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Combined Polymorphisms in Oxidative Stress Genes Predict Coronary Artery Disease and Oxidative Stress in Coronary Angiography Patients

Summary Oxidative stress has been implicated in all stages of atherosclerosis, but how inherited variations in oxidative stress genes influence the severity of cardiovascular disease is not known. We tested associations between polymorphisms in candidate oxidative stress genes, plasma oxidative stre...

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Published in:Annals of human genetics 2012-11, Vol.76 (6), p.435-447
Main Authors: Heslop, Claire L., Tebbutt, Scott J., Podder, Mohua, Ruan, Jian, Hill, John S.
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container_title Annals of human genetics
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creator Heslop, Claire L.
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description Summary Oxidative stress has been implicated in all stages of atherosclerosis, but how inherited variations in oxidative stress genes influence the severity of cardiovascular disease is not known. We tested associations between polymorphisms in candidate oxidative stress genes, plasma oxidative stress biomarkers, and cardiovascular mortality in an angiography cohort. Single nucleotide polymorphisms (SNPs) across 15 genes were selected by linkage disequilibrium tagging. Genotyping was performed using customized arrayed primer extension micro‐arrays, with automated genotype calling methods. Effects of SNPs and haplotypes on plasma oxidative stress and coronary artery disease (CAD) were estimated using a stochastic estimation maximization algorithm. Proportionate hazards analyses were used to determine effects of single and combined genetic markers on cardiovascular mortality risk, and on the following oxidative stress biomarkers: myeloperoxidase (MPO), nitrotyrosine, oxidized low‐density lipoprotein, and antioxidant capacity. Oxidative stress gene SNPs associated with CAD were combined into an oxidative stress risk allele score, which predicted disease presence (1.5‐fold risk increase per allele, P < 0.001). Combined risk alleles were also associated with elevated plasma MPO (P < 0.003), an oxidative stress biomarker that predicts cardiovascular mortality. Genetic markers that represent lifetime oxidative stress burden may implicate specific oxidative stress pathways in the pathogenesis of atherosclerosis, and offer therapeutic opportunities.
doi_str_mv 10.1111/j.1469-1809.2012.00731.x
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We tested associations between polymorphisms in candidate oxidative stress genes, plasma oxidative stress biomarkers, and cardiovascular mortality in an angiography cohort. Single nucleotide polymorphisms (SNPs) across 15 genes were selected by linkage disequilibrium tagging. Genotyping was performed using customized arrayed primer extension micro‐arrays, with automated genotype calling methods. Effects of SNPs and haplotypes on plasma oxidative stress and coronary artery disease (CAD) were estimated using a stochastic estimation maximization algorithm. Proportionate hazards analyses were used to determine effects of single and combined genetic markers on cardiovascular mortality risk, and on the following oxidative stress biomarkers: myeloperoxidase (MPO), nitrotyrosine, oxidized low‐density lipoprotein, and antioxidant capacity. Oxidative stress gene SNPs associated with CAD were combined into an oxidative stress risk allele score, which predicted disease presence (1.5‐fold risk increase per allele, P &lt; 0.001). Combined risk alleles were also associated with elevated plasma MPO (P &lt; 0.003), an oxidative stress biomarker that predicts cardiovascular mortality. Genetic markers that represent lifetime oxidative stress burden may implicate specific oxidative stress pathways in the pathogenesis of atherosclerosis, and offer therapeutic opportunities.</description><identifier>ISSN: 0003-4800</identifier><identifier>EISSN: 1469-1809</identifier><identifier>DOI: 10.1111/j.1469-1809.2012.00731.x</identifier><identifier>PMID: 23003332</identifier><identifier>CODEN: ANHGAA</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Algorithms ; Angiography ; Antioxidants ; arrayed primer extension micro-arrays (APEX) ; Arteriosclerosis ; Atherosclerosis ; Biomarkers ; Cardiovascular disease ; Cardiovascular diseases ; Cohort Studies ; combined risk alleles ; Coronary Angiography ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - genetics ; Coronary Artery Disease - mortality ; Female ; Gene polymorphism ; Genes ; Genetic markers ; Genotype ; Haplotypes ; Heart diseases ; Humans ; Linkage disequilibrium ; Lipoproteins ; Male ; Middle Aged ; Mortality ; nitrotyrosine ; Oxidative stress ; Oxidative Stress - genetics ; oxidative stress genes ; Peroxidase ; plasma myeloperoxidase ; Polymorphism, Single Nucleotide ; Primers ; Prognosis ; Single-nucleotide polymorphism ; Stochasticity</subject><ispartof>Annals of human genetics, 2012-11, Vol.76 (6), p.435-447</ispartof><rights>2012 The Authors Annals of Human Genetics © 2012 Blackwell Publishing Ltd/University College London</rights><rights>2012 The Authors Annals of Human Genetics © 2012 Blackwell Publishing Ltd/University College London.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5171-7add6addc826f239ee09fdded42b55da62122a0d46ca658030b29a12939a90683</citedby><cites>FETCH-LOGICAL-c5171-7add6addc826f239ee09fdded42b55da62122a0d46ca658030b29a12939a90683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23003332$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heslop, Claire L.</creatorcontrib><creatorcontrib>Tebbutt, Scott J.</creatorcontrib><creatorcontrib>Podder, Mohua</creatorcontrib><creatorcontrib>Ruan, Jian</creatorcontrib><creatorcontrib>Hill, John S.</creatorcontrib><title>Combined Polymorphisms in Oxidative Stress Genes Predict Coronary Artery Disease and Oxidative Stress in Coronary Angiography Patients</title><title>Annals of human genetics</title><addtitle>Ann Hum Genet</addtitle><description>Summary Oxidative stress has been implicated in all stages of atherosclerosis, but how inherited variations in oxidative stress genes influence the severity of cardiovascular disease is not known. We tested associations between polymorphisms in candidate oxidative stress genes, plasma oxidative stress biomarkers, and cardiovascular mortality in an angiography cohort. Single nucleotide polymorphisms (SNPs) across 15 genes were selected by linkage disequilibrium tagging. Genotyping was performed using customized arrayed primer extension micro‐arrays, with automated genotype calling methods. Effects of SNPs and haplotypes on plasma oxidative stress and coronary artery disease (CAD) were estimated using a stochastic estimation maximization algorithm. Proportionate hazards analyses were used to determine effects of single and combined genetic markers on cardiovascular mortality risk, and on the following oxidative stress biomarkers: myeloperoxidase (MPO), nitrotyrosine, oxidized low‐density lipoprotein, and antioxidant capacity. Oxidative stress gene SNPs associated with CAD were combined into an oxidative stress risk allele score, which predicted disease presence (1.5‐fold risk increase per allele, P &lt; 0.001). Combined risk alleles were also associated with elevated plasma MPO (P &lt; 0.003), an oxidative stress biomarker that predicts cardiovascular mortality. 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We tested associations between polymorphisms in candidate oxidative stress genes, plasma oxidative stress biomarkers, and cardiovascular mortality in an angiography cohort. Single nucleotide polymorphisms (SNPs) across 15 genes were selected by linkage disequilibrium tagging. Genotyping was performed using customized arrayed primer extension micro‐arrays, with automated genotype calling methods. Effects of SNPs and haplotypes on plasma oxidative stress and coronary artery disease (CAD) were estimated using a stochastic estimation maximization algorithm. Proportionate hazards analyses were used to determine effects of single and combined genetic markers on cardiovascular mortality risk, and on the following oxidative stress biomarkers: myeloperoxidase (MPO), nitrotyrosine, oxidized low‐density lipoprotein, and antioxidant capacity. Oxidative stress gene SNPs associated with CAD were combined into an oxidative stress risk allele score, which predicted disease presence (1.5‐fold risk increase per allele, P &lt; 0.001). Combined risk alleles were also associated with elevated plasma MPO (P &lt; 0.003), an oxidative stress biomarker that predicts cardiovascular mortality. Genetic markers that represent lifetime oxidative stress burden may implicate specific oxidative stress pathways in the pathogenesis of atherosclerosis, and offer therapeutic opportunities.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>23003332</pmid><doi>10.1111/j.1469-1809.2012.00731.x</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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ispartof Annals of human genetics, 2012-11, Vol.76 (6), p.435-447
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subjects Aged
Algorithms
Angiography
Antioxidants
arrayed primer extension micro-arrays (APEX)
Arteriosclerosis
Atherosclerosis
Biomarkers
Cardiovascular disease
Cardiovascular diseases
Cohort Studies
combined risk alleles
Coronary Angiography
Coronary Artery Disease - diagnosis
Coronary Artery Disease - genetics
Coronary Artery Disease - mortality
Female
Gene polymorphism
Genes
Genetic markers
Genotype
Haplotypes
Heart diseases
Humans
Linkage disequilibrium
Lipoproteins
Male
Middle Aged
Mortality
nitrotyrosine
Oxidative stress
Oxidative Stress - genetics
oxidative stress genes
Peroxidase
plasma myeloperoxidase
Polymorphism, Single Nucleotide
Primers
Prognosis
Single-nucleotide polymorphism
Stochasticity
title Combined Polymorphisms in Oxidative Stress Genes Predict Coronary Artery Disease and Oxidative Stress in Coronary Angiography Patients
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