Skip to main content

Advertisement

Log in

Association of rs146292819 Polymorphism in ABCA1 Gene with the Risk of Coronary Artery Disease in Pakistani Population

  • Original Article
  • Published:
Biochemical Genetics Aims and scope Submit manuscript

Abstract

Coronary artery disease (CAD) is an inflammatory heart disease characterized by the narrowing of coronary arteries. ATP-binding cassette transporter A1 (ABCA1) is a gene involved in regulation of cholesterol efflux and formation of high-density lipoprotein cholesterol (HDL-C). Present study aimed to explore the association of ABCA1 rs146292819 polymorphism with CAD development as well as its effect on serum lipid levels in the Pakistani population. Study subjects included 300 CAD patients and 300 age- and sex-matched healthy individuals. Methods involved genomic DNA extraction, amplification of rs146292819 polymorphism using allele-specific PCR, analyzing PCR product by agarose gel electrophoresis and determination of serum lipids. In this study, genotype frequencies of rs146292819 polymorphism in CAD patients were GG (43%), GT (27%), TT (30%) as compared to GG (25%), GT (31%), TT (44%) in healthy subjects. GG genotype increased the risk of developing CAD by 2.2326 times (OR 2.2326; 95% CI 1.5775–3.1597) and caused decrease in HDL-C levels by 2.6348 times. GT genotype was neither associated with CAD development (OR 0.8504; 95% CI 0.5974–1.2106) nor HDL-C levels. TT genotype lowered the risk of CAD development by 0.5381 times (OR 0.5381; 95% CI 0.3846–0.753) and protected from drop in HDL-C levels by 0.5086 times (OR 0.5086; 95% CI 0.3429–0.7544). It can be concluded that GG genotype of rs146292819 polymorphism and altered lipid profile act as risk factors in the pathogenesis of CAD in the Pakistani population.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Attaur-Rasool S, Hasan S, Ghani N, Malik Z (2013) Pattern of conventional risk factors in coronary artery disease patients. Pak J Physiol 9:19–22

    Google Scholar 

  • Attie AD, Kastelein JP, Hayden MR (2001) Pivotal role of ABCA1 in reverse cholesterol transport influencing HDL levels and susceptibility to atherosclerosis. J Lipid Res 42:1717–1726

    CAS  PubMed  Google Scholar 

  • Bland JM, Altman DG (2000) The odds ratio. BMJ 320:1468

    Article  CAS  Google Scholar 

  • Bochem AE, Van Wijk DF, Holleboom AG, Duivenvoorden R, Motazacker MM, Dallinga-Thie GM, De Groot E, Kastelein JJ, Nederveen AJ, Hovingh GK, Stroes ES (2012) ABCA1 mutation carriers with low high-density lipoprotein cholesterol are characterized by a larger atherosclerotic burden. Eur Heart J 34:286–291

    Article  Google Scholar 

  • Çoban N, Onat A, Kömürcü-Bayrak E, Güleç Ç, Can G, Erginel-Ünaltuna N (2014) Gender specific association of ABCA1 gene R219K variant in coronary disease risk through interactions with serum triglyceride elevation in Turkish adults. Anadolu Kardiyol Derg 14:18–25

    PubMed  Google Scholar 

  • Colpo A (2005) LDL cholesterol: “bad” cholesterol or bad science? JPANDS 10:83–89

    Google Scholar 

  • Daniels TF, Killinger KM, Michal JJ, Wright RW Jr, Jiang Z (2009) Lipoproteins, cholesterol homeostasis and cardiac health. Int J Biol Sci 5:474–488

    Article  CAS  Google Scholar 

  • Duarte PS, Mastrocolla LE, Alonso G, Lima EV, Smanio PE, Oliveira MA, Martins LR, Pereira JC (2007) Association between risk factors for coronary artery disease and coronary disease in patients undergoing myocardial perfusion scintigraphy. Arq Bras Cardiol 88:304–313

    Article  Google Scholar 

  • Frikke-Schmidt R, Nordestgaard BG, Jensen GB, Tybjærg-Hansen A (2004) Genetic variation in ABC transporter A1 contributes to HDL cholesterol in the general population. J Clin Invest 114:1343–1353

    Article  CAS  Google Scholar 

  • Frikke-Schmidt R, Nordestgaard BG, Stene MC, Sethi AA, Remaley AT, Schnohr P, Grande P, Tybjærg-Hansen A (2008) Association of loss-of-function mutations in the ABCA1 gene with high-density lipoprotein cholesterol levels and risk of ischemic heart disease. JAMA 299:2524–2532

    Article  CAS  Google Scholar 

  • Frikke-Schmidt R, Tybjærg-Hansen A, Dyson G, Haase CL, Benn M, Nordestgaard BG, Sing CF (2014) Subgroups at high risk for ischaemic heart disease: identification and validation in 67 000 individuals from the general population. Int J Epidemiol 44:117–128

    Article  Google Scholar 

  • Gupta N, Gill K, Singh S (2009) Paraoxonases: structure, gene polymorphism and role in coronary artery disease. Indian J Med Res 130:361–368

    CAS  PubMed  Google Scholar 

  • Haase CL, Tybjærg-Hansen A, Nordestgaard BG, Frikke-Schmidt R (2015) High-density lipoprotein cholesterol and risk of type 2 diabetes: a Mendelian randomization study. Diabetes 64:3328–3333

    Article  CAS  Google Scholar 

  • Haghvirdizadeh P, Ramachandran V, Etemad A, Heidari F, Ghodsian N, Bin Ismail N, Ismail P (2015) Association of ATP-binding cassette transporter A1 gene polymorphisms in type 2 diabetes mellitus among Malaysians. J Diabetes Res 2015:289846

    PubMed  PubMed Central  Google Scholar 

  • Hansson GK (2005) Inflammation, atherosclerosis, and coronary artery disease. N Engl J Med 352:1685–1695

    Article  CAS  Google Scholar 

  • Hussain M, Khan N, Uddin M, Al Nozha MM (2014) Chest pain, coronary artery disease and risk factors: a global snapshot. J Dow Univ Health Sci 8:80–86

    Google Scholar 

  • Knoblauch H, Bauerfeind A, Toliat MR, Becker C, Luganskaja T, Günther UP, Rohde K, Schuster H, Junghans C, Luft FC, Nürnberg P (2004) Haplotypes and snps in 13 lipid-relevant genes explain most of the genetic variance in high-density lipoprotein and low-density lipoprotein cholesterol. Hum Mol Genet 13:993–1004

    Article  CAS  Google Scholar 

  • Kolovou V, Marvaki A, Karakosta A, Vasilopoulos G, Kalogiani A, Mavrogeni S, Degiannis D, Marvaki C, Kolovou G (2012) Association of gender, ABCA1 gene polymorphisms and lipid profile in Greek young nurses. Lipids Health Dis 11:62

    Article  CAS  Google Scholar 

  • Nabel EG, Braunwald E (2012) A tale of coronary artery disease and myocardial infarction. N Engl J Med 366:54–63

    Article  CAS  Google Scholar 

  • Nordestgaard LT, Tybjærg-Hansen A, Nordestgaard BG, Frikke-Schmidt R (2015) Loss-of-function mutation in ABCA1 and risk of Alzheimer's disease and cerebrovascular disease. Alzheimers Dement 11:1430–1438

    Article  Google Scholar 

  • Nordestgaard BG, Varbo A (2014) Triglycerides and cardiovascular disease. Lancet 384:626–635

    Article  CAS  Google Scholar 

  • Rader DJ, Alexander ET, Weibel GL, Billheimer J, Rothblat GH (2009) The role of reverse cholesterol transport in animals and humans and relationship to atherosclerosis. J Lipid Res 50:s189–s194

    Article  Google Scholar 

  • Rader DJ, Hovingh GK (2014) HDL and cardiovascular disease. Lancet 384:618–625

    Article  CAS  Google Scholar 

  • Rejeb J, Omezzine A, Rebhi L, Boumaiza I, Kchock K, Belkahla R, Rejeb NB, Nabli N, Abdelaziz AB, Boughzala E, Bouslama A (2010) Associations between common polymorphisms of adenosine triphosphate-binding cassette transporter A1 and coronary artery disease in a Tunisian population. Arch Cardiovasc Dis 103:530–537

    Article  Google Scholar 

  • Roberts R (2014) Acute coronary syndromes compendium genetics of coronary artery disease. Circ Res 114:1890–1903

    Article  CAS  Google Scholar 

  • Sakakura K, Nakano M, Otsuka F, Ladich E, Kolodgie FD, Virmani R (2013) Pathophysiology of atherosclerosis plaque progression. Heart Lung Circ 22:399–411

    Article  Google Scholar 

  • Sayols-Baixeras S, Lluís-Ganella C, Lucas G, Elosua R (2014) Pathogenesis of coronary artery disease: focus on genetic risk factors and identification of genetic variants. Appl Clin Genet 7:15–32

    CAS  PubMed  PubMed Central  Google Scholar 

  • Scheuner MT (2003) Genetic evaluation for coronary artery disease. Genet Med 5:269–285

    Article  Google Scholar 

  • Singaraja RR, Visscher H, James ER, Chroni A, Coutinho JM, Brunham LR, Kang MH, Zannis VI, Chimini G, Hayden MR (2006) Specific mutations in ABCA1 have discrete effects on ABCA1 function and lipid phenotypes both in vivo and in vitro. Circ Res 99:389–397

    Article  CAS  Google Scholar 

  • van Capelleveen JC, Kootte RS, Hovingh GK, Bochem AE (2015) Myocardial infarction in a 36-year-old man with combined ABCA1 and APOA-1 deficiency. J Clin Lipidol 9:396–399

    Article  Google Scholar 

  • Van Dam MJ, De Groot E, Clee SM, Hovingh GK, Roelants R, Brooks-Wilson A, Zwinderman AH, Smit AJ, Smelt AH, Groen AK, Hayden MR (2002) Association between increased arterial-wall thickness and impairment in ABCA1-driven cholesterol efflux: an observational study. Lancet 359:37–41

    Article  Google Scholar 

  • Westerterp M, Bochem AE, Yvan-Charvet L, Murphy AJ, Wang N, Tall AR (2014) ATP-binding cassette transporters, atherosclerosis, and inflammation. Circ Res 114:157–170

    Article  CAS  Google Scholar 

  • Wong ND (2014) Epidemiological studies of CHD and the evolution of preventive cardiology. Nat Rev Cardiol 11:276–289

    Article  Google Scholar 

  • World Health Organization (2013) Country cooperation strategy at a glance: Pakistan. www.who.int/countryfocus/cooperation_strategy/briefs/en/. Accessed 22 Nov 2015

  • World Health Organization (2015) Cardiovascular diseases (CVDs) fact sheet. www.who.int/mediacentre/factsheets/fs317/en/. Accessed 6 Dec 2015

Download references

Acknowledgements

We are thankful to Department of Zoology, University of Sargodha, Sargodha, Pakistan, for providing well-equipped lab and facilitating us during research work.

Author information

Authors and Affiliations

Authors

Contributions

M.S. designed the study, performed lab work, statistically analyzed the data, and wrote the manuscript. A.R. helped in data collection and primer designing for PCR. M.A. edited the manuscript and approved the final manuscript for publication.

Corresponding author

Correspondence to Maryam Sameem.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sameem, M., Rani, A. & Arshad, M. Association of rs146292819 Polymorphism in ABCA1 Gene with the Risk of Coronary Artery Disease in Pakistani Population. Biochem Genet 57, 623–637 (2019). https://doi.org/10.1007/s10528-019-09915-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10528-019-09915-3

Keywords

Navigation