosclerosis in a Japanese elderly population, whereby the influence of the genotype appears to be stronger in females than in males.
Insights
Certain catechol-O-methyltransferase (COMT) gene variations are linked to more severe atherosclerosis in Japanese elders. This genetic association, particularly with the COMT gene, was more pronounced in females, suggesting a sex-specific influence on this common cardiovascular disease.
Area of Science:
- Genetics and Cardiovascular Disease
- Molecular Epidemiology
- Gerontology
Background:
- Atherosclerotic disease is a significant health concern in the elderly, resulting from intricate genetic and environmental interactions.
- The catechol-O-methyltransferase (COMT) gene plays a role in metabolizing catecholamines and estrogens.
Purpose of the Study:
- To investigate the association between polymorphisms in the catechol-O-methyltransferase (COMT) gene and the severity of atherosclerotic disease.
- To examine this relationship in a Japanese elderly population.
Main Methods:
- Assessed pathological atherosclerotic index (PAI), coronary stenotic index (CSI), and intracranial stenotic index (ICAI) in 1536 autopsy cases.
- Genotyped two single nucleotide polymorphisms (SNPs) in the COMT gene: rs4633 (C/T) and rs4680 (G/A).
- The rs4680 (G/A) SNP involves a valine to methionine substitution.
Main Results:
- The CC genotype of rs4633 and the GG genotype of rs4680 were significantly associated with a higher PAI, even after adjusting for risk factors (p=0.035 and p=0.031).
- No significant associations were found between COMT genotypes and CSI or ICAI.
- The association between COMT genotypes and PAI was significant only in female subjects after adjustments (p=0.012 and p=0.027).
Conclusions:
- A functional single nucleotide polymorphism (SNP) in the COMT gene is associated with atherosclerosis severity in Japanese elderly individuals.
- The impact of COMT genotype on atherosclerosis appears to be stronger in females than in males.
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