<i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant

The c.825C>T single-nucleotide polymorphism (rs5443) of the guanine nucleotide-binding protein subunit β3 (<i>GNB3</i>) results in increased intracellular signal transduction via G-proteins. The present study investigated the effect of the <i>GNB3</i> c.825C>T polymorph...

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Main Authors: Tobias Peitz, Birte Möhlendick, Winfried Siffert, Falko Markus Heinemann, Andreas Kribben, Ute Eisenberger, Justa Friebus-Kardash
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/17/9783
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author Tobias Peitz
Birte Möhlendick
Winfried Siffert
Falko Markus Heinemann
Andreas Kribben
Ute Eisenberger
Justa Friebus-Kardash
author_facet Tobias Peitz
Birte Möhlendick
Winfried Siffert
Falko Markus Heinemann
Andreas Kribben
Ute Eisenberger
Justa Friebus-Kardash
author_sort Tobias Peitz
collection DOAJ
description The c.825C>T single-nucleotide polymorphism (rs5443) of the guanine nucleotide-binding protein subunit β3 (<i>GNB3</i>) results in increased intracellular signal transduction via G-proteins. The present study investigated the effect of the <i>GNB3</i> c.825C>T polymorphism on cardiovascular events among renal allograft recipients posttransplant. Our retrospective study involved 436 renal allograft recipients who were followed up for up to 8 years after transplant. The <i>GNB3</i> c.825C>T polymorphism was detected with restriction fragment length polymorphism (RFLP) polymerase chain reaction (PCR). The <i>GNB3</i> TT genotype was detected in 43 (10%) of 436 recipients. Death due to an acute cardiovascular event occurred more frequently among recipients with the TT genotype (4 [9%]) than among those with the CC/CT genotypes (7 [2%]; <i>p</i> = 0.003). The rates of myocardial infarction (MI)–free survival (<i>p</i> = 0.003) and acute peripheral artery occlusive disease (PAOD)–free survival (<i>p</i> = 0.004) were significantly lower among T-homozygous patients. A multivariate analysis showed that homozygous <i>GNB3</i> c.825C>T polymorphism exerted only a mild effect for the occurrence of myocardial infarction (relative risk, 2.2; <i>p</i> = 0.065) or acute PAOD (relative risk, 2.4; <i>p</i> = 0.05) after renal transplant. Our results suggest that the homozygous <i>GNB3</i> T allele exerts noticeable effects on the risk of MI and acute PAOD only in the presence of additional nonheritable risk factors.
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spelling doaj.art-47e342a2ca234be1b810c9c85f91775f2023-11-23T13:16:55ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-08-012317978310.3390/ijms23179783<i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft TransplantTobias Peitz0Birte Möhlendick1Winfried Siffert2Falko Markus Heinemann3Andreas Kribben4Ute Eisenberger5Justa Friebus-Kardash6Department of Nephrology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, GermanyInstitute of Pharmacogenetics, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, GermanyInstitute of Pharmacogenetics, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, GermanyInstitute for Transfusion Medicine, Transplantation Diagnostics, University Hospital Essen, University of Duisburg-Essen, 45147 Essen, GermanyDepartment of Nephrology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, GermanyDepartment of Nephrology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, GermanyDepartment of Nephrology, University Hospital Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, GermanyThe c.825C>T single-nucleotide polymorphism (rs5443) of the guanine nucleotide-binding protein subunit β3 (<i>GNB3</i>) results in increased intracellular signal transduction via G-proteins. The present study investigated the effect of the <i>GNB3</i> c.825C>T polymorphism on cardiovascular events among renal allograft recipients posttransplant. Our retrospective study involved 436 renal allograft recipients who were followed up for up to 8 years after transplant. The <i>GNB3</i> c.825C>T polymorphism was detected with restriction fragment length polymorphism (RFLP) polymerase chain reaction (PCR). The <i>GNB3</i> TT genotype was detected in 43 (10%) of 436 recipients. Death due to an acute cardiovascular event occurred more frequently among recipients with the TT genotype (4 [9%]) than among those with the CC/CT genotypes (7 [2%]; <i>p</i> = 0.003). The rates of myocardial infarction (MI)–free survival (<i>p</i> = 0.003) and acute peripheral artery occlusive disease (PAOD)–free survival (<i>p</i> = 0.004) were significantly lower among T-homozygous patients. A multivariate analysis showed that homozygous <i>GNB3</i> c.825C>T polymorphism exerted only a mild effect for the occurrence of myocardial infarction (relative risk, 2.2; <i>p</i> = 0.065) or acute PAOD (relative risk, 2.4; <i>p</i> = 0.05) after renal transplant. Our results suggest that the homozygous <i>GNB3</i> T allele exerts noticeable effects on the risk of MI and acute PAOD only in the presence of additional nonheritable risk factors.https://www.mdpi.com/1422-0067/23/17/9783<i>GNB3</i> c.825C>T polymorphismrenal transplantationmyocardial infarctionacute peripheral artery occlusive disease
spellingShingle Tobias Peitz
Birte Möhlendick
Winfried Siffert
Falko Markus Heinemann
Andreas Kribben
Ute Eisenberger
Justa Friebus-Kardash
<i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant
International Journal of Molecular Sciences
<i>GNB3</i> c.825C>T polymorphism
renal transplantation
myocardial infarction
acute peripheral artery occlusive disease
title <i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant
title_full <i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant
title_fullStr <i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant
title_full_unstemmed <i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant
title_short <i>GNB3</i> c.825C>T (rs5443) Polymorphism and Risk of Acute Cardiovascular Events after Renal Allograft Transplant
title_sort i gnb3 i c 825c t rs5443 polymorphism and risk of acute cardiovascular events after renal allograft transplant
topic <i>GNB3</i> c.825C>T polymorphism
renal transplantation
myocardial infarction
acute peripheral artery occlusive disease
url https://www.mdpi.com/1422-0067/23/17/9783
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