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The impact of IGF-I gene polymorphisms on coronary artery disease susceptibility
Hsiu-Ling Lin1, Kwo-Chang Ueng, Hsiang-Ling Wang
1Institute of Biochemistry and Biotechnology, Chung Shan Medical University, Taichung, Taiwan.
Background:
Coronary artery disease (CAD) was the second leading cause of death for the past 3 years in Taiwan. The insulin-like growth factor (IGF) system is considered a new risk factor of CAD because investigations show that the levels and bioactivity of IGF-I and IGFBP-3 (where IGFBP is insulin-like growth factor-binding protein) may be involved in elevating the risk of CAD. This study investigated the relationships among IGF-I +1770, IGF-I +6093, and IGFBP-3 -202 genetic polymorphisms and CAD in the Taiwanese population.
Methods:
A total of 581 subjects, including 390 non-CAD controls and 191 patients with CAD, were recruited and the isolated DNA was subjected to real-time polymerase chain to evaluate the effects of these three polymorphic variants on CAD.
Results:
Our results showed a significant association between the IGF-I +1770 gene polymorphism and increased risk of CAD. Furthermore, CAD patients with a minimum of one mutant C allele, T/C or C/C, in IGF-I +1770 gene polymorphism had significantly high blood pressure including systolic blood pressure (SBP; P = 0.025) and diastolic blood pressure (DBP; P = 0.004), compared to CAD patients with T/T homozygotes. Moreover, CAD patients with a minimum of one mutant A allele, G/A or A/A, in the IGF-I +6093 gene polymorphism had a 1.695-fold elevated risk of congestive heart failure (CHF), compared to CAD patients with the G/G homozygote.
Conclusions:
Polymorphism of IGF-I +1770 was associated with increased CAD risk. In CAD patients, the contributions of IGF-I +1770 and +6093 could be through the effect on blood pressure in CAD patients.
Insights
Genetic variations in insulin-like growth factor (IGF) genes are linked to coronary artery disease (CAD) risk. Specific IGF-I gene polymorphisms, IGF-I +1770 and IGF-I +6093, are associated with increased CAD risk and related complications like high blood pressure and congestive heart failure.
Area of Science:
- Genetics
- Cardiology
- Molecular Biology
Background:
- Coronary artery disease (CAD) is a leading cause of death in Taiwan.
- The insulin-like growth factor (IGF) system, including IGF-I and IGFBP-3, is implicated as a potential risk factor for CAD.
- This study explores the association between specific genetic polymorphisms in the IGF system and CAD risk in the Taiwanese population.
Purpose of the Study:
- To investigate the relationship between IGF-I +1770, IGF-I +6093, and IGFBP-3 -202 genetic polymorphisms and the risk of developing CAD.
- To determine if these polymorphisms are associated with clinical outcomes in patients with CAD, such as blood pressure and congestive heart failure.
Main Methods:
- A case-control study involving 581 participants (390 non-CAD controls, 191 CAD patients).
- DNA was isolated and analyzed using real-time polymerase chain reaction to identify specific genetic polymorphisms.
- Statistical analysis was performed to evaluate the association between polymorphisms and CAD risk and outcomes.
Main Results:
- A significant association was found between the IGF-I +1770 gene polymorphism and an increased risk of CAD.
- CAD patients with mutant alleles in IGF-I +1770 exhibited significantly higher systolic and diastolic blood pressure.
- CAD patients with mutant alleles in IGF-I +6093 showed a 1.695-fold increased risk of congestive heart failure.
Conclusions:
- The IGF-I +1770 gene polymorphism is associated with an elevated risk of CAD.
- The IGF-I +1770 and +6093 polymorphisms may influence CAD development and progression through their effects on blood pressure and heart failure risk.
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