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Mannose-binding lectin gene polymorphism and risk factors for cardiovascular disease in postmenopausal women
Claudio Lera Orsatti1, Eliana Aguiar Petri Nahás1, Jorge Nahas-Neto1
1Department of Gynecology and Obstetrics, Botucatu Medical School, Sao Paulo State University- UNESP, Botucatu, São Paulo, Brazil.
Insights
Genetic variations in Mannose-binding lectin (MBL2) may influence cardiovascular disease (CVD) risk in postmenopausal women. Polymorphism at codon 54 is linked to reduced hypertension and insulin resistance, key CVD risk factors.
Area of Science:
- Immunogenetics
- Cardiovascular Disease Epidemiology
- Menopause Research
Background:
- Postmenopausal women exhibit altered inflammatory responses, increasing cardiovascular disease (CVD) susceptibility.
- Genetic factors play a role in CVD risk.
- Mannose-binding lectin (MBL), part of the innate immune system, activates complement cascade.
Purpose of the Study:
- To investigate the association between Mannose-binding lectin gene (MBL2) polymorphisms and cardiovascular risk factors in postmenopausal women.
- To determine if MBL2 genetic variations influence hypertension and insulin resistance.
Main Methods:
- Cross-sectional study of 311 Brazilian postmenopausal women (age ≥45).
- Exclusion criteria included current CVD, diabetes, kidney disease, autoimmune diseases, and cancer.
- MBL2 polymorphisms at codons 54 and 57 analyzed via PCR; cardiovascular risk factors assessed through clinical, anthropometric, and biochemical evaluations.
Main Results:
- Codon 54 polymorphism present in 25.8% of women; codon 57 in 12.2%.
- Codon 54 polymorphism significantly associated with lower odds of hypertension (OR 0.55) and insulin resistance (OR 0.46).
- No significant association found between codon 57 polymorphism and CVD risk factors.
Conclusions:
- MBL2 codon 54 polymorphism is associated with reduced risk of hypertension and insulin resistance in postmenopausal women.
- These findings suggest a potential protective role of specific MBL2 variants against key cardiovascular risk factors.
Background:
Inflammatory responses may be altered in postmenopausal women and predispose to cardiovascular disease (CVD). Genetic factors can also influence susceptibility to CVD. Mannose-binding lectin (MBL) is a component of the innate immune system and an activator of the complement cascade. We evaluated the association of genetic polymorphism of MBL (MBL2) on risk factors for CVD in postmenopausal women.
Methods:
In this cross-sectional study, 311 Brazilian women (age ≥45 years and amenorrhea ≥12 months) were included.
Exclusion Criteria:
presence of previous or current CVD, insulin dependent diabetes, chronic kidney disease, autoimmune diseases and cancer. Clinical, anthropometric and biochemical assessments were performed to evaluate the cardiovascular risk factors. DNA was extracted from buccal cell and polymorphisms at codons 54 and 57 in the MBL2 were determined by polymerase chain reaction (PCR). For statistical analysis, the chi-square and logistic regression (odds ratio, OR) were used.
Results:
The presence of the polymorphic allele for codon 54 was found in 25.8% of women (A/B=22.6%, B/B=3.2%) and for codon 57 in 12.2% (A/C=10.8%, C/C=1.4%). The polymorphism at codon 54 was significantly associated with the presence of hypertension (OR 0.55, 95% CI 0.31-0.99, p=0.044) and insulin resistance assessed by HOMA-IR (OR 0.46, 95% CI 0.24-0.91, p=0.025). No significant associations were observed between the polymorphism at codon 57 with risk factors for CVD.
Conclusion:
In postmenopausal women, the polymorphism at codon 54 of the MBL2 was associated with lower risk for hypertension and insulin resistance that are important risk factors for CVD.
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