Association of LDLR Polymorphism with the Risk of Cardiovascular Disease LDLR Polymorphism and Cardiovascular Disease Risk
Main Article Content
Abstract
Background: Cardiovascular disease (CVD) is a leading cause of morbidity and mortality worldwide. Both genetic and environmental factors contribute to its development. Mutations in the LDLR gene are known to elevate plasma cholesterol levels, potentially increasing CVD risk.
Objective: This study aimed to investigate the association between the LDLR rs688 polymorphism and the risk of CVD.
Methods: A case-control study was conducted, including 100 CVD patients and 50 healthy controls. DNA was extracted from whole blood and amplified using polymerase chain reaction (PCR). Genotypic and allelic frequencies of LDLR rs688 polymorphism were determined through agarose gel electrophoresis. Lipid profiles (TC, TG, LDL-C, HDL-C, VLDL) were assessed and compared using SPSS 25 with independent t-tests and ANOVA.
Results: The frequencies of CT, CC, and TT genotypes in CVD patients were 58%, 18%, and 24%, respectively, versus 52%, 30%, and 18% in controls (p = 0.23). Lipid levels, including TC (294.38 ± 58.39 vs. 176.64 ± 15.37, p < 0.000), and TG (234.68 ± 50.11 vs. 116.32 ± 23.72, p < 0.000), were significantly higher in CVD patients.
Conclusion: The LDLR rs688 polymorphism is not significantly associated with CVD risk, despite marked dyslipidemia in CVD patients.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
World Health Organization. Cardiovascular Diseases. 2022. Available from: https://www.who.int/health-topics/cardiovascular-diseases.
Lusis AJ, Mar R, Pajukanta P. Genetics of Atherosclerosis. Annual Review of Genomics and Human Genetics. 2004;5:189-218.
Savarese G, Lund LH. Global Public Health Burden of Heart Failure. Cardiac Failure Review. 2017;3(1):7-11.
Buraczynska M, Jacob J, Gwiazda-Tyndel K, Ksiazek A. LDLR Gene Polymorphism (rs688) Affects Susceptibility to Cardiovascular Disease in End-Stage Kidney Disease Patients. BMC Nephrology. 2021;22(1):1-7.
Chen Y, Cai H, Zhang J, Su Y, Wu Y, Lin Z, Zhang Z. Elevated sdLDL Level and LDLR rs688 C>T Mutation Are Independent Risk Factors for Ischemic Stroke. Medicina Clínica. 2022;159(6):297-304.
Deepa PK, Kedari GSR, Resmi CR. LDLR Gene Polymorphisms in CAD Patients among South-Indian Tamil Population. International Journal of Health Sciences. 2022;6(S4):2609-19.
Dalen JE, Alpert JS, Goldberg RJ, Weinstein RS. The Epidemic of the 20th Century: Coronary Heart Disease. The American Journal of Medicine. 2014;127(9):807-12.
Fang MC, Perraillon MC, Ghosh K, Cutler DM, Rosen AB. Trends in Stroke Rates, Risk, and Outcomes in the United States, 1988 to 2008. The American Journal of Medicine. 2014;127(7):608-15.
Hussain MK, Algenabia AHA, Alkhateeb ZM, Rgeeb A. A Pilot Study of Two Exonic Polymorphisms (rs688 and rs2228671) of Low-Density Lipoprotein Receptor Gene in Iraqi Population with Coronary Artery Disease. Biochemical and Cellular Archives. 2020;21:000-000.
Liu YT, Nfor ON, Wang L, Hsu SY, Lung CC, Tantoh DM, Liaw YP. Interaction Between Sex and LDLR rs688 Polymorphism on Hyperlipidemia among Taiwan Biobank Adult Participants. Biomolecules. 2020;10(2):244.
Abudureyimu S, Abulaiti P, Xing Z, Li H, Liu SS, et al. The Effect of Four Different Single Nucleotide Polymorphisms on Coronary Heart Disease in a Han Chinese Population in Xinjiang Region. Journal of Cardiology and Cardiovascular Medicine. 2021;5:025.
Fioranelli M, Bottaccioli AG, Bottaccioli F, Bianchi M, Rovesti M, Roccia MG. Stress and Inflammation in Coronary Artery Disease: A Review Psychoneuroendocrineimmunology-Based. Frontiers in Immunology. 2018;9:2031.
Jha CK, Mir R, Elfaki I, Banu S, Chahal SMS. LDLR Gene Polymorphisms (rs5925 and rs1529729) Are Associated with Susceptibility to Coronary Artery Disease in a South Indian Population. Medical Sciences. 2019;7(7):80.
Teslovich TM, Musunuru K, Smith AV, Edmondson AC, Stylianou IM, Koseki M, et al. Biological, Clinical and Population Relevance of 95 Loci for Blood Lipids. Nature. 2010;466(7307):707-13.