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Genetics of coronary heart disease with reference to ApoAI-CIII-AIV gene region
Suraksha Agrawal1, Sarabjit Mastana1
1Suraksha Agrawal, Department of Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow UP 226014, India.
Insights
Genetic factors significantly influence cardiovascular diseases, including coronary artery disease (CAD). This review explores the role of specific gene clusters, like ApoAI-CIII-AIV, in CAD susceptibility.
Area of Science:
- Genetics and Molecular Biology
- Cardiology
- Population Health
Background:
- Cardiovascular diseases (CVDs) result from complex interactions between genetic and environmental factors.
- Twin and familial studies indicate a genetic predisposition to CVDs, with varying prevalence across ethnic groups.
- Advancements in molecular techniques and genetic markers aid in understanding CVD physiology and identifying susceptibility genes.
Purpose of the Study:
- To review the current understanding of genetic factors contributing to coronary artery disease (CAD) susceptibility.
- To highlight the role of specific candidate genes and their pathways in CAD.
- To discuss findings from genome-wide association studies (GWAS) identifying novel CAD-associated genes.
Main Methods:
- Literature review of genetic studies on cardiovascular diseases and coronary artery disease.
- Analysis of evidence from twin studies, familial aggregation, and ethnic population differences.
- Examination of molecular markers and candidate gene studies.
- Inclusion of findings from genome-wide association studies (GWAS).
Main Results:
- Multiple genes contribute to CAD predisposition, but findings are often inconsistent.
- Candidate gene studies suggest correlations with various CAD-related pathways.
- GWAS have identified novel chromosomal locations and genes associated with CAD.
- The ApoAI-CIII-AIV gene cluster is a focus of investigation for its role in CAD.
Conclusions:
- Genetic susceptibility plays a crucial role in the development of cardiovascular diseases, particularly CAD.
- Understanding the contribution of specific genes and gene clusters is essential for elucidating CAD etiology.
- Further research is needed to reconcile inconsistent findings and validate novel genetic associations for CAD.
Abstract:
Cardiovascular diseases are affected by multiple factors like genetic as well as environmental hence they reveal factorial nature. The evidences that genetic factors are susceptible for developing cardiovascular diseases come from twin studies and familial aggregation. Different ethnic populations reveal differences in the prevalence coronary artery disease (CAD) pointing towards the genetic susceptibility. With progression in molecular techniques different developments have been made to comprehend the disease physiology. Molecular markers have also assisted to recognize genes that may provide evidences to evaluate the role of genetic factors in causation of susceptibility towards CAD. Numerous studies suggest the contribution of specific "candidate genes", which correlate with various roles/pathways that are involved in the coronary heart disease. Different studies have revealed that there are large numbers of genes which are involved towards the predisposition of CAD. However, these reports are not consistent. One of the reasons could be weak contribution of genetic susceptibility of these genes. Genome wide associations show different chromosomal locations which dock, earlier unknown, genes which may attribute to CAD. In the present review different ApoAI-CIII-AIV gene clusters have been discussed.
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