Xue Lei, Wang Xiaowei, Xu Jing, Xu Xiaohan, Liu Xiang, Hu Zhibin, Shen Hongbing, Chen Yijiang
Department of Thoracic and Cardiovascular Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Genet Test Mol Biomarkers. 2012 Jul;16(7):679-83. doi: 10.1089/gtmb.2011.0249. Epub 2012 Apr 5.
ISL1, as a member of the LIM homeodomain transcription factor family, is expressed in a distinct population of undifferentiated cardiac progenitors and plays a pivotal role in cardiogenesis. Lacking ISL1 expression results in growth arrest or displays profound defects in heart development, including atria, ventricle, and the inflow and outflow tracts, which constitute a major form of congenital heart disease (CHD). Recently, an important study by Stevens et al. found that genetic variation in ISL1 is associated with risk of CHD in white and black/African American populations; this observation led us to hypothesize that ISL1 common variants might influence susceptibility to sporadic CHD in our Chinese population.
We conducted a case-control study of CHD in Chinese to test our hypothesis by genotyping ISL1 common variant rs1017 in 1003 CHD cases and 1012 non-CHD controls.
We found that rs1017 was not associated with the risk of CHD (p=0.213). When we performed stratified analyses according to subjects' age, sex, and CHD classifications, we found no overall heterogeneity of risk in different subgroups.
This is the first study which indicates that ISL1 common variant rs1017 may not play a role in sporadic CHD susceptibility in the Chinese population.
ISL1作为LIM同源域转录因子家族的一员,在一群未分化的心脏祖细胞中表达,并在心脏发生过程中起关键作用。缺乏ISL1表达会导致生长停滞或在心脏发育中表现出严重缺陷,包括心房、心室以及流入和流出道,这构成了先天性心脏病(CHD)的一种主要形式。最近,史蒂文斯等人的一项重要研究发现,ISL1的基因变异与白人和黑人/非裔美国人患CHD的风险相关;这一观察结果使我们推测,ISL1常见变异可能会影响我们中国人群对散发性CHD的易感性。
我们对中国人群中的CHD进行了一项病例对照研究,通过对1003例CHD病例和1012例非CHD对照进行ISL1常见变异rs1017基因分型来检验我们的假设。
我们发现rs1017与CHD风险无关(p = 0.213)。当我们根据受试者的年龄、性别和CHD分类进行分层分析时,我们发现不同亚组的风险没有总体异质性。
这是第一项表明ISL1常见变异rs1017可能在中国人群散发性CHD易感性中不起作用的研究。