Agrawal Suraksha, Mastana Sarabjit
Suraksha Agrawal, Department of Medical Genetics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow UP 226014, India.
World J Cardiol. 2014 Aug 26;6(8):755-63. doi: 10.4330/wjc.v6.i8.755.
Cardiovascular diseases are affected by multiple factors like genetic as well as environmental hence they reveal factorial nature. The evidences that genetic factors are susceptible for developing cardiovascular diseases come from twin studies and familial aggregation. Different ethnic populations reveal differences in the prevalence coronary artery disease (CAD) pointing towards the genetic susceptibility. With progression in molecular techniques different developments have been made to comprehend the disease physiology. Molecular markers have also assisted to recognize genes that may provide evidences to evaluate the role of genetic factors in causation of susceptibility towards CAD. Numerous studies suggest the contribution of specific "candidate genes", which correlate with various roles/pathways that are involved in the coronary heart disease. Different studies have revealed that there are large numbers of genes which are involved towards the predisposition of CAD. However, these reports are not consistent. One of the reasons could be weak contribution of genetic susceptibility of these genes. Genome wide associations show different chromosomal locations which dock, earlier unknown, genes which may attribute to CAD. In the present review different ApoAI-CIII-AIV gene clusters have been discussed.
心血管疾病受多种因素影响,如遗传因素和环境因素,因此具有多因素性质。遗传因素易引发心血管疾病的证据来自双胞胎研究和家族聚集现象。不同种族人群在冠状动脉疾病(CAD)患病率上存在差异,这表明了遗传易感性。随着分子技术的进步,为理解疾病生理学取得了不同进展。分子标记也有助于识别那些可能为评估遗传因素在CAD易感性病因中作用提供证据的基因。大量研究表明特定“候选基因”的作用,这些基因与冠心病涉及的各种作用/途径相关。不同研究表明,有大量基因与CAD易感性有关。然而,这些报告并不一致。原因之一可能是这些基因的遗传易感性贡献较弱。全基因组关联研究显示了不同的染色体位置,这些位置定位了此前未知的、可能与CAD相关的基因。在本综述中,讨论了不同的载脂蛋白AI - CIII - AIV基因簇。