Complement receptor 1 gene polymorphisms are associated with cardiovascular risk
Marijke A de Vries1, Stella Trompet2, Simon P Mooijaart3
1Department of Internal Medicine, Center for Diabetes and Vascular Medicine, Franciscus Gasthuis, Rotterdam, The Netherlands.
Insights
Genetic variations in the complement receptor 1 (CR1) gene are linked to inflammation and coronary artery disease risk. This study analyzed CR1 gene polymorphisms in relation to cardiovascular events.
Area of Science:
- Cardiovascular Genetics
- Immunogenetics
- Atherosclerosis Research
Background:
- Inflammation is a critical factor in atherosclerosis development.
- The complement system, including complement receptor 1 (CR1), is implicated in atherogenesis and immune complex clearance.
- Existing evidence suggests a potential role for CR1 in cardiovascular disease (CVD).
Purpose of the Study:
- To investigate the association between complement receptor 1 (CR1) gene single nucleotide polymorphisms (SNPs) and cardiovascular risk.
- To explore the relationship between CR1 gene variations, inflammation markers, and incident coronary artery disease.
Main Methods:
- Genotyping of 73 CR1 gene SNPs in 5244 elderly participants from the PROSPER study.
- Logistic regression analysis adjusted for relevant covariates to assess SNP associations with cardiovascular disease.
- Evaluation of associations between CR1 SNPs and serum C-reactive protein (CRP) levels.
Main Results:
- Twelve of the 73 analyzed CR1 SNPs showed a significant association with the risk of myocardial infarction (fatal or nonfatal).
- A significant global p-value (0.0489) rejected the null hypothesis of no associated SNPs.
- Most SNPs associated with myocardial infarction risk were also linked to altered serum C-reactive protein (CRP) levels.
Conclusions:
- Genetic variations within the CR1 gene are significantly associated with systemic inflammation.
- CR1 gene polymorphisms are linked to an increased risk of incident coronary artery disease.
- These findings highlight the role of CR1 in the interplay between genetic factors, inflammation, and cardiovascular health.
Background And Aims:
Inflammation plays a key role in atherosclerosis. The complement system is involved in atherogenesis, and the complement receptor 1 (CR1) plays a role facilitating the clearance of immune complexes from the circulation. Limited evidence suggests that CR1 may be involved in cardiovascular disease. We investigated the relationship between CR1 gene polymorphisms and cardiovascular risk.
Methods:
Single nucleotide polymorphisms (SNPs) within the CR1 region (n = 73) on chromosome 1 were assessed in 5244 participants in PROSPER (PROspective Study of Pravastatin in the Elderly at Risk) (mean age 75.3 years), who had been randomized to pravastatin 40 mg/day or placebo and followed for a mean of 3.2 years. Logistic regression, adjusted for gender, age, country and use of pravastatin, was used to assess the association between the SNPs and cardiovascular disease.
Results:
All 73 SNPs within the genomic region of the CR1 gene on chromosome 1 were extracted. In this region, strong LD was present leading to the occurrence of two haploblocks. Twelve of the 73 investigated CR1 SNPs were significantly associated with the risk of fatal or nonfatal myocardial infarction (all p < 0.05). Moreover, most of the associated SNPs were also associated with levels of serum C-reactive protein (CRP). The global p-value for the tail strength method to control for multiple testing was 0.0489, implying that the null hypothesis of no associated SNPs can be rejected.
Conclusions:
These data indicate that genetic variation within the CR1 gene is associated with inflammation and the risk of incident coronary artery disease.
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