Association of congenital cardiovascular malformations with 33 single nucleotide polymorphisms of selected cardiovascular disease-related genes.
Association of congenital cardiovascular malformations with 33 single nucleotide polymorphisms of selected cardiovascular disease-related genes.
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DOI:
10.1002/bdra.20630
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发表时间:
2010-02
影响因子:
--
通讯作者:
Shaw, Gary M.
中科院分区:
文献类型:
--
作者:
Kuehl, Karen;Loffredo, Christopher;Lammer, Edward J.;Iovannisci, David M.;Shaw, Gary M.
proposed that abnormal blood flow is related to some to congenital cardiovascular malformations (CCVM), particularly CCVM with obstruction to blood flow. Our hypothesis is that CCVM may relate to genes that affect blood coagulation or flow. We studied whether polymorphisms of such genes are related to CCVM; previously association of these SNPs conotruncal CCVM is described We assessed risk of pulmonary stenosis (PS, N=120), atrial septal defect (ASD, N=108), aortic stenosis (AS, N=36), and coarctation of the aorta (CoAo, N=64), associated with 33 candidate genes, selected for their relationship to blood flow affected by homocysteine metabolism, coagulation, cell–cell interaction, inflammation, or blood pressure regulation. Effects were specific to cardiac phenotype and race. CoAo was associated with MTHFR (−667) C>T (odds ratio [OR] for TT 3.5, 95% confidence limits [CI] 1.4–8.6). AS was associated with a polymorphism of SERPINE1, G5>G4, OR = 5.6 for the homozygote with 95% CI 1.4 –22.9. Unique polymorphisms were associated with increased risk of ASD and PS: NPPA 664G>A with ASD (OR of 2.4, 95%CI 1.3 – 4.4) and NOS3 (−690) C>T with PS (OR 6.1; 95%CI 1.6 – 22.6 in the African American population only). For ASD, the NPPA (−664) G>A SNP there was increased risk from the variant genotype only in maternal smokers (OR 2.6; 95%CI 1.0–7.2). Genes affecting vascular function and coagulation appear to be promising candidates for the etiology of cardiac malformations and warrant further study.
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