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Coronary artery disease. A study of three polymorphic sites of adenosine deaminase gene
Insights
Genetic variations in the Adenosine Deaminase (ADA) gene are linked to coronary artery disease (CAD) risk in males. Specific ADA gene polymorphisms and haplotypes show significant differences between CAD patients and controls.
Area of Science:
- Cardiovascular Genetics
- Biochemistry
Background:
- Adenosine is a known cardioprotective agent.
- Impaired adenosine signaling contributes to heart failure.
- Genetic variations in Adenosine Deaminase (ADA) gene are associated with coronary artery disease (CAD).
Purpose of the Study:
- Investigate the relevance of three intragenic polymorphic sites (ADA1, ADA2, ADA6) of the ADA gene.
- Examine the association between ADA gene polymorphisms and CAD.
- Explore the role of ADA gene in CAD susceptibility and clinical course.
Main Methods:
- Studied 136 non-diabetic CAD patients and 246 healthy controls (Italian population).
- Studied 129 non-diabetic CAD patients and 204 newborns (Polish population).
- Determined ADA1, ADA2, and ADA6 genotypes using DNA analysis.
Main Results:
- In males, lower proportions of ADA1*2 and ADA2*2 alleles were observed in CAD patients compared to controls.
- Statistically significant differences in haplotype distributions (ADA1-ADA2, ADA1-ADA6, ADA2-ADA6) were found between male CAD patients and controls.
Conclusions:
- The ADA gene shows a complex association with coronary artery disease.
- Beyond adenosine deamination, other ADA gene functions may influence CAD susceptibility and progression.
Objectives:
The role of adenosine as a cardioprotective agent is well known and recent experimental studies suggest that impairment of adenosine-related signal transduction contributes to the pathophysiology of chronic heart failure. The recent observation of an association between ADA, genetic polymorphism and coronary artery disease (CAD) prompted us to study the possible relevance of three intragenic polymorphic sites of the ADA gene (ADA1, ADA2 and ADA6).
Methods And Results:
136 non-diabetic patients with coronary artery disease and 246 healthy blood donors from the white Italian population of Central Italy and 129 non-diabetic patients with CAD and 204 newborns from the white Polish population were studied. ADA1, ADA2 and ADA6 genotypes were determined by DNA analysis. In males, the proportion of ADA1 *2 (P = 0.0001) and ADA2 *2 (P = 0.005) alleles is lower in CAD than in controls. In males, the haplotype distribution of the pairs ADA1-ADA2, ADA1-ADA6 and ADA2-ADA6 shows statistically significant differences between coronary artery disease and controls.
Conclusions:
The present study suggests a complex association between ADA gene and coronary artery diseases. Besides the control of adenosine concentration due to deamination of adenosine, also other functions of the ADA gene could have a role in the susceptibility and/ or clinical course of coronary artery disease.
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