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NEXN is a novel susceptibility gene for coronary artery disease in Han Chinese
Chong Wu1, Han Yan1, Jingzhi Sun2
1Department of Human Population Genetics, Institute of Molecular Medicine, Peking University, Beijing, China.
Insights
Researchers identified NEXN as a novel gene linked to coronary artery disease (CAD) susceptibility. Genetic variations in NEXN influence vascular smooth muscle cell function, impacting CAD risk in the Han Chinese population.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Vascular Biology
Background:
- Coronary artery disease (CAD) is a major global health concern, with genetic factors playing a significant role in its susceptibility.
- Vascular smooth muscle cell (VSMC) dysfunction is central to the development of atherosclerotic lesions and intimal hyperplasia.
- The role of the muscle-specific F-actin binding protein NEXN in human vascular disorders, particularly CAD, remains largely unexplored.
Purpose of the Study:
- To investigate the potential association between genetic variations in the NEXN gene and susceptibility to coronary artery disease (CAD).
- To elucidate the functional role of NEXN in vascular smooth muscle cells (VSMCs) and its contribution to atherosclerotic processes.
- To identify specific genetic variants within the NEXN gene and its regulatory regions associated with CAD risk.
Main Methods:
- Genotyping of 5 single nucleotide polymorphisms (SNPs) tagging 17 common SNPs in the NEXN gene region in 1883 CAD patients and 1973 controls from Han Chinese.
- Statistical analysis to identify SNPs associated with CAD, including Bonferroni correction and calculation of odds ratios and statistical power.
- In vitro functional assays to assess NEXN's effect on VSMC phenotype and in vivo studies using a mouse model of vascular injury.
Main Results:
- One SNP, rs1780050, showed a strong association with CAD (Bonferroni corrected P = 7.65×10⁻⁵), with an odds ratio of 1.23 (1.12-1.36).
- NEXN was found to promote a contractile VSMC phenotype in vitro and inhibit neointima formation after vascular injury in vivo.
- Expression quantitative trait locus (eQTL) analysis revealed that the CAD-associated risk allele (T) of rs1780050 is linked to decreased NEXN expression.
Conclusions:
- NEXN is identified as a novel susceptibility gene for coronary artery disease (CAD) based on combined genetic and functional evidence.
- Reduced NEXN expression, potentially driven by genetic variants like rs1780050, contributes to increased CAD risk.
- These findings highlight NEXN's critical role in maintaining vascular homeostasis and suggest its potential as a therapeutic target for CAD.
Abstract:
Coronary artery disease (CAD) is the leading cause of death and disability in the world. Genome-wide association studies have implicated the importance of the genetic contribution of vascular smooth muscle cells (VSMCs) function in CAD susceptibility. The aberrant phenotypic modulation of VSMC is responsible for the pathological vascular intima hyperplasia that is the hallmark for atherosclerotic morphology. NEXN is a muscle-specific F-actin binding protein and is regulated by inflammatory cytokines in VSMCs. Whether NEXN contributes to human vascular disorders is still unknown. In this study, we genotyped 5 SNPs, tagging all of the 17 common SNPs within 54 kilobases (kb) covering NEXN gene and its flanking region, in 1883 patients with CAD and 1973 healthy individuals from Han Chinese, and identified one SNP, rs1780050, which was strongly associated with CAD trait. The Bonferroni corrected P-value was 7.65×10(-5). The odds ratio (95% confidence interval) was 1.23 (1.12-1.36) with statistical power of 0.994. Functional analysis showed that NEXN promotes VSMC to a contractile phenotype in vitro and inhibits balloon-injury induced neointima formation in vivo. Further eQTL analysis demonstrated that the risk allele T of rs1780050 is associated with decreased expression of NEXN, thus contributing to a higher risk of CAD susceptibility in the population. This is, to our knowledge, the first study to identify NEXN as a novel CAD susceptibility gene with both genetic and functional evidence.
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