Gene polymorphism in IL17A and gene-gene interaction in the IL23R/IL17A axis are associated with susceptibility to coronary artery disease

Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved..

AIMS: Studies have confirmed that the IL-23R/IL-17A axis plays an important role in the development of autoimmune and inflammatory diseases. However, its role in coronary artery disease (CAD) remains unclear. Here, we conducted a large sample case-control study to investigate the association between the IL23R/IL17A axis and CAD in the Chinese Han population.

METHODS: Two SNPs, rs2275913: G>A (IL17A) and rs6682925: T>C (IL23R), were genotyped in 3042 CAD cases and 3216 controls using the high-resolution melt technology (HRM). Logistic regression analyses were used to adjust the traditional risk factors for CAD and perform the gene interaction analyses. Multiple linear regression analyses were used to study the relationships between the selected SNPs and the levels of serum lipids. In addition, meta-analysis also was performed for the association between rs6682925 and rs2275913 with CAD in different popolations.

RESULTS: Our case-control and meta-analysis for single SNPs demonstrated that the frequencies of the alleles and the distribution of the genotypes had no significant differences in CAD cases compared with controls. In the stratified analysis, we observed that the frequency of the IL17A rs2275913-A allele was more epidemic in early-onset CAD than in the controls (Padj = 0.005, OR = 1.209, 95% CI: 1.059-1.382), and the minor allele C of rs6682925 was associated with a decreased level of serum total cholesterol under a recessive model (Padj = 0.011). We demonstrated a significant interaction between rs6682925 and rs2275913 and CAD in the Chinese Han population. Four genotypes (CTGG, CCAA, CCAG, CCGG) were significantly associated with CAD (Padj = 2.94 × 10-4, OR = 0.619, 95% CI: 0.478-0.803; Padj = 0.01, OR = 1.808, 95% CI: 1.152-1.869; Padj = 6 × 10-6, OR = 2.179, 95% CI: 1.558-3.049; Padj = 0.001, OR = 1.883, 95% CI: 1.282-2.762, respectively).

CONCLUSION: Our study found no single SNP of rs2275913 in IL17A and rs6682925 in IL23R was associated with CAD in the Chinese population, but the interaction of them were significantly associated with CAD susceptibility, highlighting the key role of the IL-23R/IL-17A axis in the development of CAD. In addition, we also found rs2275913 was associated with early-onset CAD and rs6682925 was associated with total cholesterol levels, which will contribute to the clinical stratified management of this common disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:164

Enthalten in:

Cytokine - 164(2023) vom: 28. Apr., Seite 156142

Sprache:

Englisch

Beteiligte Personen:

Zhang, Hongsong [VerfasserIn]
Nie, Shaofang [VerfasserIn]
Chen, Qianwen [VerfasserIn]
Wang, Pengyun [VerfasserIn]
Xu, Chengqi [VerfasserIn]
Tu, Xin [VerfasserIn]
Zhang, Lifang [VerfasserIn]
Kenneth Wang, Qing [VerfasserIn]
Zha, Lingfeng [VerfasserIn]

Links:

Volltext

Themen:

97C5T2UQ7J
Cholesterol
Coronary artery disease
Gene interaction
IL17A
IL17A protein, human
IL23R
IL23R protein, human
Interleukin-17
Journal Article
Meta-Analysis
Receptors, Interleukin
Research Support, Non-U.S. Gov't
Single nucleotide polymorphism

Anmerkungen:

Date Completed 16.03.2023

Date Revised 21.03.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cyto.2023.156142

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353106666