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Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Interleukin-6 receptor rs7529229 T/C polymorphism is associated with left main coronary artery disease phenotype in a
Feng He1, Xiao Teng2, Haiyong Gu3
1State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China. drhefeng@gmail.com.
Insights
Genetic variants in Interleukin-6 Receptor (IL-6R) rs7529229 may increase susceptibility to severe Left Main Coronary Artery Disease (LMCAD). This finding in a Chinese population suggests a potential genetic link to LMCAD risk.
Area of Science:
- Genetics
- Cardiology
- Immunology
Background:
- Left Main Coronary Artery Disease (LMCAD) is a severe form of Coronary Artery Disease (CAD).
- Interleukin (IL) gene polymorphisms are implicated in inflammatory diseases and CAD.
- Limited research exists on the association between genetic variants and specific CAD phenotypes like LMCAD.
Purpose of the Study:
- To investigate the association between single nucleotide polymorphisms (SNPs) in IL-related genes and the susceptibility to LMCAD compared to more peripheral CAD (MPCAD).
- To identify specific IL gene variants that may contribute to the LMCAD phenotype.
Main Methods:
- A hospital-based case-only study involving 402 LMCAD patients and 804 MPCAD patients from a Chinese population.
- Genotyping of seven IL gene SNPs (IL-1A rs1800587, IL-1B rs16944, IL-6 rs1800796, IL-6R rs7529229, IL-8 rs4073, IL-10 rs1800872, IL-10 rs1800896) using MALDI-TOF MS and LDR.
- Statistical analysis to compare allele and genotype frequencies between LMCAD and MPCAD groups.
Main Results:
- The IL-6 Receptor (IL-6R) rs7529229 T/C polymorphism showed a significant association with LMCAD risk.
- Specifically, the CC or TC/CC genotypes of IL-6R rs7529229 were associated with an increased risk of LMCAD compared to the TT genotype (OR=1.46, p=0.042 for CC; OR=1.31, p=0.037 for CC+TC).
- No significant associations were found for the other six studied SNPs between LMCAD and MPCAD.
Conclusions:
- The IL-6R rs7529229 T/C functional SNP may be a contributing factor to LMCAD susceptibility in the Chinese population.
- Further validation in larger, ethnically diverse populations is necessary to confirm these findings.
- This study highlights the potential role of specific genetic variations in the pathogenesis of severe CAD phenotypes.
Abstract:
Left main coronary artery disease (LMCAD) is a particular severe phenotype of coronary artery disease (CAD) and heritability. Interleukin (IL) may play important roles in the pathogenesis of CAD. Although several single nucleotide polymorphisms (SNPs) identified in IL related genes have been evaluated for their roles in inflammatory diseases and CAD predisposition, the investigations between genetic variants and CAD phenotype are limited. We hypothesized that some of these gene SNPs may contribute to LMCAD phenotype susceptibility compared with more peripheral coronary artery disease (MPCAD). In a hospital-based case-only study, we studied IL-1A rs1800587 C/T, IL-1B rs16944 G/A, IL-6 rs1800796 C/G, IL-6R rs7529229 T/C, IL-8 rs4073 T/A, IL-10 rs1800872 A/C, and IL-10 rs1800896 A/G SNPs in 402 LMCAD patients and 804 MPCAD patients in a Chinese population. Genotyping was done using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and ligation detection reaction (LDR) method. When the IL-6R rs7529229 TT homozygote genotype was used as the reference group, the CC or TC/CC genotypes were associated with the increased risk for LMCAD (CC vs. TT, adjusted odds ratio(OR)=1.46, 95% confidence interval (CI)=1.02-2.11, p=0.042; CC+TC vs. TT, adjusted OR=1.31, 95% CI=1.02-1.69, p=0.037). None of the other six SNPs achieved any significant differences between LMCAD and MPCAD. The present study suggests that IL-6R rs7529229 T/C functional SNP may contribute to the risk of LMCAD in a Chinese population. However, our results were limited. Validation by a larger study from a more diverse ethnic population is needed.
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