PMID- 19148342 OWN - NLM STAT- MEDLINE DCOM- 20090303 LR - 20211020 IS - 1916-7075 (Electronic) IS - 0828-282X (Print) IS - 0828-282X (Linking) VI - 25 IP - 1 DP - 2009 Jan TI - Polymorphisms of the methylenetetrahydrofolate reductase, vascular endothelial growth factor, endothelial nitric oxide synthase, monocyte chemoattractant protein-1 and apolipoprotein E genes are not associated with carotid intima-media thickness. PG - e1-5 AB - BACKGROUND: Single nucleotide polymorphisms in the 5,10-methylenetetrahydrofolate reductase (MTHFR), vascular endothelial growth factor (VEGF), endothelial nitric oxide synthase (eNOS), monocyte chemoattractant protein-1 (MCP-1) and apolipoprotein E (ApoE) genes appear to be a genetic risk factor for atherosclerosis. Common carotid intima-media thickness (cIMT) provides information on the severity of atherosclerosis. OBJECTIVE: To investigate the relationship between cIMT and gene polymorphisms associated with atherosclerosis in Turkish patients with coronary artery disease (CAD). METHODS: Sixty-two patients with angiographically diagnosed stable CAD were divided into two groups according to their cIMT values (group 1: n=35, cIMT of 1 mm or greater; group 2: n=27, cIMT of less than 1 mm). MTHFR 677 C/T, VEGF --460 C/T, eNOS 894 G/T, MCP-1 --2518 A/G and ApoE (E2, E3 and E4) gene polymorphisms (where A is adenine, C is cytosine, G is guanine and T is thymine) were analyzed by polymerase chain reaction and restriction fragment length polymorphism. Evaluations of cardiovascular risk factors and coronary atherosclerotic lesions were performed in all patients. Serum homocysteine and high-sensitivity C-reactive protein were measured and compared between the two groups. RESULTS: Serum high-sensitivity C-reactive protein (P=0.04) and homocysteine (P=0.006) levels were higher in group 1 than in group 2. The ratio of multivessel CAD and previous myocardial infarction was significantly higher in group 1 than in group 2 (P=0.014). In the study population, no significant difference in cIMT was observed according to the polymorphisms studied. Only hyperhomocysteinemia (OR 1.17 [95% CI 1.01 to 1.35], P=0.033) and previous myocardial infarction (OR 3.76 [95% CI 1.10 to 12.81], P=0.034) maintained a significant correlation with cIMT on multiple logistic regression analysis. CONCLUSION: cIMT is increased in patients with hyperhomocysteinemia, inflammation and extended CAD. MTHFR 677 C/T, VEGF --460 C/T, eNOS 894 G/T, MCP-1 --2518 A/G and ApoE single nucleotide polymorphisms were not associated with increased cIMT. FAU - Alioglu, Emin AU - Alioglu E AD - Department of Cardiology, Central Hospital, Bayrakli, Izmir, Turkey. dreminalioglu@yahoo.com FAU - Turk, Ugur AU - Turk U FAU - Cam, Sirri AU - Cam S FAU - Abbasaliyev, Abbasali AU - Abbasaliyev A FAU - Tengiz, Istemihan AU - Tengiz I FAU - Ercan, Ertugrul AU - Ercan E LA - eng PT - Journal Article PL - England TA - Can J Cardiol JT - The Canadian journal of cardiology JID - 8510280 RN - 0 (Apolipoproteins E) RN - 0 (Chemokine CCL2) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0LVT1QZ0BA (Homocysteine) RN - 9007-41-4 (C-Reactive Protein) RN - EC 1.14.13.39 (Nitric Oxide Synthase Type III) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) SB - IM MH - Apolipoproteins E/*genetics MH - C-Reactive Protein/analysis MH - Carotid Artery, Common/*pathology MH - Chemokine CCL2/*genetics MH - Coronary Artery Disease/blood/*genetics/pathology MH - Homocysteine/blood MH - Humans MH - Methylenetetrahydrofolate Reductase (NADPH2)/*genetics MH - Nitric Oxide Synthase Type III/*genetics MH - *Polymorphism, Single Nucleotide MH - Tunica Intima/pathology MH - Tunica Media/pathology MH - Vascular Endothelial Growth Factor A/*genetics PMC - PMC2691882 EDAT- 2009/01/17 09:00 MHDA- 2009/03/04 09:00 PMCR- 2010/01/01 CRDT- 2009/01/17 09:00 PHST- 2009/01/17 09:00 [entrez] PHST- 2009/01/17 09:00 [pubmed] PHST- 2009/03/04 09:00 [medline] PHST- 2010/01/01 00:00 [pmc-release] AID - S0828-282X(09)70022-4 [pii] AID - cjc25e001 [pii] AID - 10.1016/s0828-282x(09)70022-4 [doi] PST - ppublish SO - Can J Cardiol. 2009 Jan;25(1):e1-5. doi: 10.1016/s0828-282x(09)70022-4.