Mohtavinejad Naser, Nakhaee Alireza, Harati Honey, Gholipour Nazila, Mahmoodzade Yavar
Department of Radiopharmacy, School of Pharmacy, University of Baqiyatallah, Tehran, Iran.
Department of Clinical Biochemistry, School of Medicine, University of Zahedan, Zahedan, Iran.
Iran J Public Health. 2021 Jul;50(7):1436-1444. doi: 10.18502/ijph.v50i7.6634.
Chemokines are proinflammatory cytokines that play key roles in development of cardiovascular diseases (CVD). Chemokine-induced recruitment of peripheral leucocytes to tissues is a crucial step in the CVD progression. CC chemokines ligand 5, 2 (CCL5 and CCL2), have been characterized as emerging inflammatory biomarkers of atherosclerotic CVD. The aim of this study was to find out whether genetic polymorphisms of CCL5 -403 G>A (rs2107538) and CCL2 -927 G>C, (rs3760396) were associated with the risk of CVD.
In this case-control study, 500 Iranian individuals including 250 CVD patients and 250 healthy subjects as the control group participated in 2017. Genotyping of CCL5 -403 G>A and CCL2 -927 G>C polymorphisms were executed using Tetra-ARMS PCR method.
At genotypic level both CCL5 -403 G>A and CCL2 -927 G>C polymorphisms were not associated with the risk of CVD (>0.05), even after adjustment by age, sex, race, and history of hypertension, DM and smoking. However, the CCL2 -927 C allele was associated with an increased risk of CVD (OR=1.42, =0.050) with a higher prevalence in CVD patient than in controls (17% vs. 12%). Moreover, the haplotype analysis revealed that CCL5/CCL2 haplotype (G/C) was a risk factor for CVD (OR=2.13, =0.001), and that carriers of this haplotype were at 2.13-fold higher risk of CVD than subjects with G/G haplotype.
CCL2 -927 C variant and CCL5/CCL2 haplotype (G/C) were associated with susceptibility to CVD, and were risk factors for CVD in our population but more studies with large sample size are recommended.
趋化因子是促炎细胞因子,在心血管疾病(CVD)的发展中起关键作用。趋化因子诱导外周白细胞向组织募集是CVD进展中的关键步骤。CC趋化因子配体5、2(CCL5和CCL2)已被确定为动脉粥样硬化性CVD新出现的炎症生物标志物。本研究的目的是确定CCL5 -403 G>A(rs2107538)和CCL2 -927 G>C(rs3760396)的基因多态性是否与CVD风险相关。
在这项病例对照研究中,2017年有500名伊朗人参与,其中包括250名CVD患者和250名健康受试者作为对照组。使用四引物扩增受阻突变系统聚合酶链反应(Tetra-ARMS PCR)方法对CCL5 -403 G>A和CCL2 -927 G>C多态性进行基因分型。
在基因型水平上,即使在按年龄、性别、种族以及高血压、糖尿病和吸烟史进行调整后,CCL5 -403 G>A和CCL2 -927 G>C多态性均与CVD风险无关(>0.05)。然而,CCL2 -927 C等位基因与CVD风险增加相关(比值比[OR]=1.42,P=0.050),在CVD患者中的患病率高于对照组(17%对12%)。此外,单倍型分析显示,CCL5/CCL2单倍型(G/C)是CVD的一个危险因素(OR=2.13,P=0.001),该单倍型携带者患CVD的风险比携带G/G单倍型的受试者高2.13倍。
CCL2 -927 C变异体和CCL5/CCL2单倍型(G/C)与CVD易感性相关,是我们研究人群中CVD的危险因素,但建议进行更多大样本量的研究。