Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease

Background: Both Niemann-Pick C1-like 1 (NPC1L1) and 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) play a key role on dyslipidaemia. We aim to evaluate whether NPC1L1 and HMGCR genetic variants are associated with susceptibility of premature triple-vessel disease (PTVD).Methods: Four singl...

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Main Authors: Xueyan Zhao, Jingjing Xu, Xiaofang Tang, Keyong Huang, Jiawen Li, Ru Liu, Lin Jiang, Yin Zhang, Dong Wang, Kai Sun, Bo Xu, Wei Zhao, Rutai Hui, Runlin Gao, Lei Song, Jinqing Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2021.704501/full
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author Xueyan Zhao
Jingjing Xu
Xiaofang Tang
Keyong Huang
Jiawen Li
Ru Liu
Lin Jiang
Yin Zhang
Dong Wang
Kai Sun
Bo Xu
Wei Zhao
Rutai Hui
Runlin Gao
Lei Song
Jinqing Yuan
author_facet Xueyan Zhao
Jingjing Xu
Xiaofang Tang
Keyong Huang
Jiawen Li
Ru Liu
Lin Jiang
Yin Zhang
Dong Wang
Kai Sun
Bo Xu
Wei Zhao
Rutai Hui
Runlin Gao
Lei Song
Jinqing Yuan
author_sort Xueyan Zhao
collection DOAJ
description Background: Both Niemann-Pick C1-like 1 (NPC1L1) and 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) play a key role on dyslipidaemia. We aim to evaluate whether NPC1L1 and HMGCR genetic variants are associated with susceptibility of premature triple-vessel disease (PTVD).Methods: Four single-nucleotide polymorphisms (SNPs) (rs11763759, rs4720470, rs2072183, and rs2073547) of NPC1L1; and three SNPs (rs12916, rs2303151, and rs4629571) of HMGCR were genotyped in 872 PTVD patients (males ≤ 50 years old and females ≤ 60 years old), and 401 healthy controls.Results: After adjusting for age and sex, rs12916 of HMGCR was associated with the risk of PTVD in dominance model [odds ratio (OR) = 1.68, 95% confidence intervals (CI): 1.29–2.18, P < 0.001], recessive model (OR = 1.43, 95% CI: 1.08–1.90, P = 0.013) and codominant model (OR = 1.38, 95% CI: 1.17–1.63, P < 0.001); meanwhile, rs4720470 of NPC1L1 was related to increased risk of PTVD in recessive model (OR = 1.74, 95% CI: 1.14–2.74, P = 0.013). Patients who carried both variant rs4720470 and rs12916 also had the risk of PTVD (P < 0.001); however, there were no correlation between these SNPs and the SNYTAX score (all P > 0.05).Conclusions: This is the first report that rs4720470 is a novel polymorphism of the NPC1L1 gene associated with PTVD, and rs12916 of HMGCR gene appears to be a strong genetic marker of PTVD. Our study may improve the early warning, therapeutic strategies and drug development of PTVD.
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spelling doaj.art-27286a1d258b48fe84192bc0f05a96b12022-12-21T20:35:17ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-12-01810.3389/fcvm.2021.704501704501Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary DiseaseXueyan ZhaoJingjing XuXiaofang TangKeyong HuangJiawen LiRu LiuLin JiangYin ZhangDong WangKai SunBo XuWei ZhaoRutai HuiRunlin GaoLei SongJinqing YuanBackground: Both Niemann-Pick C1-like 1 (NPC1L1) and 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) play a key role on dyslipidaemia. We aim to evaluate whether NPC1L1 and HMGCR genetic variants are associated with susceptibility of premature triple-vessel disease (PTVD).Methods: Four single-nucleotide polymorphisms (SNPs) (rs11763759, rs4720470, rs2072183, and rs2073547) of NPC1L1; and three SNPs (rs12916, rs2303151, and rs4629571) of HMGCR were genotyped in 872 PTVD patients (males ≤ 50 years old and females ≤ 60 years old), and 401 healthy controls.Results: After adjusting for age and sex, rs12916 of HMGCR was associated with the risk of PTVD in dominance model [odds ratio (OR) = 1.68, 95% confidence intervals (CI): 1.29–2.18, P < 0.001], recessive model (OR = 1.43, 95% CI: 1.08–1.90, P = 0.013) and codominant model (OR = 1.38, 95% CI: 1.17–1.63, P < 0.001); meanwhile, rs4720470 of NPC1L1 was related to increased risk of PTVD in recessive model (OR = 1.74, 95% CI: 1.14–2.74, P = 0.013). Patients who carried both variant rs4720470 and rs12916 also had the risk of PTVD (P < 0.001); however, there were no correlation between these SNPs and the SNYTAX score (all P > 0.05).Conclusions: This is the first report that rs4720470 is a novel polymorphism of the NPC1L1 gene associated with PTVD, and rs12916 of HMGCR gene appears to be a strong genetic marker of PTVD. Our study may improve the early warning, therapeutic strategies and drug development of PTVD.https://www.frontiersin.org/articles/10.3389/fcvm.2021.704501/fullNPC1L1HMGCRgenetic variantsSYNTAX scorepremature triple-vessel disease
spellingShingle Xueyan Zhao
Jingjing Xu
Xiaofang Tang
Keyong Huang
Jiawen Li
Ru Liu
Lin Jiang
Yin Zhang
Dong Wang
Kai Sun
Bo Xu
Wei Zhao
Rutai Hui
Runlin Gao
Lei Song
Jinqing Yuan
Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease
Frontiers in Cardiovascular Medicine
NPC1L1
HMGCR
genetic variants
SYNTAX score
premature triple-vessel disease
title Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease
title_full Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease
title_fullStr Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease
title_full_unstemmed Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease
title_short Effect of NPC1L1 and HMGCR Genetic Variants With Premature Triple-Vessel Coronary Disease
title_sort effect of npc1l1 and hmgcr genetic variants with premature triple vessel coronary disease
topic NPC1L1
HMGCR
genetic variants
SYNTAX score
premature triple-vessel disease
url https://www.frontiersin.org/articles/10.3389/fcvm.2021.704501/full
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