Abstract

Macrophage migration inhibitory factor (MIF) has been recognized as a major player in the pathogenesis of atherosclerosis. This study determined the association between polymorphisms of MIF gene and acute coronary syndrome (ACS). The polymorphism of MIF gene (rs755622, rs1007888 and rs2096525) was analyzed in 1153 healthy controls and 699 ACS cases in Chinese Han population. Plasma MIF level was also measured in part of ACS patients (139/19.9%) and healthy controls (129/11.2%) randomly. Most participants including healthy controls and ACS patients carried rs755622 GG (63.1% vs. 56.7%) and CG genotypes (33.1% vs. 38.9%) and G allele of rs755622 (79.6% vs. 76.1%, respectively), while CC genotype (3.8% vs. 4.4%) and C allele (20.4% vs. 23.9%) carriers were the lowest. Multivariate logistic regression analysis showed that carriers with rs755622 C allele had a higher risk of ACS compared to other genotypes (AOR = 1.278, 95% CI: 1.042–1.567). In addition, CC genotype carriers had the highest plasma levels of MIF than other genotype carriers. The MIF level in ACS patients with CC genotype was significantly higher than ACS patients carrying GG genotype and healthy controls carrying 3 different genotypes of MIF gene rs755622. Our findings indicate that MIF gene rs755622 variant C allele is associated with increased risk of ACS. Identification of this MIF gene polymorphism may help for predicting the risk of ACS.

Highlights

  • Macrophage migration inhibitory factor (MIF) has been recognized as a major player in the pathogenesis of atherosclerosis

  • acute coronary syndrome (ACS) patients were older and had greater body mass index (BMI) and levels of glucose, low-density lipoprotein-cholesterol (LDL-C) and TG and higher prevalence of hypertension, diabetes, hyperglycemia, hypercholesteremia and hyper-LDL-C but lower high-density lipoprotein-cholesterol (HDL-C) level compared to healthy controls

  • Variations in multiple genes involved in inflammation, and previous studies showed that there were close relationships between PPARα, interleukin 18 (IL-18), IL-1β, SIRT2, and CD14 receptor and incidence of acute myocardial infarction[24,25,26,27]

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Summary

Introduction

Macrophage migration inhibitory factor (MIF) has been recognized as a major player in the pathogenesis of atherosclerosis. This study determined the association between polymorphisms of MIF gene and acute coronary syndrome (ACS). The polymorphism of MIF gene (rs755622, rs1007888 and rs2096525) was analyzed in 1153 healthy controls and 699 ACS cases in Chinese Han population. Our findings indicate that MIF gene rs755622 variant C allele is associated with increased risk of ACS. We have previously demonstrated that there was a significant association between the polymorphism of MIF gene -173G/C (rs755622) and CAD and severity of coronary lesions in Chinese Kazakh population[13]. Considering potential genetic influence and MIF as a key factor in atherosclerotic plaque formation, in this study, we investigate, in Han Chinese population, whether the variants of MIF gene predispose to ACS and have function influence on circulating plasma MIF level in both healthy controls and ACS patients

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