Association between PCSK9 and LDLR gene polymorphisms with coronary heart disease: case-control study and meta-analysis
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Published on: November 17, 2018
Lina Zhang1, Fang Yuan, Panpan Liu
1Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo 315211, Zhejiang Province, China. zhanglina@nbu.edu.cn
Insights
Genetic variations in PCSK9 and LDLR genes (rs11206510 and rs1122608) are linked to coronary heart disease (CHD) risk in Caucasians but not in Asians. Ethnic differences likely explain these varied associations with CHD susceptibility.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Population Genetics
Background:
- Coronary heart disease (CHD) is a leading cause of mortality worldwide.
- Genetic polymorphisms in key genes like PCSK9 and LDLR are investigated for their role in CHD susceptibility.
- Understanding ethnic variations in genetic associations is crucial for targeted prevention strategies.
Purpose of the Study:
- To investigate the association of PCSK9 rs11206510 and LDLR rs1122608 polymorphisms with coronary heart disease (CHD) risk in the Han Chinese population.
- To conduct meta-analyses to consolidate evidence on these polymorphisms and CHD risk across different ethnic groups.
Main Methods:
- A case-control study involving 813 Han Chinese participants (290 CHD cases, 523 controls).
- DNA genotyping using the SEQUENOM® Mass-ARRAY iPLEX® platform.
- Two meta-analyses combining data from multiple case-control studies for each polymorphism.
Main Results:
- No significant association was found between rs11206510 (PCSK9) or rs1122608 (LDLR) and CHD risk in the Han Chinese cohort.
- Meta-analysis revealed significant associations for both SNPs with CHD in Caucasian populations (P<0.05).
- Subgroup analysis showed significant heterogeneity in Caucasian populations for rs11206510 (I(2)=67.2%).
Conclusions:
- The PCSK9 rs11206510 and LDLR rs1122608 polymorphisms are associated with CHD risk in Caucasians but not in Asians.
- Genetic heterogeneity and distinct ethnic backgrounds contribute to the differing susceptibility to CHD.
- Further research is needed to elucidate the complex interplay of genetics and ethnicity in CHD pathogenesis.
Objective:
To explore the association of rs11206510 (PCSK9 gene) and rs1122608 (LDLR gene) polymorphisms with coronary heart disease (CHD) in Han Chinese.
Methods:
A total of 813 participants (290 CHD cases, 193 non-CHD controls and 330 healthy controls) were recruited in the case-control study. DNA genotyping was performed on the SEQUENOM® Mass-ARRAY iPLEX® platform. χ(2)-test was used to compare the genotype distribution and allele frequencies. Two meta-analyses were performed to establish the association between the two polymorphisms with CHD.
Results:
No significant associations between the two SNPs and the risk of CHD were observed in the present study. The meta-analysis of rs11206510 of PCSK9 gene comprises 11 case-control studies with a total of 69,054 participants. Significant heterogeneity was observed in Caucasian population in subgroup analysis of the association studies of rs11206510 with CHD (P=0.003, I(2)=67.2%). The meta-analysis of LDLR gene rs1122608 polymorphism comprises 7 case-control studies with a total of 20,456 participants and the heterogeneity of seven studies was minimal (P=0.148, I(2)=36.7%).
Conclusion:
The results of the meta-analyses indicated that both SNPs were associated with CHD in Caucasians (P<0.05) but not in Asians. The results from our case-control study and meta-analyses might be explained by genetic heterogeneity in the susceptibility of CHD and ethnic differences between Asians and Caucasians.
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