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A Functional Aryl Hydrocarbon Receptor Genetic Variant, Alone and in Combination with Parental Exposure, is a Risk
Silvia Pulignani1, Andrea Borghini2, Cecilia Vecoli2
1CNR Institute of Clinical Physiology, Via Moruzzi 1, 56124, Pisa, Italy. pulignani@ifc.cnr.it.
Abstract:
Recent experimental studies showed that ablation of the aryl hydrocarbon receptor (AhR) as well as its activation by exogenous ligands disrupt the molecular networks involved in heart formation and function, leading to congenital heart disease (CHD). However, no evidence is available about the role of AhR in humans. We assessed the prevalence of a functional AhR genetic variant (p.Arg554Lys) in CHD patients as well as its joint effects with parental exposure. A total of 128 CHD patients (76 males; age 6.2 ± 6.7 years) and 274 controls (160 males; age at birth) were genotyped for the AhR polymorphism by using the TaqMan® Drug Metabolism Genotyping assay. Both case and control parents completed a structured questionnaire on demographic, lifestyle and preconception exposures. Genotype (p = 0.001) and allele (p < 0.0001) distributions of AhR p.Arg554Lys differed significantly between patients and controls. A significant elevated CHD risk was found under dominant (OR = 2.9, 95% CI 1.9-4.6, p < 0.0001) and additive genetic models (OR = 6.2, 95% CI 2-19, p = 0.001). There was a significant interaction between 554-Lys allele and paternal smoking exposure (ORsmoking = 1.6, 95% CI = 0.9-2.9; ORallele = 2.6, 95% CI = 1.3-5; ORinteraction = 4.9, 95% CI = 2.4-9.9, p interaction < 0.0001). Additionally, 554-Lys allele exacerbated the effect of maternal periconceptional exposure (ORexposure = 1.6, 95% CI = 0.8-3; ORallele = 2.6, 95% CI = 1.5-4.5; ORinteraction = 5.7; 95% CI = 2.6-12, p interaction < 0.0001). Our findings showed that the AhR p.Arg554Lys polymorphism, alone and in combination with parental exposures, is associated with the CHD risk, highlighting the significant role of AhR in the cardiovascular development.
Insights
The aryl hydrocarbon receptor (AhR) genetic variant p.Arg554Lys is linked to congenital heart disease (CHD) risk in humans. This variant interacts with parental exposures, like smoking and periconceptional factors, to increase CHD susceptibility.
Area of Science:
- Cardiovascular Genetics
- Developmental Biology
- Toxicology
Background:
- Aryl hydrocarbon receptor (AhR) signaling is crucial for heart development.
- Experimental studies link AhR disruption to congenital heart disease (CHD), but human data is lacking.
Purpose of the Study:
- To investigate the prevalence of a functional AhR genetic variant (p.Arg554Lys) in human CHD.
- To assess the combined effects of this AhR variant and parental exposures on CHD risk.
Main Methods:
- Genotyping of 128 CHD patients and 274 controls for the AhR p.Arg554Lys polymorphism using TaqMan assay.
- Parental questionnaires on demographic, lifestyle, and preconception exposures.
- Statistical analysis of genotype, allele distributions, and gene-environment interactions.
Main Results:
- Significant differences in AhR p.Arg554Lys genotype and allele frequencies between CHD patients and controls (p < 0.001).
- Elevated CHD risk associated with the AhR p.Arg554Lys variant under dominant and additive models (ORs 2.9-6.2).
- Significant interactions between the 554-Lys allele and paternal smoking (p < 0.0001) and maternal periconceptional exposures (p < 0.0001), increasing CHD risk.
Conclusions:
- The AhR p.Arg554Lys polymorphism is a risk factor for CHD in humans.
- Parental exposures, particularly paternal smoking and maternal periconceptional exposures, interact with the AhR variant to exacerbate CHD risk.
- These findings underscore the critical role of AhR in cardiovascular development and highlight gene-environment interactions in CHD etiology.
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