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.
Abstract

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