Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.

Dilated Cardiomyopathy (DCM) is characterized by systolic dysfunction, followed by heart failure necessitating cardiac transplantation. The genetic basis is well established by the identification of mutations in sarcomere and cytoskeleton gene/s. Modifier genes and environmental factors are also con...

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Main Authors: Lova Satyanarayana Matsa, Advithi Rangaraju, Viswamitra Vengaldas, Mona Latifi, Hossein Mehraban Jahromi, Venkateshwari Ananthapur, Pratibha Nallari
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3726655?pdf=render
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author Lova Satyanarayana Matsa
Advithi Rangaraju
Viswamitra Vengaldas
Mona Latifi
Hossein Mehraban Jahromi
Venkateshwari Ananthapur
Pratibha Nallari
author_facet Lova Satyanarayana Matsa
Advithi Rangaraju
Viswamitra Vengaldas
Mona Latifi
Hossein Mehraban Jahromi
Venkateshwari Ananthapur
Pratibha Nallari
author_sort Lova Satyanarayana Matsa
collection DOAJ
description Dilated Cardiomyopathy (DCM) is characterized by systolic dysfunction, followed by heart failure necessitating cardiac transplantation. The genetic basis is well established by the identification of mutations in sarcomere and cytoskeleton gene/s. Modifier genes and environmental factors are also considered to play a significant role in the variable expression of the disease, hence various mechanisms are implicated and one such mechanism is oxidative stress. Nitric Oxide (NO), a primary physiological transmitter derived from endothelium seems to play a composite role with diverse anti-atherogenic effects as vasodilator. Three functional polymorphisms of endothelial nitric oxide synthase (NOS3) gene viz., T-786C of the 5' flanking region, 27bp VNTR in intron4 and G894T of exon 7 were genotyped to identify their role in DCM. A total of 115 DCM samples and 454 controls were included. Genotyping was carried out by PCR -RFLP method. Allelic and genotypic frequencies were computed in both control & patient groups and appropriate statistical tests were employed. A significant association of TC genotype (T-786C) with an odds ratio of 1.74, (95% CI 1.14 - 2.67, p = 0.01) was observed in DCM. Likewise the GT genotypic frequency of G894T polymorphism was found to be statistically significant (OR 2.10, 95% CI 1.34-3.27, p = 0.0011), with the recessive allele T being significantly associated with DCM (OR 1.64, 95% CI 1.18 - 2.30, p = 0.003). The haplotype carrying the recessive alleles of G894T and T-786C, C4bT was found to exhibit 7 folds increased risk for DCM compared to the controls. Hence C4bT haplotype could be the risk haplotype for DCM. Our findings suggest the possible implication of NOS3 gene in the disease phenotype, wherein NOS3 may be synergistically functioning in DCM associated heart failure via the excessive production of NO in cardiomyocytes resulting in decreased myocardial contractility and systolic dysfunction, a common feature of DCM phenotype.
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spelling doaj.art-a68a723b80a24037bf7fc1035198b1fe2022-12-22T01:56:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0187e7052310.1371/journal.pone.0070523Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.Lova Satyanarayana MatsaAdvithi RangarajuViswamitra VengaldasMona LatifiHossein Mehraban JahromiVenkateshwari AnanthapurPratibha NallariDilated Cardiomyopathy (DCM) is characterized by systolic dysfunction, followed by heart failure necessitating cardiac transplantation. The genetic basis is well established by the identification of mutations in sarcomere and cytoskeleton gene/s. Modifier genes and environmental factors are also considered to play a significant role in the variable expression of the disease, hence various mechanisms are implicated and one such mechanism is oxidative stress. Nitric Oxide (NO), a primary physiological transmitter derived from endothelium seems to play a composite role with diverse anti-atherogenic effects as vasodilator. Three functional polymorphisms of endothelial nitric oxide synthase (NOS3) gene viz., T-786C of the 5' flanking region, 27bp VNTR in intron4 and G894T of exon 7 were genotyped to identify their role in DCM. A total of 115 DCM samples and 454 controls were included. Genotyping was carried out by PCR -RFLP method. Allelic and genotypic frequencies were computed in both control & patient groups and appropriate statistical tests were employed. A significant association of TC genotype (T-786C) with an odds ratio of 1.74, (95% CI 1.14 - 2.67, p = 0.01) was observed in DCM. Likewise the GT genotypic frequency of G894T polymorphism was found to be statistically significant (OR 2.10, 95% CI 1.34-3.27, p = 0.0011), with the recessive allele T being significantly associated with DCM (OR 1.64, 95% CI 1.18 - 2.30, p = 0.003). The haplotype carrying the recessive alleles of G894T and T-786C, C4bT was found to exhibit 7 folds increased risk for DCM compared to the controls. Hence C4bT haplotype could be the risk haplotype for DCM. Our findings suggest the possible implication of NOS3 gene in the disease phenotype, wherein NOS3 may be synergistically functioning in DCM associated heart failure via the excessive production of NO in cardiomyocytes resulting in decreased myocardial contractility and systolic dysfunction, a common feature of DCM phenotype.http://europepmc.org/articles/PMC3726655?pdf=render
spellingShingle Lova Satyanarayana Matsa
Advithi Rangaraju
Viswamitra Vengaldas
Mona Latifi
Hossein Mehraban Jahromi
Venkateshwari Ananthapur
Pratibha Nallari
Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.
PLoS ONE
title Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.
title_full Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.
title_fullStr Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.
title_full_unstemmed Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.
title_short Haplotypes of NOS3 gene polymorphisms in dilated cardiomyopathy.
title_sort haplotypes of nos3 gene polymorphisms in dilated cardiomyopathy
url http://europepmc.org/articles/PMC3726655?pdf=render
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AT monalatifi haplotypesofnos3genepolymorphismsindilatedcardiomyopathy
AT hosseinmehrabanjahromi haplotypesofnos3genepolymorphismsindilatedcardiomyopathy
AT venkateshwariananthapur haplotypesofnos3genepolymorphismsindilatedcardiomyopathy
AT pratibhanallari haplotypesofnos3genepolymorphismsindilatedcardiomyopathy