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The IL-33-ST2L pathway is associated with coronary artery disease in a Chinese Han population
Xin Tu1, Shaofang Nie, Yuhua Liao
1Key Laboratory of Molecular Biophysics of Ministry of Education, College of Life Science and Technology, Center for Human Genome Research, Cardio-X Institute, Huazhong University of Science and Technology, Wuhan 430074, China.
Insights
Genetic variations in the interleukin-33 (IL-33) and ST2L pathway are strongly linked to coronary artery disease (CAD). This pathway appears to play a causal role in CAD development, offering potential therapeutic targets.
Area of Science:
- Immunology
- Cardiovascular Genetics
- Molecular Biology
Background:
- Interleukin-33 (IL-33) is a key immune mediator, but its role in cardiovascular diseases, particularly coronary artery disease (CAD), remains unclear.
- The ST2L receptor, which binds IL-33, is implicated in inflammatory processes.
Purpose of the Study:
- To investigate the genetic association of the IL-33-ST2L pathway with coronary artery disease (CAD).
- To determine if specific genetic variants in IL33 and IL1RL1 influence CAD risk and IL-33 expression.
Main Methods:
- Three-stage case-control association study involving 4,521 CAD patients and 4,809 controls.
- Analysis of tag single nucleotide polymorphisms (SNPs) in IL33 and IL1RL1 genes.
- Reporter gene assays to assess the impact of SNPs on gene expression.
- Correlation analysis between genotype and plasma IL-33 levels.
Main Results:
- Significant associations found between specific SNPs (rs7025417 in IL33, rs11685424 in IL1RL1) and CAD risk.
- Combined variants increased CAD risk nearly 5-fold.
- SNPs rs7025417 and rs11685424 altered IL33 and IL1RL1 gene expression.
- Genotype rs7025417 was significantly associated with higher plasma IL-33 levels.
Conclusions:
- Genetic evidence suggests the IL-33-ST2L pathway has a causal role in the development of CAD.
- This pathway represents a promising target for CAD prevention and treatment strategies.
Abstract:
The effects of interleukin-33 (IL-33) on the immune system have been clearly demonstrated; however, in cardiovascular diseases, especially in coronary artery disease (CAD), these effects have not yet been clarified. In this study, we investigate the genetic role of the IL-33-ST2L pathway in CAD. We performed three-stage case-control association analyses on a total of 4,521 individuals with CAD and 4,809 controls via tag SNPs in the genes encoding IL-33 and ST2L-IL-1RL1. One tag SNP in each gene was significantly associated with CAD (rs7025417(T) in IL33, padj = 1.19 × 10(-28), OR = 1.39, 95% CI: 1.31-1.47; rs11685424(G) in IL1RL1, padj = 6.93 × 10(-30), OR = 1.40, 95% CI: 1.32-1.48). Combining significant variants in two genes, the risk for CAD increased nearly 5-fold (padj = 8.90 × 10(-21), OR = 4.98, 95% CI: 3.56-6.97). Traditional risk factors for CAD were adjusted for the association studies by SPSS with logistic regression analysis. With the two variants above, both located within the gene promoter regions, reporter gene analysis indicated that the rs7025417 C>T and rs11685424 A>G changes resulted in altered regulation of IL33 and IL1RL1 gene expression, respectively (p < 0.005). Further studies revealed that the rs7025417 genotype was significantly associated with plasma IL-33 levels in the detectable subjects (n = 227, R(2) = 0.276, p = 1.77 × 10(-17)): the level of IL-33 protein increased with the number of rs7025417 risk (T) alleles. Based on genetic evidence in humans, the IL-33-ST2L pathway appears to have a causal role in the development of CAD, highlighting this pathway as a valuable target for the prevention and treatment of CAD.
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