Association of the 894G>T polymorphism of the endothelial constitutive nitric oxide synthase gene with unstable angina



Título del documento: Association of the 894G>T polymorphism of the endothelial constitutive nitric oxide synthase gene with unstable angina
Revista: Brazilian journal of medical and biological research
Base de datos: PERIÓDICA
Número de sistema: 000349881
ISSN: 0100-879X
Autores: 1
2
1
3
1
Instituciones: 1Hospital de Clinicas de Porto Alegre, Unidade de Hemodinamica, Porto Alegre, Rio Grande do Sul. Brasil
2Universidade Federal do Rio Grande do Sul, Pos-Graduacao em Medicina, Porto Alegre, Rio Grande do Sul. Brasil
3Pontificia Universidade Catolica do Rio Grande do Sul, Faculdade de Biociencias, Porto Alegre, Rio Grande do Sul. Brasil
Año:
Periodo: Abr
Volumen: 40
Número: 4
Paginación: 475-483
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Experimental, aplicado
Resumen en inglés The 894G>T polymorphism of the endothelial constitutive nitric oxide synthase gene consists of the substitution of a guanine base by a thymine at the 894th nucleotide of the gene. An association of this polymorphism with acute coronary syndromes has been described, only when in combination with other polymorphisms of this gene. The aim of the present study was to search for an association between this polymorphism and unstable angina in a southern Brazilian population. In a case-control study, 156 patients (group 1 (N = 83): unstable angina, group 2 (N = 73): stable angina) were genotyped by PCR and digestion of the product. Univariate analysis demonstrated that the minimal luminal diameter and the degree of stenosis of the culprit lesion differed between groups (P = 0.006 and 0.005, respectively). In addition, the frequencies of the T allele and of the T allele carriers (combined TT and TG genotypes) were significantly higher in the group with unstable angina (41.6 vs 28.8%; P = 0.025, Pearson chi-square test, and 73.5 vs 45.2%; P = 0.001, Pearson chi-square test, respectively). Multivariate logistic regression showed that the frequency of the T allele carriers was the only variable with a predictive value for unstable angina, when controlled for the other variables (6.1 (95% CI = 2.55-14.43); P < 0.001). Thus, in a homogenous group of patients, the endothelial constitutive nitric oxide synthase 894G>T polymorphism was associated with unstable angina. We suggest that this polymorphism may be a genetic risk factor for unstable angina
Disciplinas: Medicina
Palabras clave: Sistema cardiovascular,
Bioquímica,
Angina inestable,
Oxido nítrico sintetasa,
Polimorfismo genético,
Coronarias
Keyword: Medicine,
Cardiovascular system,
Biochemistry,
Unstable angina,
Nitric oxide synthase,
Genetic polymorphism,
Coronary arteries
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