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Correlations between lipoprotein(a) gene polymorphisms and calcific aortic valve disease and coronary heart disease
Hongzhi Dong1,2, Hongliang Cong2, Jing Wang3
1Graduate School, Tianjin Medical University, Tianjin, China.
Insights
Specific LPA gene polymorphisms are linked to elevated lipoprotein(a) levels, increasing the risk of calcific aortic valve disease (CAVD) and coronary heart disease (CHD) in Han Chinese individuals.
Area of Science:
- Genetics and Cardiovascular Disease
- Molecular Biology
- Epidemiology
Background:
- Lipoprotein(a) [Lp(a)] is a recognized risk factor for cardiovascular diseases.
- The role of specific lipoprotein(a) gene (LPA) polymorphisms in calcific aortic valve disease (CAVD) and coronary heart disease (CHD) requires further investigation, particularly in diverse ethnic populations.
Purpose of the Study:
- To examine the association between LPA gene polymorphisms and the risk of CAVD and CHD in the Han Chinese population.
- To determine if specific LPA polymorphisms correlate with Lp(a) plasma levels in patients with CAVD and CHD.
Main Methods:
- Case-control study involving 148 patients (71 with CAVD, 77 with CHD) and 71 controls.
- Analysis of LPA polymorphisms (rs10455872, rs6415084, rs3798221, rs7770628) using SNaPshot SNP.
- Measurement of Lp(a) and other lipid biomarkers.
Main Results:
- Lp(a) levels were significantly higher in both CAVD and CHD groups compared to controls.
- Polymorphisms rs3798221, rs6415084, and rs7770628 were associated with increased Lp(a) concentrations.
- No significant differences in allelic frequencies for rs3798221, rs7770628, or rs6415084 were observed between the groups.
Conclusions:
- Specific LPA gene polymorphisms (rs3798221, rs6415084, rs7770628) are associated with elevated Lp(a) levels.
- Higher Lp(a) plasma levels, influenced by these polymorphisms, correlate with increased risk for CAVD and CHD.
Objective:
To investigate the relationship between lipoprotein(a) gene (LPA) polymorphisms and calcific aortic valve disease (CAVD) and coronary heart disease (CHD) in Han Chinese.
Methods:
A total of 148 patients were recruited (n = 71 with CAVD and n = 77 with CHD) based on a diagnosis achieved using color Doppler echocardiography, coronary angiography, or computed tomography angiography. Seventy-one control individuals without CAVD or CHD were also recruited. Biomarkers including levels of lipoprotein(a) [Lp(a)], low-density lipoprotein and high-density lipoprotein cholesterol, apolipoprotein A1, and apolipoprotein B were tested. LPA polymorphisms rs10455872, rs6415084, rs3798221, and rs7770628 were analyzed using SNaPshot SNP.
Results:
Lp(a) levels were significantly higher in CAVD and CHD groups compared with controls. There was no significant difference in the allelic frequency distribution of rs3798221, rs7770628, or rs6415084 between CHD, CAVD, and control groups. Linear regression showed that rs3798221, rs7770628, and rs6415084 were associated with increased Lp(a) concentrations. Two CAVD patients among the 219 participants carried AG minor alleles at rs10455872, while the remainder carried AA minor alleles.
Conclusion:
rs3798221, rs6415084, and rs7770628 polymorphisms within LPA are associated with higher Lp(a) plasma levels, which correlate with increased CAVD and CHD risks.
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