Association of Interleukin-1 Gene cluster polymorphisms with coronary slow flow phenomenon

作者:Mutluer Ferit Onur; Ural Dilek; Gungor Baris; Bolca Osman; Aksu Tolga*
来源:Anatolian Journal of Cardiology, 2018, 19(1): 34-41.
DOI:10.14744/AnatolJCardiol.2017.8071

摘要

Objective: Coronary slow flow phenomenon (CSFP) is characterized by the decreased rate of contrast progression in epicardial coronary arteries in the absence of significant coronary stenosis. Mounting evidence has showed a significant association between inflammation and CSFP severity. This study aimed to evaluate possible associations between interleukin-1 receptor antagonist (IL-1ra) gene variable number tandem repeat (VNTR), IL-1(beta)-511 single nucleotide (SNP), and IL-1(beta)+3954 SNP mutations with CSFP.
Methods: Forty-eight patients with CSFP and 62 controls with angiographically normal coronary arteries were prospectively enrolled in the study. Genotypes were assessed using the polymerase chain reaction (PCR)-based restriction fragment length polymorphism (PCR-RFLP) technique.
Results: Homozygote genotype for allele 2 of+3954 C>T 2/2 genotype was significantly more frequent in patients with CSFP than in the control group, whereas 1/2 genotype was more frequent in the control group (35.4% versus 14.5% for 2/2 genotype and 25% versus 35.5% for 1/2 genotype in CSFP and control groups, respectively, X-2= 6.6; p= 0.04). The allelic frequency of allele 2 of this polymorphism was significantly higher in the CSFP group than in the control group (47.9% versus 28.6% in the control group, X-2= 5.6; p= 0.02). However, there was no significant difference with regard to genotype or allelic frequencies of IL-1ra VNTR or IL-1(beta)-511 SNP polymorphisms between patients with CSFP and controls.
Conclusion: IL-1(beta)+3954 SNP mutations are significantly more common in patients with CSFP. It may suggest that the tendency for inflammation may contribute to the presence of this phenomenon.

  • 出版日期2018-1

全文