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Updated: May 5, 2026

Analysis of Physiologic E-Selectin-Mediated Leukocyte Rolling on Microvascular Endothelium
Published on: February 11, 2009
E-selectin is associated with stable angina and myocardial infarction in a sample of Kurdish population
Lajan Qasim Rahman1, Ruqaya Muhammad Ghareeb2
1College of Medicine, Hawler Medical University, Erbil, Kurdistan Region- Iraq. lajan.qasim@hmu.edu.krd.
Insights
The E-selectin gene polymorphism 7170G>C is linked to ischemic heart disease. Genotype CC was more prevalent in stable angina patients, suggesting a role in cardiovascular disease outcomes.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Immunology
Background:
- Endothelial dysfunction is a primary driver of Coronary Artery Disease (CAD).
- Leukocyte adhesion to the endothelium is an early marker of arteriosclerosis, regulated by selectins.
- E-selectin gene polymorphisms have been associated with ischemic heart disease (IHD).
Purpose of the Study:
- To investigate the association between E-selectin gene polymorphisms and ischemic heart disease (IHD).
- To determine the functional impact of the E-selectin gene polymorphism 7170G>C in Iraqi patients with IHD.
- To analyze the relationship between this polymorphism and different clinical outcomes of cardiovascular disease.
Main Methods:
- Study involved 200 Iraqi patients and controls from Erbil City.
- Participants were categorized into stable angina pectoris (SAP), myocardial infarction (MI), and healthy control groups.
- Sanger sequencing was used to analyze the E-selectin gene polymorphism 7170G>C.
Main Results:
- The E-selectin 7170G>C polymorphism was significantly associated with stable angina (SAP) and myocardial infarction (MI).
- Genotype CC was found more frequently in SAP patients compared to MI and control groups (p<0.05).
- The C allele was more prevalent in SAP patients (15.7%) than in MI (14.58%) and control (10.8%) groups.
Conclusions:
- Genetic variations in the E-selectin gene, specifically the 7170G>C polymorphism, significantly influence cardiovascular disease outcomes.
- The 7170G>C polymorphism may serve as a potential genetic marker for stable angina.
- Further research is warranted to elucidate the precise mechanisms linking E-selectin gene variations to cardiovascular disease pathogenesis.
Abstract:
Endothelial dysfunction is the main factor that causes the onset of CAD. Leukocyte adhesion to the endothelium of the active blood artery wall has been demonstrated to be one of the early indicators of arteriosclerosis. This process is regulated by selectins. The purpose of this study is to ascertain the relationship between the polymorphisms in the E-selectin gene that have been linked to ischemic heart disease. We looked at the functional impact of the E-selectin gene polymorphism 7170G>C in Iraqi patients with IHD. This study was conducted on 200 participants who were admitted to the surgical specialty hospital-cardiac center in Erbil City, Iraq between October 2021 and May 2022. Based on the outcomes of the clinical examination, laboratory tests, coronary angiography (COA), acute myocardial infarction (MI) type ST-elevation myocardial infarction (STEMI), stable angina pectoris (SAP), and healthy control groups were tested. Each sample was subjected to Sanger sequencing. The polymorphism was significantly linked to stable angina and myocardial infarction Genotype CC was higher in SAP when compared with MI and control groups which was statistically significant with (p-value<0.05). A higher proportion of C allele was observed in SAP patients (15.7%) which was significantly higher than MI (14.58%) and control (10.8%). The statistical chi-square analysis for allele G frequency showed insignificant differences (p-value>0.05) between patients and the control group. Genetic variation in E-selectin such as polymorphism in nucleotide 7170 G>C at exon 4 region can significantly affect the outcome of cardiovascular diseases.
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