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Published on: June 21, 2018
A replication study and a meta-analysis of the association between the CDKN2A rs1333049 polymorphism and coronary
Jiangfang Lian1, Yanna Ba, Dongjun Dai
1Ningbo Medical Center, Lihuili Hospital, Department of Cardiology, Ningbo University.
Insights
The rs1333049 genetic variant is associated with an increased risk of coronary heart disease (CHD) in Han Chinese individuals. This finding was supported by both a case-control study and a comprehensive meta-analysis.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
Background:
- Coronary heart disease (CHD) remains a leading cause of mortality worldwide.
- Identifying genetic risk factors is crucial for understanding CHD pathogenesis and developing preventative strategies.
Purpose of the Study:
- To investigate the association between the rs1333049 single nucleotide polymorphism (SNP) and the risk of coronary heart disease (CHD) specifically in the Han Chinese population.
- To conduct a meta-analysis to consolidate evidence on the contribution of rs1333049 to CHD risk across diverse populations.
Main Methods:
- A case-control study involving 599 CHD patients and 591 non-CHD controls from the Han Chinese population.
- A comprehensive meta-analysis incorporating 21 studies (25 stages) with 20,969 CHD cases and 34,114 controls.
Main Results:
- The case-control study found that rs1333049 significantly increased CHD risk by 38% (OR=1.38).
- Subgroup analyses revealed a higher risk increase in women (64%) compared to men (29%), and significant associations were observed in specific age groups.
- The meta-analysis confirmed rs1333049 as a risk factor for CHD (OR=1.30), with increased risk observed in both Europeans (30%) and Asians (27%).
Conclusions:
- The rs1333049 SNP is a significant risk marker for coronary heart disease.
- This genetic variant contributes to CHD risk across different ethnicities and genders, highlighting its potential utility in risk assessment.
Aim:
The aim of this study was to assess whether rs1333049 was associated with coronary heart disease (CHD) in Han Chinese.
Methods:
This case-control study was involved with 599 CHD patients and 591 non-CHD controls. Meanwhile, a comprehensive meta-analysis was also conducted to establish the contribution of rs1333049 to CHD.
Results:
Our results showed that rs1333049 increased the risk of CHD by 38% (OR=1.38, 95% CI=1.18-1.62). A breakdown analysis by gender further indicated that rs1333049 increased the risk of CHD in men by 29% (OR=1.29, 95% CI=1.05-1.58) and in women by 64% (OR=1.64, 95% CI=1.25-2.16). A follow-up subgroup analysis by age showed there was a significant association between rs1333049 and CHD in women younger than 65 (≤55 years: p=0.001, 55-65 years: p=0.008) and in men aged between 55 and 65 years (p=0.005). Our meta-analysis was involved with 21 studies (25 stages) among 20969 cases and 34114 controls. Our results showed that rs1333049 led to a significantly increased risk of CHD (OR=1.30, 95% CI=1.21-1.39). Further subgroup analyses by ethnicity showed rs1333049 increased the CHD risk by 30% in Europeans (OR=1.30, 95% CI=1.16-1.47) and 27% in Asians (OR=1.27, 95% CI=1.22-1.33).
Conclusions:
Our case-control study and meta-analysis suggest that rs1333049 is a useful risk marker of CHD.
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