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A Polymorphism in Hepatocyte Nuclear Factor 1 Alpha, rs7310409, Is Associated with Left Main Coronary Artery Disease
Rui Liu1, Hanning Liu1, Haiyong Gu2
1State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, 167 Beilishilu Street, Beijing 100037, China.
Insights
Genetic variations in the hepatocyte nuclear factor 1 alpha (HNF1A) gene may increase the risk of left main coronary artery disease (LMCAD). The HNF1A rs7310409 polymorphism is linked to higher LMCAD susceptibility in the Chinese population.
Area of Science:
- Cardiovascular Genetics
- Molecular Cardiology
- Genetic Epidemiology
Background:
- Coronary artery disease (CAD) is a major global health concern.
- Left main coronary artery disease (LMCAD) represents a severe form of CAD with a known genetic component.
- Inflammation and hyperhomocysteinemia are implicated in CAD pathogenesis.
Purpose of the Study:
- To investigate the association between specific gene polymorphisms and LMCAD risk in a Chinese population.
- To explore the potential role of inflammation- and hyperhomocysteinemia-related gene variants in LMCAD susceptibility.
Main Methods:
- Case-control study involving 402 LMCAD patients and 804 peripheral CAD patients.
- Genotyping of polymorphisms in HNF1A (rs7310409), CRP (rs1800947, rs3093059), MTHFR (rs1801133), and MTHFDH (rs1076991) using MALDI-TOF MS.
- Statistical analysis to determine genotype-phenotype associations.
Main Results:
- The HNF1A rs7310409 G/A polymorphism, specifically the GA and AA genotypes, was significantly associated with an increased risk of LMCAD compared to the GG genotype.
- No significant associations were found for the studied CRP, MTHFR, and MTHFDH polymorphisms with LMCAD risk.
- The HNF1A rs7310409 polymorphism showed a strong correlation with plasma C-reactive protein (CRP) levels.
Conclusions:
- The HNF1A rs7310409 G/A functional polymorphism is a potential genetic risk factor for LMCAD in the Chinese population.
- This finding highlights the role of HNF1A in LMCAD pathogenesis, possibly through its association with inflammatory markers like CRP.
Abstract:
Coronary artery disease is the leading cause of mortality and morbidity in the world. Left main coronary artery disease (LMCAD) is a particularly severe phenotypic form of CAD and has a genetic basis. We hypothesized that some inflammation- and hyperhomocysteinemia-related gene polymorphisms may contribute to LMCAD susceptibility in a Chinese population. We studied the association between polymorphisms in the genes hepatocyte nuclear factor 1 alpha (HNF1A; rs7310409, G/A), C-reactive protein (rs1800947 and rs3093059 T/C), methylenetetrahydrofolate reductase (rs1801133, C/T), and methylenetetrahydrofolate dehydrogenase (rs1076991, A/G) in 402 LMCAD and 804 more peripheral CAD patients in a Chinese population. Genotyping was performed using the matrix-assisted laser desorption/ionization time-of-flight mass spectrometry method. When the HNF1A rs7310409 GG homozygote genotype was used as the reference group, both the individual, GA and AA, and combined GA/AA genotypes were associated with an increased risk of LMCAD. This single nucleotide polymorphism (rs7310409) is strongly associated with plasma CRP levels. In conclusion, the present study provides evidence that the HNF1A rs7310409 G/A functional polymorphism may contribute to the risk of LMCAD.
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