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Variant in GALNT3 Gene Linked with Reduced Coronary Artery Disease Risk in Chinese Population
Liwei Guo1, Duan Li2, Mengting Li3
11 Department of Forensic Medicine, Xinxiang Medical University , Xinxiang, China .
Insights
This study links the GALNT3 gene to coronary artery disease (CAD) susceptibility. Genetic variants in GALNT3, particularly rs4621175, are associated with reduced CAD risk and lower GALNT3 expression, offering new therapeutic targets.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Disease Pathogenesis
Background:
- Previous research indicated reduced GALNT3 gene expression in coronary artery disease (CAD) patients, contributing to endothelial injury via apoptosis and matrix metalloproteinase (MMP) regulation.
- The GALNT3 gene presents a potential therapeutic target for CAD, but its direct link to CAD susceptibility remained uninvestigated.
Purpose of the Study:
- To investigate the association between genetic variants of the GALNT3 gene and susceptibility to coronary artery disease (CAD).
- To explore the functional impact of identified variants on GALNT3 expression and its relationship with CAD pathogenesis.
Main Methods:
- Genotyping of thirteen single nucleotide polymorphisms (SNPs) in and around the GALNT3 gene in 1515 CAD patients and 5019 control individuals.
- Logistic regression analysis to assess SNP associations with CAD, adjusting for age and sex.
- Real-time PCR, Western blot, and luciferase reporter assays to evaluate GALNT3 expression and allele-specific transcriptional activity.
Main Results:
- Two GALNT3 SNPs, rs13427924 and rs4621175, showed significant association with CAD risk (OR=0.87, P=1.01×10⁻³ and OR=0.75, P=2.51×10⁻⁴, respectively).
- The risk-associated A allele of rs4621175 correlated with decreased GALNT3 mRNA and protein expression, and reduced transcriptional activity.
- GALNT3 expression levels were found to be negatively correlated with MMP-2 gene expression.
Conclusions:
- The GALNT3 gene is identified as a novel contributor to CAD susceptibility.
- The A allele of the disease-associated variant rs4621175 confers reduced CAD risk by decreasing GALNT3 expression.
- These findings elucidate the genetic regulation of GALNT3 in CAD pathogenesis and confirm its role in the disease.
Abstract:
Our previous study found expression of GALNT3 gene was reduced in coronary artery disease (CAD) patients, and it contributed to endothelial injury by regulating apoptosis and matrix metalloproteinase (MMP) expression. GALNT3 gene may be a potential target for future therapeutic intervention of CAD. However, none reports linking the GALNT3 gene to susceptibility of CAD. This study investigated the variant associations of GALNT3 gene and CAD. Thirteen single nucleotide polymorphism (SNP) in and around the GALNT3 gene were tagged and analyzed in CAD patients (n = 1515) and control individuals (n = 5019), and the SNPs with CAD were tested with multiple logistic regression analysis in an additive genetic model (with one degree of freedom) after adjusting for age and sex. Expression of GALNT3 gene was detected by real-time PCR and Western blot. Luciferase reporter assays were used to detect the allele-specific effect of rs4621175 on transcriptional activity. Two GALNT3 markers, rs13427924 and rs4621175, were significantly associated with CAD (odds ratio [OR] = 0.87, p = 1.01 × 10-3 and OR = 0.75, p = 2.51 × 10-4, respectively), and the risk A allele of rs4621175 was associated with lower GALNT3 expression in both mRNA and protein level; also, A allele showed decreased reporter activity. In addition, we found the level of GALNT3 negatively correlated with MMP-2 gene expression. This study identified GALNT3 as a novel gene that rendered patients susceptible to CAD, and the A allele of a disease-associated variant rs4621175 linked reduced CAD risk through decreased GALNT3 expression. These results confirmed the role of GALNT3 gene in CAD and provided new insights into the genetic regulation of the GALNT3 gene with respect to the pathogenesis of CAD.
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