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ACAT-1 gene polymorphism is associated with increased susceptibility to coronary artery disease in Chinese Han
Yong-Tao Wang1,2, Ying-Hong Wang1,2, Yi-Tong Ma1,2
1Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, P.R. China.
Insights
Genetic variations in Acyl-CoA: cholesterol acyltransferase-1 (ACAT-1) influence coronary artery disease (CAD) risk. Specific ACAT-1 polymorphisms, rs11545566 and rs10913733, are linked to increased CAD risk and severity.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Biochemistry
Background:
- Acyl-CoA: cholesterol acyltransferase-1 (ACAT-1) plays a role in atherosclerosis development.
- Genetic factors may influence an individual's susceptibility to coronary artery disease (CAD).
Purpose of the Study:
- To investigate the correlation between genetic variations in ACAT-1 genes and the risk of developing CAD.
- To assess the association between ACAT-1 polymorphisms and the severity of CAD.
Main Methods:
- Genotyping of four ACAT-1 polymorphisms (rs1044925, rs11545566, rs12121758, rs10913733) in 750 CAD patients and 580 healthy controls.
- Utilized the improved multiplex ligation detection reaction (iMLDR) method for genotyping.
- Employed multivariate linear regression analysis to correlate genotypes with Gensini scores.
Main Results:
- The rs11545566 G allele was significantly associated with elevated CAD risk (AOR = 1.67, P = 0.001).
- The rs10913733 G allele also showed a significant association with increased CAD risk (AOR = 1.39, P = 0.013).
- The rs11545566 polymorphism was independently associated with Gensini scores, indicating a link to CAD severity (P = 0.005).
Conclusions:
- ACAT-1 gene polymorphisms rs11545566 and rs10913733 are novel genetic factors contributing to CAD development.
- The rs11545566 polymorphism is associated with the severity of coronary artery disease.
Abstract:
Several studies suggest an important role of Acyl-CoA: cholesterol acyltransferase-1(ACAT-1) in the development of atherosclerosis. The aim of present study was to investigate whether there exists a possible correlation between genetic variations in ACAT-1 genes and coronary artery disease (CAD) risk. Four polymorphisms (rs1044925, rs11545566, rs12121758 and rs10913733) were finally selected and genotyped in 750 CAD patients and 580 health controls, using the improved multiplex ligation detection reaction (iMLDR) method. We found that the rs11545566 G allele was associated with a significantly elevated CAD risk [GG vs. AA: adjusted odds ratio (AOR) = 1.62, 95% confidence interval (CI) = 1.13-2.32, P = 0.008; GA/GG vs. AA: AOR = 1.67, 95% CI = 1.22-2.29, P = 0.001]. The rs10913733 G allele was also associated with a significantly elevated CAD risk (GG vs. TT: AOR = 1.57, 95% CI = 1.08-2.28, P = 0.018; GT/GG vs. TT: AOR = 1.39, 95% CI = 1.07-1.79, P = 0.013). Multivariate linear regression analysis showed that the rs11545566 polymorphism was independently associated with the Gensini scores (P = 0.005). The Gensini score of subjects in the variant GG genotype group and the GG/GA genotype group were higher than the score of subjects in the AA genotype group (32.49 ± 26.60 and 31.26 ± 26.96 vs. 23.45 ± 21.64; P = 0.001 and 0.002, respectively). Our results demonstrate that ACAT-1 rs1154556 and rs10913733 polymorphism are novel genetic factors in the development of CAD. Rs11545566 was also associated with the severity of CAD.
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