Association of the PPARγ2 Pro12Ala polymorphism with increased risk of cardiovascular diseases
1Department of Pharmacy, Ministry of Health Beijing Hospital, Beijing, China.
Insights
The PPARγ2 Pro12Ala polymorphism is linked to an increased risk of cardiovascular disease (CVD), especially myocardial infarction (MI). This genetic variant may serve as an early indicator for CVD development.
Area of Science:
- Genetics and Cardiovascular Medicine
Background:
- Cardiovascular disease (CVD) remains a leading cause of mortality worldwide.
- Genetic factors play a significant role in the susceptibility to CVD.
- The peroxisome proliferator-activated receptor gamma 2 (PPARγ2) Pro12Ala polymorphism has been investigated for its association with CVD risk.
Purpose of the Study:
- To conduct a meta-analysis investigating the correlation between the PPARγ2 Pro12Ala polymorphism (rs1801282) and the risk of cardiovascular disease (CVD).
- To analyze the association across different inheritance models and specific CVD subtypes, including myocardial infarction (MI), coronary artery disease (CAD), and acute coronary syndromes (ACS).
Main Methods:
- A comprehensive meta-analysis of published case-control studies was performed.
- Studies were identified through electronic database and manual searches, adhering to strict inclusion criteria.
- Statistical analyses were conducted using R 3.1.0 and Stata 12.0 software, examining allelic, dominant, homozygous, heterozygous, and recessive models.
Main Results:
- The meta-analysis included 12 studies with 10,189 CVD patients and 17,899 controls.
- The PPARγ2 Pro12Ala polymorphism showed a significant correlation with increased CVD risk under allelic and dominant models.
- A higher risk of MI was associated with the polymorphism under allelic and dominant models, but not with CAD or ACS.
Conclusions:
- The PPARγ2 Pro12Ala (rs1801282) polymorphism is potentially associated with an elevated risk of developing cardiovascular disease (CVD).
- This genetic polymorphism appears to be a significant risk factor particularly for myocardial infarction (MI).
- The PPARγ2 Pro12Ala polymorphism may function as a valuable early indicator for CVD risk stratification.
Abstract:
This meta-analysis investigated the correlation between the PPARγ2 Pro12Ala polymorphism and cardiovascular disease (CVD). Electronic database and manual searches were conducted to retrieve studies published relevant to the PPARγ2 Pro12Ala polymorphism and CVD. Rigorous inclusion and exclusion criteria were employed for selection of high-quality patients-control studies. Statistical data analyses on allelic, dominant, homozygous, heterozygous, and recessive inheritance models were performed using the R 3.1.0 and Stata 12.0 software. We enrolled 12 case-control studies consisting of 10,189 patients with CVD [1070 with myocardial infarction (MI), 7849 with coronary artery disease (CAD), and 1270 with acute coronary syndromes (ACS)] and 17,899 controls. The results of meta-analyses revealed that the PPARγ2 Pro12Ala (rs1801282) polymorphism was correlated with a higher risk of CVD under both allelic and dominant models, while no statistical significance was found under homozygous, heterozygous, or recessive models. Subgroup analysis based on disease showed that the PPARγ2 Pro12Ala (rs1801282) polymorphism was correlated with a higher risk of MI under both allelic and dominant models, while no statistical significance was found for association with CAD or ACS under allele or dominant models. Furthermore, under homozygous, heterozygous, and recessive models, the PPARγ2 Pro12Ala (rs1801282) polymorphism had no statistically significant association with MI, CAD, or ACS. The results of this meta-analysis suggest that the PPARγ2 Pro12Ala (rs1801282) polymorphism might be correlated with a higher risk of CVD, particularly MI, and could serve as an important early indicator for CVD.
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