PMID- 26305337 OWN - NLM STAT- MEDLINE DCOM- 20160516 LR - 20221207 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 10 IP - 8 DP - 2015 TI - Study of Five Pubertal Transition-Related Gene Polymorphisms as Risk Factors for Premature Coronary Artery Disease in a Chinese Han Population. PG - e0136496 LID - 10.1371/journal.pone.0136496 [doi] LID - e0136496 AB - BACKGROUND: Recently, single nucleotide polymorphisms (SNPs) (DLK-rs10144321, SIX6-rs1254337, MKRN3-rs12148769, LIN28B-rs7759938, and KCNK9-rs1469039) were found to be strongly associated with age at menarche. Recent studies also suggested that age at menarche is a heritable trait and is associated with risks for obesity, type 2 diabetes mellitus (T2DM), cardiovascular disease, and all-cause mortality. Since an association between these five SNPs and premature coronary artery disease (CAD) has never been reported, we investigated whether these SNPs are associated with premature CAD and its severity in a Chinese Han population. METHODS: We enrolled 432 consecutive patients including 198 with premature CAD (<55 years in men and <65 years in women) and 234 controls. All subjects were genotyped for the five SNPs by the PCR-ligase detection reaction method. The associations between these SNPs and premature CAD and its severity were analyzed. RESULTS: The following genotypes were identified: GG, AG, and AA at rs10144321 and rs12148769; TT, AT, and AA at rs1254337; CC, CT, and TT at rs1469039; and TT and CT at rs7759938. Significant differences in genotype distribution frequencies at rs1254337 were found between controls and patients with premature CAD (P<0.05). No associations were found between the five SNPs and the severity of coronary lesions (all P>0.05). Compared with controls, patients with premature CAD had a higher prevalence of T2DM and dyslipidemia, and the proportion of patients with T2DM rose significantly with an increase in the number of stenosed coronary vessels (all P<0.05). After adjustment for the clinical parameters in multivariable analysis, three factors were identified that significantly increased the risk of premature CAD: the AA genotype at rs1254337 (OR: 2.388, 95% CI: 1.190-4.792, P = 0.014), male gender (OR: 1.565, 95% CI: 1.012-2.420, P = 0.044), and T2DM (OR 2.252, 95% CI: 1.233-4.348, P = 0.015). CONCLUSIONS: Among the five pubertal transition-related gene polymorphisms, we identified an association between rs1254337 and premature CAD in a Chinese Han population. FAU - Chen, Bin AU - Chen B AD - Department of Cardiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai 200233, China. FAU - Xie, Fangyi AU - Xie F AD - Central Laboratory, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai 200233, China. FAU - Tang, Chengchun AU - Tang C AD - Department of Cardiology, The Affiliated Zhongda Hospital of Southeast University, No. 87 Dingjiaqiao, Nanjing 210009, China. FAU - Ma, Genshan AU - Ma G AD - Department of Cardiology, The Affiliated Zhongda Hospital of Southeast University, No. 87 Dingjiaqiao, Nanjing 210009, China. FAU - Wei, Li AU - Wei L AD - Department of Endocrinology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai 200233, China. FAU - Chen, Zhong AU - Chen Z AD - Department of Cardiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No. 600 Yishan Road, Shanghai 200233, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150825 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Asian People/*genetics MH - Case-Control Studies MH - Coronary Artery Disease/*genetics MH - Ethnicity/*genetics MH - Female MH - *Genetic Predisposition to Disease MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Polymorphism, Single Nucleotide/*genetics MH - Puberty/*genetics MH - Risk Factors PMC - PMC4549330 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2015/08/26 06:00 MHDA- 2016/05/18 06:00 PMCR- 2015/08/25 CRDT- 2015/08/26 06:00 PHST- 2015/04/16 00:00 [received] PHST- 2015/08/04 00:00 [accepted] PHST- 2015/08/26 06:00 [entrez] PHST- 2015/08/26 06:00 [pubmed] PHST- 2016/05/18 06:00 [medline] PHST- 2015/08/25 00:00 [pmc-release] AID - PONE-D-15-14632 [pii] AID - 10.1371/journal.pone.0136496 [doi] PST - epublish SO - PLoS One. 2015 Aug 25;10(8):e0136496. doi: 10.1371/journal.pone.0136496. eCollection 2015.