Department of Cardiovascular Medicine, The First Affiliated Hospital of Jinan University, China; Department of Cardiovascular Medicine, Foshan Municipal First People's Hospital, China.
Department of Clinical laboratory, The Chancheng District Central Hospital of Foshan, China.
Arch Med Res. 2019 May;50(4):170-174. doi: 10.1016/j.arcmed.2019.07.009. Epub 2019 Sep 6.
Accumulating evidences have shown that polymorphisms in miRNA genes play an important role in the susceptibility to coronary artery disease (CAD). A potentially functional polymorphism rs4938723, which located within the promoter region of pri-miR-34b/c, may affect the expression of miR-34b/c. To date, the role of genetic variant in pri-miR-34b/c on CAD risk is still unknown. Here we aimed to evaluate the association of Pri-miR-34b/c rs4938723 polymorphism with individual susceptibility to CAD in a Chinese Han population.
Genotyping was performed in a case-control study of 563 patients and 646 controls using polymerase chain reaction-ligase detection reaction (PCR-LDR) method. The association of rs4938723 with CAD risk was evaluated using logistic regression analysis with SPSS software.
We found that the C allele of pri-miR-34b/c rs4938723 was significantly associated with a decreased risk of CAD when compared with the T allele (OR = 0.76, 95% CI = 0.62-0.95, p = 0.015). Consistently, compared with those carrying TT genotype, the CC homozygotes displayed significantly reduced risk for CAD (OR = 0.54, 95% CI = 0.32-0.91, p = 0.021). Similar trend of the reduced risk for CAD was detected when the CT and CC genotypes were combined (OR = 0.75, 95% CI = 0.57-0.99, p = 0.044). Stratified analysis of pri-miR-34b/c rs4938723 revealed a more significant association of C allele with decreased CAD risk among older subjects, male and non-smokers.
Our findings suggest that the pri-miR-34b/c rs4938723 polymorphism is associated with CAD susceptibility in the Chinese Han population. Further studies are warranted to confirm the general validity of our findings.
越来越多的证据表明 miRNA 基因的多态性在冠心病(CAD)易感性中起着重要作用。一个潜在的功能性多态性 rs4938723 位于 pri-miR-34b/c 的启动子区域内,可能影响 miR-34b/c 的表达。迄今为止,pri-miR-34b/c 中的遗传变异与 CAD 风险的关系尚不清楚。本研究旨在评估中国汉族人群中 pri-miR-34b/c rs4938723 多态性与个体 CAD 易感性的关系。
采用聚合酶链反应-连接酶检测反应(PCR-LDR)方法对 563 例患者和 646 例对照进行基因分型。使用 SPSS 软件的逻辑回归分析评估 rs4938723 与 CAD 风险的关联。
我们发现与 T 等位基因相比,pri-miR-34b/c rs4938723 的 C 等位基因与 CAD 风险降低显著相关(OR=0.76,95%CI=0.62-0.95,p=0.015)。同样,与携带 TT 基因型的个体相比,CC 纯合子患 CAD 的风险显著降低(OR=0.54,95%CI=0.32-0.91,p=0.021)。当 CT 和 CC 基因型合并时,也检测到 CAD 风险降低的相似趋势(OR=0.75,95%CI=0.57-0.99,p=0.044)。对 pri-miR-34b/c rs4938723 的分层分析显示,在年龄较大、男性和非吸烟者中,C 等位基因与 CAD 风险降低的相关性更为显著。
我们的研究结果表明,pri-miR-34b/c rs4938723 多态性与中国汉族人群的 CAD 易感性相关。需要进一步的研究来证实我们研究结果的普遍有效性。