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.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|October 15, 2020
PubMed

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.
Abstract

Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
483
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
527
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.4K
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
136
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
221
Genome-wide Association Studies-GWAS01:11

Genome-wide Association Studies-GWAS

Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
15.0K