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Published on: April 1, 2019
AhR expression and polymorphisms are associated with risk of coronary arterial disease in Chinese population
Shian Huang1, Xiaorong Shui2, Yuan He3
11] Laboratory of Cardiovascular Diseases, Guangdong Medical College, Zhanjiang 524001, China [2] Department of Cardiovascular Medicine, Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001, China.
Insights
Increased aryl hydrocarbon receptor (AhR) expression and specific variants are linked to coronary arterial disease (CAD) susceptibility and progression in Chinese populations. AhR may serve as a biomarker for CAD diagnosis and therapy.
Area of Science:
- Cardiovascular Biology
- Environmental Toxicology
- Human Genetics
Background:
- The aryl hydrocarbon receptor (AhR) is a key mediator of environmental toxicity.
- AhR plays a role in cardiovascular system development and pathogenesis.
- The specific role of AhR in coronary arterial disease (CAD) susceptibility remains largely unknown.
Purpose of the Study:
- To investigate the association between aryl hydrocarbon receptor (AhR) variants and coronary arterial disease (CAD) susceptibility in a Chinese population.
- To evaluate circulating AhR expression as a potential biomarker for CAD.
- To explore the relationship between AhR polymorphisms and CAD subtypes.
Main Methods:
- A case-control study was conducted in a Chinese population.
- Circulating AhR expression levels were measured and compared between CAD patients and controls.
- Genotype frequencies of AhR rs2066853 were analyzed.
- Receiver operating characteristic (ROC) analysis was performed to assess AhR's biomarker potential.
Main Results:
- Circulating AhR expression was significantly elevated in CAD patients and various CAD subtypes compared to controls.
- AhR rs2066853 genotype frequencies differed significantly between CAD cases and controls.
- Smoking and hyperlipidemia were identified as significant risk factors for CAD, interacting with AhR polymorphism.
- Distinct AhR variant distributions were observed across different CAD severity subtypes.
Conclusions:
- Circulating AhR expression levels and functional polymorphisms are associated with CAD susceptibility and progression in Chinese individuals.
- AhR may serve as a potent biomarker for CAD diagnosis and a therapeutic target.
- These findings offer a novel perspective on the etiology and epidemiology of CAD.
Abstract:
The aryl hydrocarbon receptor (AhR) mediates the control of environmental toxicity, and modulates the development and pathogenesis of the cardiovascular system. However, little is known about the role of AhR in coronary arterial disease (CAD) susceptibility. We therefore conducted a case-control study in a Chinese population, and assessed the potential association between AhR variants and CAD susceptibility. Compared with the controls, circulating AhR expression was found to be significantly increased in patients with CAD and its subtypes including ST-segment and non-ST-segment elevation myocardial infarction, and stable and unstable angina pectoris. Receiver operating characteristic (ROC) analysis to evaluate the effect of AhR on CAD progression showed it to be a potent biomarker for CAD. Genotype frequencies of AhR rs2066853 differed significantly between CAD and control subjects, while smoking and hyperlipidemia markedly promoted CAD risk relative to the AhR polymorphism. Moreover, a significant difference in AhR variant distribution was observed between the four CAD subtypes with different severities. The expression level and functional polymorphisms of circulating AhR may affect the susceptibility and progression of CAD in Chinese populations. This provides a novel view of the etiology and epidemiology of CAD, and will contribute to the diagnosis and therapy of this severe disease.
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