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A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
ABCB1 C3435T polymorphism and the risk of coronary heart disease: a meta-analysis
Yuanzhe Jin1, Qi Wang, Guofeng Wang
1Department of Cardiology, The Fourth Affiliated Hospital of China Medical University , Shenyang, People's Republic of China .
Insights
The ABCB1 C3435T gene polymorphism is linked to a higher risk of coronary heart disease (CHD), particularly myocardial infarction and acute coronary syndrome in Caucasians. This genetic marker may aid in early CHD detection.
Area of Science:
- Genetics
- Cardiovascular Disease
- Pharmacogenomics
Background:
- ATP-binding cassette transporter 1 (ABCB1) is crucial in cardiovascular disease.
- Functional polymorphisms in the ABCB1 gene may influence coronary heart disease (CHD) susceptibility.
- Previous studies on ABCB1 C3435T polymorphism and CHD risk are inconclusive.
Purpose of the Study:
- To conduct a meta-analysis to precisely estimate the association between ABCB1 C3435T polymorphism and CHD risk.
- To investigate the impact of this polymorphism on different subtypes of CHD and across ethnic groups.
Main Methods:
- An extensive literature search was performed across multiple databases up to August 1, 2013.
- Meta-analysis was conducted using STATA 12.0 software.
- Crude odds ratios (OR) with 95% confidence intervals (CI) were calculated.
Main Results:
- Seven studies with 13,074 CHD patients were included.
- ABCB1 C3435T polymorphism was associated with increased risk of CHD, especially myocardial infarction (MI) and acute coronary syndrome (ACS) in Caucasians.
- No significant association was found for variant angina pectoris (VAP) risk, particularly in Asians. Heterogeneity was attributed to clinical subtype and ethnicity.
Conclusions:
- ABCB1 C3435T polymorphism may contribute to CHD risk, particularly MI and ACS in Caucasian populations.
- This genetic polymorphism shows potential as a biomarker for early CHD detection.
- Further research may clarify ethnic and subtype-specific associations.
Background:
ATP-binding cassette transporter 1 (ABCB1) plays a critical role in the development and progression of cardiovascular disease. Emerging evidence suggests that common functional polymorphisms in the ABCB1 gene might have an impact on an individual's susceptibility to coronary heart disease (CHD), but individually published results are inconclusive. This meta-analysis aimed to derive a more precise estimation of the relationship between ABCB1 C3435T polymorphism and CHD risk.
Method:
An extensive literary search for relevant studies was conducted in PubMed, Embase, Web of Science, Cochrane Library, CISCOM, CINAHL, Google Scholar, China BioMedicine (CBM), and China National Knowledge Infrastructure (CNKI) databases from their inception through August 1st, 2013. Meta-analysis was performed using the STATA 12.0 software. The crude odds ratio (OR) with 95% confidence interval (CI) were calculated.
Results:
Seven clinical studies were included with a total of 13,074 CHD patients, including 378 variant angina pectoris (VAP) patients, 2290 myocardial infarction (MI) patients, and 10,406 acute coronary syndrome (ACS) patients. Our meta-analysis results indicated that ABCB1 C3435T polymorphism may be associated with an increased risk of CHD, especially for MI and ACS among Caucasian populations. However, no statistically significant association was found between ABCB1 C3435T polymorphism and VAP risk, especially among Asian populations. Meta-regression analyses showed that clinical subtype and ethnicity may be the main sources of heterogeneity. No publication bias was detected in this meta-analysis.
Conclusion:
The current meta-analysis suggests that ABCB1 C3435T polymorphism may contribute to the risk of CHD, especially for MI and ACS, among Caucasian populations. Thus, detection of ABCB1 C3435T polymorphism may be a promising biomarker for the early detection of CHD.
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