ADA gene haplotype is associated with coronary-in-stent-restenosis

Morteza Gholami1, Sepideh Borhan Dayani2, Maryam Mehrpooya3

  • 1Metabolic Disorders Research Center, Endocrinology and Metabolism Molecular-Cellular Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

Molecular Biology Reports
|September 12, 2021
PubMed

Insights

The Adenosine Deaminase (ADA) gene A allele (rs452159) and GA haplotype may reduce the risk of in-stent restenosis (ISR) in cardiovascular disease patients. Further studies are recommended for ISR risk assessment.

Area of Science:

  • Genetics and Molecular Biology
  • Cardiovascular Research
  • Pharmacogenomics

Background:

  • Cardiovascular diseases (CVDs) are a leading global cause of mortality.
  • The role of Adenosine Deaminase (ADA) gene variants in in-stent restenosis (ISR) remains understudied.
  • ISR is a significant complication following angioplasty with stenting.

Purpose of the Study:

  • To investigate the association of ADA gene variants with the risk of ISR.
  • To evaluate the genetic and haplotype-based risk of ISR.
  • To explore potential genetic markers for ISR risk assessment.

Main Methods:

  • Genotyping of ADA gene polymorphisms G22A (rs73598374) and A4223C (rs452159) using PCR-RFLP.
  • Analysis of 91 patients (40 ISR+ and 51 ISR-) with coronary artery disease (CAD).
  • Statistical analysis using SPSS v. 20 and Haploview 4.2 software for genetic and haplotype models.

Main Results:

  • The A allele of ADA rs452159 polymorphism was significantly associated with a decreased risk of ISR (OR=0.366, P=0.028).
  • No significant association was found for the rs73598374 polymorphism with ISR risk.
  • The GA haplotype (rs73598374/rs452159) also showed a protective effect against ISR (OR=0.382, P=0.025).

Conclusions:

  • The A allele of ADA rs452159 and the GA haplotype may be protective factors against ISR in patients receiving drug-eluting stents.
  • These findings suggest a potential role for ADA variants in ISR risk stratification.
  • Further observational studies in diverse populations are warranted to validate these findings and develop a comprehensive ISR risk assessment panel.
Abstract

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