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Published on: August 8, 2022
Polymorphisms of CD247 gene is associated with dilated cardiomyopathy in Chinese Han population
Chunmei Li1, XiaoChuan Xie1, Kun Li2
1Department of Cardiology, West China Hospital of Sichuan University, 37 Guo Xue Xiang, Chengdu, 610041, China.
Insights
Polymorphisms in the CD247 gene are linked to dilated cardiomyopathy (DCM) risk in the Chinese Han population. Specifically, rs858543 is associated with DCM and influences patient survival, with decreased CD247 mRNA levels observed in DCM patients.
Area of Science:
- Genetics
- Cardiology
- Immunology
Background:
- Dilated cardiomyopathy (DCM) is a leading cause of heart failure and necessitates heart transplantation.
- Emerging evidence suggests a potential role for autoimmune responses in myocardial cells in DCM pathogenesis.
- The CD247 gene has been implicated in autoimmune diseases, prompting investigation into its role in DCM.
Purpose of the Study:
- To investigate the association between CD247 gene polymorphisms and the risk of developing DCM.
- To determine if specific single nucleotide polymorphisms (SNPs) in the CD247 gene are linked to DCM susceptibility in the Chinese Han population.
- To evaluate the impact of CD247 gene variations on overall survival in DCM patients.
Main Methods:
- Genotyping of two CD247 gene SNPs (rs12141731 and rs858543) using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP).
- Study included 355 DCM patients and 404 age- and sex-matched controls from the Chinese Han population.
- Statistical analyses included Pearson's chi-squared test, haplotype analysis, and Cox multivariate survival analysis.
Main Results:
- SNP rs858543 in the CD247 gene was significantly associated with DCM risk (p=0.001, OR=0.72).
- The CC haplotype correlated with increased DCM susceptibility, while the CT haplotype showed a protective effect.
- The rs858543 TT genotype was an independent predictor of longer overall survival in DCM patients (HR=0.608, p=0.019).
- CD247 mRNA expression levels were significantly lower in DCM patients compared to controls (p=0.02).
Conclusions:
- Polymorphisms in the CD247 gene, particularly rs858543, represent a potential risk factor for DCM in the Chinese Han population.
- The findings suggest a link between CD247 gene variations, DCM susceptibility, and patient prognosis.
- Further research is warranted to elucidate the precise mechanisms by which CD247 influences DCM pathogenesis.
Background:
Dilated cardiomyopathy (DCM) is a major cause of heart failure and heart transplantation. Recently, some studies have reported that the autoimmune response in myocardial cells might be related to the pathogenesis of DCM. The CD247 gene has been previously found to be involved in autoimmune disease. Therefore, our study aimed to clarify the hypothesis that there is a certain linkage between polymorphisms of the CD247 gene and the triggering of DCM risk.
Methods:
In the present study, two single nucleotide polymorphisms (SNPs) of the CD247 gene, rs12141731 and rs858543, were genotyped by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) in 355 DCM patients and 404 age- and sex-matched controls.
Results:
Pearson's chi-squared test for the CD247 gene revealed that SNP rs858543 (p = 0.001, OR = 0.72, 95% CI = (0.588-0.882), but not SNP rs12141731, was associated with DCM in the Chinese Han population. Haplotype analysis revealed that the CC haplotype was associated with increased DCM susceptibility, while CT was a protective haplotype. Cox multivariate survival analysis indicated that the rs858543 TT genotype (HR: 0.608, 95% CI = 0.402-0.921, p = 0.019) was an independent multivariate predictor for longer overall survival in DCM patients. CD247 mRNA expression levels were significantly decreased in DCM patients (p = 0.02).
Conclusions:
Our study suggested that a polymorphism in the CD247 gene may be a risk factor for DCM in the Chinese Han population.
Trial Registration:
ChiCTR2000029701.
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