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Case control feasibility study assessing the association between severity of coronary artery disease with Glutathione
Dinushka Wickremasinghe1, Hemantha Peiris1, Lal Gotabhaya Chandrasena1
1Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.
Insights
Glutathione peroxidase-1 (GPX-1) activity and Pro198Leu polymorphism are linked to coronary artery disease (CAD) in South Asians. Lower GPX-1 activity and the CT genotype increase CAD risk and susceptibility.
Area of Science:
- Cardiovascular Genetics
- Biomarker Discovery
- Molecular Cardiology
Background:
- Glutathione peroxidase-1 (GPX-1) activity is a potential marker for cardiovascular disease.
- GPX-1 polymorphism's role in coronary artery disease (CAD) lacks data for South Asians.
- This study investigates GPX-1 activity and polymorphism in South Asian CAD patients.
Purpose of the Study:
- To assess GPX-1 activity and Pro198Leu polymorphism in South Asian patients with coronary artery disease (CAD).
- To determine the association between GPX-1 genetic variations, enzyme activity, and CAD severity.
- To evaluate GPX-1 as a potential biomarker for CAD risk in this population.
Main Methods:
- A case-control study involving 85 CAD patients and 85 healthy controls (age/sex-matched).
- Analysis of erythrocyte GPX-1 activity and Pro198Leu (CT) polymorphism.
- CAD severity assessed using coronary angiography scoring.
Main Results:
- A GPX-1 activity cutoff of 23.9 U/gHb demonstrated high sensitivity for ruling out major vessel disease.
- The Pro198Leu (CT) polymorphism was significantly more prevalent in CAD patients (25.3%) than controls (10.7%).
- Carriers of the CT genotype had a 2.84-fold increased risk of CAD.
Conclusions:
- Individuals with Pro198Leu (CT) polymorphism exhibit lower erythrocyte GPX-1 activity.
- This polymorphism is associated with increased susceptibility to coronary artery disease (CAD).
- GPX-1 activity and Pro198Leu polymorphism are relevant factors in South Asian CAD.
Background:
Glutathione peroxidase-1 (GPX-1) activity was reported to be useful marker for monitoring cardiovascular disease. However, accurate assessment of coronary artery disease (CAD) using GPX-1 polymorphism is limited for South Asian population. Present study aim to assess GPX-1activity and GPX-1 polymorphismin patients with coronary artery disease (CAD) who were confirmed with coronary angiography findings and in apparently healthy subjects.
Methods:
Case control study was carried out with 85 patients (58 males and 27 females) 40-60 years of age confirmed as having CAD on coronary angiography findings and 85 age and sex matched healthy volunteers as controls. Blood samples were analyzed for erythrocyte GPX-1 activity and GPX-1 polymorphism in both groups and the severity of CAD was assessed using coronary angiography scoring system based on vessel, stenosis and extent score.
Results:
Coronary angiography scores indicated that erythrocyteGPX-1 cutoff value of 23.9 U/gHb showed a high sensitivity and negative predictive value in ruling out major vessel disease. The GPX-1 Pro198Leu (CT) polymorphism was higher in patients with CAD (25.3 %) when compared to controls (10.7 %). Pro198Leu (CT) genotype showed a 2.84 fold risk for CAD [odds ratio 2.84 (95 % CI 1.15-6.98), p = 0.019].
Conclusion:
Coronary angiography findings indicated that individuals possessing Pro198Leu (CT) polymorphism were found to be associated with low erythrocyte GPX-1 activity and increased susceptibility for CAD.
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