Chiang Shih-Min, Yang Yi-Sun, Yang Shun-Fa, Tsai Chin-Feng, Ueng Kwo-Chnag
Institute of Medicine, Chung Shan Medical University, Taichung.
Department of Internal Medicine, Division of Endocrinology and Metabolism, Chung-Shan Medical University Hospital, Taichung.
J Int Med Res. 2020 Jan;48(1):300060519839519. doi: 10.1177/0300060519839519. Epub 2019 Apr 5.
Coronary artery disease (CAD) is the principal cause of mortality and morbidity worldwide. Studies have provided controversial results regarding whether variations in the proprotein convertase subtilisin/kexin type 9 gene () are risk factors for CAD. In this study, we evaluated the risk factors associated with genotypes and CAD in the Taiwanese population.
A total of 501 patients diagnosed with CAD by angiography and 334 CAD-free controls were recruited. Two single nucleotide polymorphisms of (rs505151 and rs529787) were genotyped.
The prevalence of a positive family history for CAD was significantly higher in individuals carrying the AG + GG genotype of the rs505151 polymorphism. Among CAD patients with a positive family history, the prevalence of diabetes mellitus was significantly higher in those carrying the AG + GG genotype of the rs505151 polymorphism (73.3%) than in those carrying the AA genotype (39.2%).
In CAD patients, the AG genotype of rs505151 is associated with diabetes and a positive family history of CAD.
冠状动脉疾病(CAD)是全球范围内死亡和发病的主要原因。关于前蛋白转化酶枯草杆菌蛋白酶/kexin 9型基因()的变异是否为CAD的危险因素,研究结果存在争议。在本研究中,我们评估了台湾人群中与基因分型和CAD相关的危险因素。
共招募了501例经血管造影诊断为CAD的患者和334例无CAD的对照。对基因的两个单核苷酸多态性(rs505151和rs529787)进行基因分型。
携带rs505151多态性AG + GG基因型的个体中,CAD阳性家族史的患病率显著更高。在有CAD阳性家族史的患者中,携带rs505151多态性AG + GG基因型的患者(73.3%)糖尿病患病率显著高于携带AA基因型的患者(39.2%)。
在CAD患者中,rs505151的AG基因型与糖尿病和CAD阳性家族史相关。