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. 2015 Jun 30:15:60.
doi: 10.1186/s12872-015-0041-1.

Correlation of single nucleotide polymorphisms in the pregnancy-associated plasma protein-A gene with carotid plaques

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Correlation of single nucleotide polymorphisms in the pregnancy-associated plasma protein-A gene with carotid plaques

Shiming Zhou et al. BMC Cardiovasc Disord. .

Abstract

Background: Pregnancy-associated plasma protein A (PAPP-A) is abundantly expressed in carotid plaques. This study investigated the association between single nucleotide polymorphisms (SNPs) of PAPP-A and the presence of carotid plaques.

Methods: A total of 408 patients with carotid plaques and 493 controls were included in the study. All subjects were Southern Chinese Han. Carotid plaques were analyzed by computer tomography angiography. PAPP-A SNPs were identified by ligase detection reaction-polymerase chain reaction analysis. The PAPP-A genotypes rs3747823, rs7020782, and rs13290387 were analyzed.

Results: The rs7020782 C allele genotype correlated with an increased risk of developing carotid plaques under the dominant, recessive, and additive models (adjusted odds ratios: 2.60, 2.36, and 3.48, respectively; P ≤ 0.001). Only C allele-carrying genotypes correlated with a significantly increased risk of carotid plaque based on studies stratified by age and sex under the dominant model. rs7020782 remained significantly associated with the risk of carotid plaque calcification after adjusting for age and potential confounders (adjusted odds ratio, 1.89; 95 % confidence interval, 1.17-3.08; P = 0.010).

Conclusions: This study found, for the first time, that the A˃C variation of rs7020782 might be an independent risk factor for carotid plaque development and calcification. The determination of such genotypes could provide a new tool for identifying individuals at high risk for carotid atherosclerosis.

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Figures

Fig. 1
Fig. 1
Dominant model of rs7020782 C allele in subjects with calcified plaque and non-calcified plaque. Chi-Squared test for categorical values Pearson χ 2 = 6.665, P = 0.010 for genotype frequency. CP: calcified plaque NCP: non-calcified plaque. Adjusted for age, sex, systolic blood pressure, diastolic blood pressure, high density lipoprotein cholesterol, the risk of calcified plaque: odds ratio, 1.89, 95 % CI,1.17-3.08, P = 0.010
Fig. 2
Fig. 2
Stratified distribution of rs7020782 genotypes by sex in subjects with carotid plaque and controls. Adjusted for age, systolic blood pressure, diastolic blood pressure, high density lipoprotein cholesterol, the risk of carotid plaque under C allele dominant model in female subjects*: odds ratio, 2.08; 95 % CI, 1.38–3.14; P < 0.001, male subjects** : odds ratio, 3.14; 95 % CI, 2.05–4.81; P < 0.001
Fig. 3
Fig. 3
Stratified distribution of rs7020782 genotypes by age in subjects with carotid plaque and controls. Adjusted for sex, systolic blood pressure, diastolic blood pressure, high density lipoprotein cholesterol, the risk of carotid plaque under C allele dominant model in subjects aged ≤64 years *: odds ratio, 2.33; 95 % CI, 1.47–3.69; P < 0.001, those aged > 64 years** : odds ratio, 2.57; 95 % CI, 1.75–3.76; P < 0.001

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