Genetic Association Studies Reporting on Variants in the C-Reactive Protein Gene and Coronary Artery Disease: A
Yujie Shi1, Jian Zhang, Chen Tan
1From the Cardiovascular Diseases Institute, General Hospital of Beijing Military Command of PLA, Beijing, China.
Insights
This meta-analysis found no significant association between C-reactive protein (CRP) gene variants (+942G>C, +1444C>T) and coronary artery disease (CAD) risk. A borderline association was noted for the -717A>G variant, suggesting CRP gene variations may not significantly impact CAD risk.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Molecular Biology
Background:
- C-reactive protein (CRP) is a key inflammatory marker linked to increased coronary artery disease (CAD) risk.
- Genetic variations in the CRP gene are hypothesized to influence CRP levels and CAD susceptibility.
- Previous studies on CRP variants and CAD risk have yielded inconsistent results.
Purpose of the Study:
- To conduct a meta-analysis investigating the association between specific CRP gene variants (+942G>C, -717A>G, +1444C>T) and the genetic risk of coronary artery disease (CAD).
Main Methods:
- Systematic literature search and meta-analysis of human case-control studies.
- Inclusion of 16 studies examining CRP variants (+942G>C, -717A>G, +1444C>T) and CAD risk.
- Application of both random-effect and fixed-effect models to calculate odds ratios (OR) for CAD risk.
Main Results:
- The CRP +942G>C variant showed no significant association with CAD risk in the overall pooled analysis or subgroup analyses.
- The CRP +1444C>T variant also demonstrated no significant association with CAD risk.
- A borderline association between the CRP -717A>G variant and CAD risk was observed under homozygous (OR=0.53) and recessive (OR=0.51) models.
Conclusions:
- The CRP gene variants examined, including +942G>C and +1444C>T, do not appear to significantly modulate the risk of coronary artery disease.
- The -717A>G CRP variant exhibited a borderline association with CAD risk, warranting further investigation.
- Overall, the findings suggest that common CRP gene variations may play a limited role in the genetic predisposition to CAD.
Abstract:
C-reactive protein (CRP) is a commonly used inflammatory marker and elevated CRP levels are shown to increase the risk of coronary artery disease (CAD). Sequence variations in the CRP gene believed to influence the protein levels have been extensively investigated in CAD community. Most of the published studies, however, have reported mixed findings. The objective of the present study was to examine the associations of CRP variants (+942G>C, -717A>G, +1444C>T) with genetic risk of CAD by use of a meta-analysis.The human case-control studies were identified through online search, hand search, and contacting the authors of original articles. We performed both random-effect and fixed-effect meta-analysis to estimate CAD risk (odds ratios, OR). This analysis combined 16 studies in total. We found +942G>C was not associated with CAD risk when all data were pooled together, nor did we find a significant association in subgroup analyses. Meta-analysis of +1444C>T studies showed a similar trend. However, a borderline association with CAD risk was revealed for -717A>G (random-effect: OR = 0.53, 95% CI = 0.28-1.00 for the homozygous model; random-effect: OR = 0.51, 95% CI = 0.26-1.00 for the recessive model).These data suggest that the CRP gene variants examined may not modulate CAD risk.
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