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Published on: July 3, 2018
Meta-Analysis of miR-146a Polymorphisms Association with Coronary Artery Diseases and Ischemic Stroke
Mei-Hua Bao1, Yan Xiao2, Qing-Song Zhang3
1Department of Anatomy, Histology and Embryology, Changsha Medical University, Changsha 410219, China. mhbao78@163.com.
Insights
The miR-146a rs2910164 polymorphism is linked to reduced coronary artery disease (CAD) risk. This single nucleotide polymorphism (SNP) shows no significant association with ischemic stroke (IS) susceptibility overall.
Area of Science:
- Genetics and Molecular Biology
- Cardiovascular Diseases
- Neurology
Background:
- Coronary artery disease (CAD) and ischemic stroke (IS) are major causes of mortality, both stemming from atherosclerosis.
- MicroRNA-146a (miR-146a) plays a role in the progression of CAD and IS.
- A specific single nucleotide polymorphism (SNP), rs2910164, in the miR-146a precursor has been investigated for its association with CAD and IS risk, but findings remain inconsistent.
Purpose of the Study:
- To conduct a meta-analysis evaluating the association between the miR-146a rs2910164 polymorphism and the risk of CAD and IS.
- To clarify the conflicting results from previous studies regarding rs2910164 and its impact on atherosclerosis-related disease susceptibility.
Main Methods:
- A systematic literature search was performed across major databases: Pubmed, Embase, Cochrane CENTRAL, CNKI, and CBM.
- Eight studies comprising 3138 cases and 3097 controls were included in the meta-analysis.
- Crude odds ratios (ORs) with 95% confidence intervals were calculated using random- or fixed-effect models to assess the strength of association for rs2910164.
Main Results:
- The rs2910164 polymorphism was significantly associated with a reduced risk of CAD across multiple genetic models (allelic, homozygous, heterozygous, dominant).
- Individuals with the GG genotype, GG + GC genotype, or G allele showed a lower risk of developing CAD.
- No significant overall association was found between rs2910164 and IS susceptibility. However, subgroup analyses indicated a potential increased risk in large sample sizes and among Koreans under specific models.
Conclusions:
- The rs2910164 polymorphism is associated with a decreased risk of coronary artery disease.
- Rs2910164 is not definitively linked to ischemic stroke risk, despite some subgroup findings.
- Rs2910164 may serve as a potential predictive marker for CAD susceptibility, but not for IS.
Abstract:
Coronary artery disease (CAD) and ischemic stroke (IS) are manifestations of atherosclerosis, with a high death rate. miR-146a is a microRNA that participates in the progress of CAD and IS. A single nucleotide polymorphism (SNP) in the precursor of miR-146a, rs2910164, was found to be associated with the risks of CAD and IS. However, the results were inconsistent and inconclusive. A meta-analysis was performed to assess the relationship of rs2910164 and CAD as well as IS susceptibility. The database Pubmed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), Chinese National Knowledge Infrastructure (CNKI), and Chinese Biomedical Literature Database (CBM) were searched for related studies. Crude odds ratios with 95% confidence intervals were used to investigate the strength of the association by random- or fixed-effect model. A total of eight studies, with 3138 cases and 3097 controls were identified for the meta-analysis. The results shows that rs2910164 is associated with the risk of CAD significantly in allelic model (OR = 0.86), homozygous model (OR = 0.70), heterozygous model (OR = 0.80) and dominant model (OR = 0.76). The subjects carrying the GG genotype, GG + GC genotype or G allele are at lower risks of CAD. For the susceptibility of IS, there are no significant associations between rs2910164 and total studies. However, in subgroup analysis by sample size and ethnicity, the GG, GG + GC and G allele of rs2910164 are found to be associated with higher risks of IS in large sample size group and in Koreans, under homozygous and dominant models. In conclusion, the current meta-analysis suggests lower risks of CAD for GG, GG + GC genotype and G allele of rs2910164, while rs2910164 is not associated with the risk of IS. Thus rs2910164 might be recommended as a predictor for susceptibility of CAD, but not IS.
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