Strauss E, Głuszek J, Pawlak A L
Institute of Human Genetics, Poznan, Poland.
J Physiol Pharmacol. 2005 Mar;56 Suppl 2:65-75.
The phenotypes of CAD related to arterial hypertension co-occurrence were analysed in 174 male patients and 117 control men for the associations with the polymorphisms of the MTHFR gene (677C>T and 1298A>C) and the PON1 gene (-108C>T) in relation to age at diagnosis (less or equal and more than 50 years). We noted the increased frequency of the three MTHFR genotypes: CC/AC, CT/AA and CC/CC in the CAD group (65.5%) in comparison to the control group (45.3%), corresponding to the 2.3-fold increased risk of CAD for men with these genotypes (95%CI (1.4-3.7); p=0.0005). The higher increase in risk of CAD was noted for the younger men (OR=3.6; 95%CI(1.6-8.3); p=0.002) and lower for the older (OR=1.8; 95%CI(1.0-3.4); p=0.03). In the normotensive men the greater impact on CAD risk had the homozygous genotypes; the 2.3-fold higher risk was associated with MTHFR CC/AC, CC/CC and TT/AA genotypes (95%CI(1.2-4.4); p=0.01). After adjustment for age, the association between CAD and MTHFR was significant only for the younger normotensive men (OR=2.8; 95%CI (1.0-8.0); p=0.04). Additionally, we found that the younger part of the control group was characterized by higher frequency of the low expression PON1 -108T allele and PON1 -108TT genotype (0.54 and 31.9% respectively) in comparison to the older men (0.41 and 17.1% respectively; p=0.03).
在174例男性CAD患者和117例对照男性中,分析了与动脉高血压共病相关的CAD表型与MTHFR基因(677C>T和1298A>C)及PON1基因(-108C>T)多态性的关联,同时考虑诊断年龄(小于或等于50岁和大于50岁)。我们注意到,与对照组(45.3%)相比,CAD组中三种MTHFR基因型(CC/AC、CT/AA和CC/CC)的频率增加(65.5%),这三种基因型的男性患CAD的风险增加了2.3倍(95%CI(1.4 - 3.7);p = 0.0005)。年轻男性患CAD的风险增加更高(OR = 3.6;95%CI(1.6 - 8.3);p = 0.002),而老年男性较低(OR = 1.8;95%CI(1.0 - 3.4);p = 0.03)。在血压正常的男性中,纯合基因型对CAD风险的影响更大;MTHFR CC/AC、CC/CC和TT/AA基因型与2.3倍更高的风险相关(95%CI(1.2 - 4.4);p = 0.01)。在调整年龄后,CAD与MTHFR之间的关联仅在年轻的血压正常男性中显著(OR = 2.8;95%CI(1.0 - 8.0);p = 0.04)。此外,我们发现,与老年男性相比,对照组中较年轻部分的低表达PON1 -108T等位基因和PON1 -108TT基因型的频率更高(分别为0.54和31.9%)(分别为0.41和17.1%;p = 0.03)。