Abstract

ObjectiveTo investigate the association between common transforming growth factor beta (TGF-β) single nucleotide polymorphisms (SNP) and significant complications of coronary heart disease (CHD).MethodWe performed a meta-analysis of published case-control studies assessing the association of TGF-β SNPs with a range of CHD complications. A random effects model was used to calculate odds ratios and confidence intervals. Analyses were conducted for additive, dominant and recessive modes of inheritance.ResultsSix studies involving 5535 cases and 2970 controls examining the association of common SNPs in TGF-β1 with CHD were identified. Applying a dominant model of inheritance, three TGF-β1 SNPs were significantly associated with CHD complications: The T alleles of rs1800469 (OR = 1.125, 95% CI 1.016–1.247, p = 0.031) and rs1800470 (OR = 1.146, 95% CI 1.026–1.279, p = 0.021); and the C allele of rs1800471 (OR = 1.207, 95% CI 1.037–1.406, p = 0.021).ConclusionThis meta-analysis suggests that common genetic polymorphisms in TGF-β1 are associated with complications of CHD.

Highlights

  • Coronary heart disease (CHD) is the leading cause of mortality in the western world

  • Six studies involving 5535 cases and 2970 controls examining the association of common single nucleotide polymorphisms (SNP) in TGF-b1 with CHD were identified

  • Applying a dominant model of inheritance, three TGF-b1 SNPs were significantly associated with CHD complications: The T alleles of rs1800469 (OR = 1.125, 95% CI 1.016–1.247, p = 0.031) and rs1800470 (OR = 1.146, 95% CI 1.026–1.279, p = 0.021); and the C allele of rs1800471 (OR = 1.207, 95% CI 1.037–1.406, p = 0.021)

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Summary

Introduction

Coronary heart disease (CHD) is the leading cause of mortality in the western world. [1] Early stage CHD is asymptomatic, but advanced disease is associated with severe complications including myocardial infarction, heart failure, unstable angina and sudden cardiac arrest. [3] The genetic mechanisms underlying CHD predisposition are poorly understood despite recent findings from genome-wide association studies (GWAS) (discussed in detail by Patel et al (2011)). Data from independent gene studies suggest a putative role for TGF-b signalling in CHD. [8,9] Some but not all studies suggest a positive association between CHD and several SNPs within genes encoding TGF-b cytokines.

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