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.

Plos One
|December 19, 2013
PubMed

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.

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