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Variants in 9p21 Predicts Severity of Coronary Artery Disease in a Chinese Han Population
Jinjin Jing1, Li Su1, Ying Zeng2
1Department of Cardiology, the Second Affiliated Hospital of Chongqing Medical University, the Chongqing Cardiac Arrhythmias Service Center, Chongqing, China.
Insights
Genetic variants in the 9p21 locus, specifically rs2383207 and rs2383206, predict coronary artery disease (CAD) severity in the Chinese Han population. This finding highlights the potential of 9p21 gene dosage for predicting CAD progression.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Population Studies
Background:
- Genome-wide association studies (GWAS) have linked 9p21 genetic variants to coronary artery disease (CAD).
- The predictive value of these 9p21 variants for CAD severity in the Chinese Han population remains undetermined.
Purpose of the Study:
- To investigate the association between 9p21 genetic variants (rs2383207 and rs2383206) and the severity of coronary artery disease (CAD).
- To determine if 9p21 gene dosage can predict CAD severity in Chinese Han individuals.
Main Methods:
- Genotyping of single-nucleotide polymorphisms (SNPs) rs2383207 and rs2383206 in 499 CAD patients and 1519 controls from the Chinese Han population.
- Stratification of 9p21 gene dosage based on coronary angiography (CAG) findings to assess the degree of vascular lesions.
- Statistical analysis to test the association between gene dosage and CAD severity, including Gensini score.
Main Results:
- Both rs2383207 and rs2383206 showed significant associations with multi-vessel coronary artery disease (2-vessel and 3-vessel disease).
- Specific genotypes (GG) of rs2383206 and rs2383207 were linked to increased prevalence of left main trunk (LM) and left anterior descending artery (LAD)/right coronary artery (RCA) disease, respectively.
- The risk allele G of rs2383207 was significantly associated with higher Gensini scores, indicating more severe CAD.
Conclusions:
- The 9p21 locus, particularly rs2383207, plays a significant role in the development and severity of coronary artery disease (CAD) in the Chinese Han population.
- 9p21 gene dosage serves as a potential predictor for the severity of coronary artery disease (CAD).
Abstract:
Recent genome-wide association studies identified the common genetic variants in 9p21 were associated with the coronary artery disease (CAD). However, whether this locus could predict the severity of CAD in Chinese Han population is unclear. 499 CAD patients who underwent coronary angiography (CAG) have been enrolled for this study. The single-nucleotide polymorphisms rs2383207 and rs2383206 in 9p21 were genotyped in 499 CAG cases and 1519 controls in Chinese Han population. The gene dosage of 9p21 was stratified by the degree of vascular lesions and tested for association with the severity of CAD. Rs2383207 and rs2383206 demonstrated significant associations with 2-vessel and 3-vessel disease (P = 2.0×10(-3) and 1.9×10(-4) , respectively). GG genotypes of rs2383206 occurred higher proportion of left main trunk (LM) disease (P = 6.0×10(-3) ). GG genotypes of rs2383207 occurred higher proportion of left anterior descending artery disease (LAD) and right CAD (RCA) (P = 2.7×10(-6) and 1.6×10(-4) , respectively). The risk allele G of rs2383207 was associated with severity of CAD estimated by the Gensini score (P = 3.6×10(-5) ). Rs2383207 may strongly influence the development of CAD in Chinese Han population. The gene dosage in 9p21 could predict the severity of CAD.
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