Abstract

The IL-33/ST2 signaling pathway plays an important role in coronary artery disease (CHD); however, few studies have explored how variants in IL-33/ST2 genes influence CHD risk. Here, we examined the association between genetic variants in IL-33, ST2, and IL-1RAcP of the IL-33/ST2 axis and the risk of CHD. We conducted a case-controlled study with 1146 CHD cases and 1146 age- and sex-frequency-matched controls. Twenty-eight single nucleotide polymorphisms (SNPs) in IL-33, ST2, and IL-1RAcP were genotyped by Sequenom MassArray and TaqMan assay. Logistic regression was used to analyze these associations. The SNP rs4624606 in IL-1RAcP was nominally associated with CHD risk. The AA genotype was associated with a 1.85-fold increased risk of CHD (95% confidence interval (CI) = 1.01–3.36; p = 0.045) compared to the TT genotype. Further analysis showed that AA carriers also had a higher risk of CHD than TT + TA carriers (odds ratio (OR) = 1.85; 95% CI = 1.85–3.35; p = 0.043). However, no significant association was observed between variants in IL-33/ST2 genes and CHD risk. Further studies are needed to replicate our results in other ethnic groups with larger sample size.

Highlights

  • Coronary heart disease (CHD) is a complex chronic inflammatory process mediated by the innate and acquired immune systems and involves pro- and anti-inflammatory cytokines [1]

  • Considering the role of inflammation in CHD, we hypothesized that polymorphisms in Interleukin 33 (IL-33)/ST2 might be associated with CHD risk

  • CHD cases were more likely have a history of hypertension, diabetes mellitus (DM), and a family history of CHD

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Summary

Introduction

Coronary heart disease (CHD) is a complex chronic inflammatory process mediated by the innate and acquired immune systems and involves pro- and anti-inflammatory cytokines [1]. Other studies have reported that IL-33 promotes adhesion molecules and inflammatory activation in human endothelial cells and may, in such way, enhance the development of atherosclerotic lesions in the vessel wall [11,12]. The mechanisms of these contradictory effects of IL-33 are not yet completely understood yet. Considering the role of inflammation in CHD, we hypothesized that polymorphisms in IL-33/ST2 might be associated with CHD risk. We performed a genetic association analysis of IL-33/ST2 and CHD risk in a case-control study of the Han Chinese population

Characteristics of the Case and Control Subjects
Association Analyses for Stratified Traditional Risk Factors
Discussion
Study Population
Selection of Polymorphisms
DNA Isolation and Genotyping
Statistical Analysis

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