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Updated: Mar 7, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Genomic Variant in IL-37 Confers A Significant Risk of Coronary Artery Disease
Dan Yin1,2, Duraid Hamied Naji1, Yunlong Xia3
1Key Laboratory of Molecular Biophysics of the Ministry of Education, College of Life Science and Technology, Center for Human Genome Research, Cardio-X Institute, Huazhong University of Science and Technology, Wuhan, P. R. China.
Insights
A specific gene variant in Interleukin-37 (IL-37) significantly increases the risk for coronary artery disease (CAD). This finding identifies IL-37 as a potential new target for preventing and treating this common inflammatory condition.
Area of Science:
- Immunology
- Genetics
- Cardiology
Background:
- The interleukin-1 (IL-1) family cytokines are crucial regulators of immune and inflammatory responses.
- Coronary artery disease (CAD) is a complex chronic inflammatory condition with significant global health implications.
- The specific role of Interleukin-37 (IL-37), a member of the IL-1 family, in the pathogenesis of CAD remains largely unexplored.
Purpose of the Study:
- To investigate the potential genetic association between a single nucleotide polymorphism (SNP) in the IL-37 gene (rs3811047) and the risk of developing CAD.
- To explore the impact of the identified SNP on IL-37 gene expression levels.
Main Methods:
- Association analysis of the IL-37 gene polymorphism rs3811047 with CAD in two independent Chinese populations (2,501 patients and 3,116 controls).
- Statistical analysis using recessive genetic models and adjustment for multiple testing.
- Quantitative reverse transcription polymerase chain reaction (RT-PCR) to assess the correlation between rs3811047 genotype and IL-37 mRNA expression.
Main Results:
- The minor allele A of rs3811047 was significantly associated with an increased risk of CAD in both independent populations and the combined cohort.
- The association remained statistically significant even after adjusting for age and sex in a matched case-control analysis.
- Carriage of allele A of rs3811047 was correlated with significantly decreased mRNA expression levels of IL-37.
Conclusions:
- The IL-37 gene polymorphism rs3811047 represents a novel genetic risk factor for coronary artery disease.
- Reduced IL-37 expression, potentially influenced by rs3811047, may contribute to CAD development.
- IL-37 emerges as a potential therapeutic target for the prevention and management of CAD.
Abstract:
The interleukin 1 family plays an important role in the immune and inflammatory responses. Coronary artery disease (CAD) is a chronic inflammatory disease. However, the genetic association between IL-37, the seventh member of the IL-1 family, and CAD is unknown. Here we show that a single nucleotide polymorphism in the IL-37 gene (rs3811047) confers a significant risk of CAD. We have performed an association analysis between rs3811047 and CAD in two independent populations with 2,501 patients and 3,116 controls from China. Quantitative RT-PCR analysis has been performed to determine if the IL-37 expression level is influenced by rs3811047. We show that the minor allele A of rs3811047 is significantly associated with CAD in two independent populations under a recessive model (Padj = 5.51 × 10-3/OR = 1.56 in the GeneID Northernern population and Padj = 1.23 × 10-3/OR = 1.45 in the GeneID Central population). The association became more significant in the combined population (Padj = 9.70 × 10-6/OR = 1.47). Moreover, the association remains significant in a CAD case control population matched for age and sex. Allele A of rs3811047 shows significant association with a decreased mRNA expression level of IL-37 (n = 168, P = 3.78 × 10-4). These data suggest that IL37 is a new susceptibility gene for CAD, which provides a potential target for the prevention and treatment of CAD.
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Pharmacogenomics: Identification of New Drug Targets
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Coronary Artery Disease I: Introduction
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Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu
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