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Meta-analyses of HFE variants in coronary heart disease
Jiangfang Lian1, Limin Xu, Yi Huang
1Ningbo Medical Center, Lihuili Hospital, Ningbo University, Ningbo, Zhejiang 315041, China.
Insights
Hereditary hemochromatosis gene variants can increase coronary heart disease risk. A meta-analysis found the HFE rs1799945-G allele is linked to a 6% increased risk of coronary heart disease (CHD).
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
Background:
- Hereditary hemochromatosis (HH) is linked to increased coronary heart disease (CHD) risk.
- HFE gene variants are implicated in HH pathogenesis.
Purpose of the Study:
- To evaluate the association between four HFE gene variants and the risk of developing CHD.
- To assess the contribution of specific HFE gene variants to CHD risk.
Main Methods:
- Conducted four meta-analyses on studies examining HFE variants and CHD risk.
- Performed a systematic literature search across major scientific databases (MEDLINE, EMBASE, Web of Science, CNKI, Wanfang).
Main Results:
- The HFE rs1799945-G allele showed a significant association with a 6% increased risk of CHD (OR=1.06, P=0.02).
- No significant association was found between HFE variants rs1800562, rs1800730, and rs9366637 and CHD risk.
- In Han Chinese, rs1799945 and rs9366637 were not associated with CHD, and rs1800562 and rs1800730 were monomorphic.
Conclusions:
- A significant association exists between the HFE rs1799945 mutation and CHD risk.
- This association was observed despite the rarity of the rs1799945 mutation in the Han Chinese population.
Aim:
HFE gene variants can cause hereditary hemochromatosis (HH) that often comes along with an increased risk of coronary heart disease (CHD). The goal of our study is to assess the contribution of four HFE gene variants to the risk of CHD.
Methods And Results:
We conducted four meta-analyses of the studies examining the association between four HFE gene variants and the risk of CHD. A systematic search was conducted using MEDLINE, EMBASE, Web of Science and China National Knowledge Infrastructure (CNKI), Wanfang Chinese Periodical.
Results:
Meta-analyses showed that HFE rs1799945-G allele was associated with a 6% increased risk of CHD (P=0.02, odds ratio (OR)=1.06, 95% confidence interval (CI)=1.01-1.11). However, no association between the other three HFE gene variants (rs1800562, rs1800730, and rs9366637) and CHD risk was observed by the meta-analyses (all P values>0.05). In addition, the results of our case-control study indicated that rs1800562 and rs1800730 were monomorphic, and that rs1799945 and rs9366637 were not associated with CHD in Han Chinese.
Conclusions:
Our meta-analysis suggested that a significant association existed between rs1799945 mutation and CHD, although this mutation was rare in Han Chinese.
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