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RELATIONSHIP BETWEEN INTERLEUKIN-6 GENE POLYMORPHISM AND HEART FAILURE IN PATIENTS WITH CORONARY ARTERY DISEASE AND
Pavlo G Kravchun1, Olga I Kadykova1, Natalia G Ryndina1
1KHARKIV NATIONAL MEDICAL UNIVERSITY, KHARKIV, UKRAINE.
Insights
The -174G>C polymorphism in the interleukin-6 gene is linked to a higher risk of heart failure in patients with both coronary artery disease and obesity. This genetic variation impacts heart failure development in this patient group.
Area of Science:
- Genetics and Cardiovascular Medicine
- Molecular Biology and Disease Pathogenesis
Background:
- Coronary artery disease (CAD) and obesity are significant risk factors for heart failure (HF).
- Interleukin-6 (IL-6) is a pro-inflammatory cytokine implicated in cardiovascular disease progression.
Purpose of the Study:
- To investigate the association between specific polymorphisms in the IL-6 gene promoter and the incidence of HF.
- To determine if IL-6 gene variations modify HF risk in patients with co-existing CAD and obesity.
Main Methods:
- A case-control study involving 222 patients with CAD and obesity, compared to 115 CAD patients with normal weight.
- Analysis of single nucleotide polymorphisms (SNPs) in the IL-6 promoter region, specifically the -174G>C variant.
- Calculation of odds ratios (OR) and 95% confidence intervals (CI) to assess risk association.
Main Results:
- The -174G allele and GG genotype were significantly associated with an increased risk of HF in patients with CAD and obesity (OR=2.55 and OR=11.95, respectively).
- Conversely, the -174C allele demonstrated a protective effect, associated with a decreased risk of HF (OR=0.39).
- Genotype frequencies differed significantly between groups, highlighting the role of IL-6 polymorphism in HF development.
Conclusions:
- The -174G>C polymorphism in the IL-6 gene is a significant genetic marker associated with an elevated risk of heart failure.
- These findings suggest that IL-6 gene variations play a crucial role in the pathogenesis of HF in individuals with CAD and obesity.
Objective:
The aim: To examine the association between polymorphisms of the IL-6 gene promoter and HF in patients with CAD and obesity.
Patients And Methods:
Material and methods: 222 patients with coronary artery disease and obesity were identified. Comparison group consisted of 115 patients with coronary artery disease with normal body weight. The groups were comparable in age and sex. The exclusion group consisted of patients with severe concomitant diseases of the respiratory and digestive organs, kidneys and people with cancer. One single nucleotide polymorphisms in the interleukin-6 promoter region was analyzed. Odds ratio (OR) and 95 % confident interval (95 % CI) were calculated.
Results:
Results: The combined course of coronary artery disease and obesity was characterized by the detection of allele C in 62 patients (27.93 %), allele G - in 160 patients (72.07 %), and genotypes CC, CG and GG - at 24 (10.81 %), 67 (30.18 %) and 131 (59.01 %) patients respectively. The results showed that the -174G allele and GG genotype in patients with coronary artery disease and obesity were associated with heart failure (OR = 2.55, 95% CI = [1.72-3.79], χ2 = 22.8; p<0.05) and (OR = 11.95, 95% CI = [3.41-41.91], χ2 = 22.5; p<0.05), whereas allele C-174 was associated with a decrease in the risk of heart failure (OR = 0.39, 95% CI = [0.26-0.58 ], χ2 = 22.75, p<0.05).
Conclusion:
Conclusions: The obtained results testify that the -174G>C polymorphism in the interleukin-6 gene is significantly associated with increased risk of heart failure in patients with coronary artery disease and obesity.
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