Association between C-reactive protein gene +1059 G/C polymorphism and the risk of coronary heart disease: a
Cong-Sheng Li1, Bi-Rong Guo2, Zeng Guo3
1Department of Cardiology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230022, China; Department of Emergency, Third Affiliated Hospital of Anhui Medical University and First People's Hospital of Hefei, Hefei, Anhui 230061, China.
Insights
The C-reactive protein (CRP) gene +1059 G/C polymorphism shows no overall link to coronary heart disease (CHD) risk. However, a significant association with increased CHD risk was found specifically among Caucasians.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Molecular Biology
Background:
- The association between the C-reactive protein (CRP) gene +1059 G/C polymorphism and coronary heart disease (CHD) risk is debated.
- Previous studies have yielded inconclusive results, necessitating further investigation.
Purpose of the Study:
- To clarify the association between the CRP gene +1059 G/C polymorphism and CHD risk.
- To analyze potential ethnic differences in this association.
Main Methods:
- A comprehensive meta-analysis of case-control studies was performed.
- Studies were selected based on predefined inclusion criteria.
- Statistical analysis used odds ratios (OR) and 95% confidence intervals (CI), with publication bias assessed via Begg's funnel plot and Egger's regression test.
Main Results:
- The overall meta-analysis of 13 studies (6316 cases, 4467 controls) found no significant association between the CRP gene +1059 G/C polymorphism and CHD risk.
- Subgroup analysis by ethnicity revealed a significant association between the CRP gene +1059 G/C polymorphism and increased CHD risk among Caucasians.
- No significant association was observed among Asians and Africans.
Conclusions:
- The CRP gene +1059 G/C polymorphism may be associated with an elevated risk of CHD in Caucasian populations.
- Further research is required to validate these findings and elucidate the underlying mechanisms.
Background:
C-reactive protein (CRP) gene +1059 G/C polymorphism has been reported to be associated with coronary heart disease (CHD) risk, but the results remain inconclusive. This meta-analysis was therefore conducted to clarify these controversies.
Methods:
A comprehensive search was conducted to identify all case control studies on the association between CRP gene +1059 G/C polymorphism and CHD risk. All the related studies were further strictly selected according to the inclusion criteria. Meta-analysis was performed with STATA 10.1 (StataCorp, USA). The association was assessed by odds ratio (OR) and 95% confidence interval (CI); both Begg's funnel plot and Egger's regression test were used to assess the publication bias.
Results:
This meta-analysis on a total of 13 studies comprising 6316 CHD cases and 4467 controls showed no significant association between CRP gene +1059 G/C polymorphism and CHD risk in the overall study (for C/C+C/G vs. G/G: OR = 1.01, 95% CI = 0.81-1.25, P = 0.96; for C/C vs. C/G+G/G: OR = 1.17, 95% CI = 0.77-1.77, P = 0.47; for C/C vs. G/G: OR = 1.17, 95% CI = 0.77-1.77, P = 0.47; for C allele vs. G allele: OR = 1.01, 95% CI = 0.81-1.24, P = 0.96). However, in the subgroup analysis by ethnicity, the results showed significant association between CRP gene +1059 G/C polymorphism and CHD risk among Caucasians (for C/C vs. G/G: OR = 2.54, 95% CI = 1.13-5.72, P = 0.02; C/C vs. C/G+G/G: OR = 2.45, 95% CI = 1.09-5.51, P = 0.03), but not among Asians and Africans (P > 0.05).
Conclusion:
CRP gene +1059 G/C polymorphism may be associated with increased CHD risk among Caucasians and more evidences need to validate the conclusion.
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