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Published on: April 1, 2019
Association between paraoxonase 1 -108C/T polymorphism and coronary heart disease: an updated meta-analysis
1Department of Cardiology, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Insights
The paraoxonase 1 (PON1) -108T allele is a potential risk factor for coronary heart disease (CHD). This meta-analysis suggests a link between PON1 -108C/T polymorphism and increased CHD susceptibility.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Biomarkers
Background:
- The association between paraoxonase 1 (PON1) -108C/T polymorphism and coronary heart disease (CHD) susceptibility lacks a clear consensus.
- Existing studies present conflicting results regarding the role of PON1 genetic variations in CHD risk.
Purpose of the Study:
- To conduct a comprehensive meta-analysis of existing studies to clarify the relationship between PON1 -108C/T polymorphism and CHD susceptibility.
- To provide a consolidated view on the genetic contribution of PON1 variations to cardiovascular disease risk.
Main Methods:
- Systematic search of electronic databases for case-control studies investigating the PON1 -108C/T polymorphism and CHD.
- Meta-analysis using Stata 12.0 to calculate odds ratios (ORs) and 95% confidence intervals (CIs).
- Inclusion of 13 case-control studies with 2,979 cases and 2,887 controls.
Main Results:
- The PON1 -108C/T polymorphism showed a significant association with CHD susceptibility across various genetic models (e.g., T vs. C: OR=1.24, 95% CI 1.07-1.45).
- Subgroup analyses indicated that race and sample size did not influence the observed results.
- Bioinformatics analysis suggested that the -108C>T polymorphism impacts PON1 gene expression.
Conclusions:
- The PON1 -108T allele is identified as a potential low-penetrant risk factor for coronary heart disease (CHD).
- This meta-analysis supports a genetic link between PON1 -108C/T polymorphism and an increased risk of developing CHD.
Background:
At present, no consensus is reached among articles that investigate the relationship of paraoxonase 1(PON1) -108C/T polymorphism with susceptibility of coronary heart disease (CHD) so far. In this regard, the present meta-analysis was conducted to comprehensively review existing articles related to the relationship of PON1 -108C/T polymorphism with CHD susceptibility. It was preregistered in the International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY)-INPLASY202430117.
Methods:
Articles that explored the relationship between PON1 -108C/T polymorphism and CHD incidence were searched from electronic databases according to our preset study selection criteria. Thereafter, we adopted stata 12.0 software to analyze our screened studies. At the same time, odds ratios (ORs) and related 95% confidence intervals (95% CIs) were determined for evaluating association strength.
Results:
At last, this meta-analysis selected altogether 13 case-control studies that involved 2,979 cases and 2,887 control subjects. We found that the PON1 -108C/T polymorphism displayed marked relationship with CHD susceptibility (T vs. C: OR = 1.24, 95% CI 1.07-1.45; CT vs. CC: OR = 1.33, 95% CI 1.17-1.52; TT vs. CC: OR = 1.51, 95% CI 1.09-2.09; Recessive model: OR = 1.16, 95% CI 0.93-1.45; Dominant model: OR = 1.45, 95% CI 1.16-1.81). Moreover, subgroup analysis showed that race and sample size had no impact on the results. Bioinformatics analysis showed that -108C>T polymorphism was relation to PON1 gene expression (https://gtexportal.org/home/).
Conclusions:
The PON1 -108T allele is identified as the possible low-penetrant risk factor of CHD, as suggested by our present meta-analysis.Systematic Review Registration: https://inplasy.com/inplasy-2024-3-0117/, Identifier INPLASY202430117.
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