Association between R353Q polymorphism for coagulative factor VII and severity of coronary artery disease in Iranian
Sara Cheraghi, Shokoufeh Shajiee, Mohammad Ali Boroumand1
1Pathology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. maboroumand@yahoo.com.
Insights
This study found no link between factor VII R353Q polymorphism and coronary artery disease (CAD) presence or severity in the Iranian population. Further research on genetic factors in atherosclerosis is warranted.
Area of Science:
- Cardiovascular Genetics
- Atherosclerosis Research
- Population Genetics
Background:
- Coagulative factors are implicated in atherosclerosis and coronary artery disease (CAD) development.
- The R353Q polymorphism of factor VII is a potential genetic marker.
- Investigating genetic associations in diverse populations is crucial for understanding CAD etiology.
Purpose of the Study:
- To investigate the association between factor VII R353Q polymorphism and the occurrence and severity of CAD.
- To analyze the relationship in a large Iranian population sample.
- To contribute to the understanding of genetic risk factors for CAD.
Main Methods:
- A cohort of 919 patients with suspected CAD undergoing coronary angiography was studied.
- CAD severity was assessed using the Gensini score and the number of diseased coronary vessels.
- Factor VII R353Q polymorphism was genotyped using the PCR-RFLP method.
Main Results:
- Allele frequencies for the R353Q polymorphism did not significantly differ between patients with and without CAD (p = 0.625).
- No significant association was found between genotypes and the number of diseased vessels (p = 0.379).
- Gensini scores showed no statistically significant differences across QQ, QR, and RR genotypes (p = 0.084).
Conclusions:
- The R353Q polymorphism of factor VII is not associated with the presence or progression of CAD in the studied Iranian population.
- Genetic variations in factor VII may not play a significant role in CAD development in this demographic.
- Further studies are needed to explore other genetic and environmental factors influencing CAD.
Background:
Recent research has supported the central role of coagulative factors in advancing atherosclerosis and causing coronary artery disease (CAD). The present study, for the first time, aimed to clarify the relationship between R353Q polymorphism for factor VII and the occurrence and severity of CAD in a large sample of Iranian population.
Methods:
Nine hundred and nineteen consecutive patients with suspected CAD, who candidated for coronary angiography in the Tehran Heart Center between January 2006 and March 2007, were examined. The number of diseased coronary vessels was determined, and the severity of CAD was assessed by the Gensini score. Genotyping was done via the PCR-RFLP method.
Results:
The frequency of Q and R alleles was 74.1% and 25.9% in the patients with CADand 75.2% and 24.8% in those without CAD, with an insignificant difference (p = 0.625). The frequency of Q allele in the patients with single-vessel, two-vessel, and three-vessel diseases was 72.8%, 71.5%, and 76.4%, respectively; the difference was also insignificant (p = 0.379). No relationship was observed between the distribution of the genotypes and the number of the involved coronary vessels. The average of the Gensini score was 43.39 ± 46.18 in the patients with QQ genotype, 38.87 ± 42.89 in those with QR genotype, and 55.61 ± 53.80 in the ones with RR genotype, with the difference not constituting any statistical significance (p = 0.084).
Conclusions:
The results suggest no association between R353Q polymorphism for factor VII and the presence or progression of CAD in the Iranian population.
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