PMID- 31092986 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 0970-1915 (Print) IS - 0974-0422 (Electronic) IS - 0970-1915 (Linking) VI - 34 IP - 2 DP - 2019 Apr TI - Clinical Importance of Estrogen Receptor 1 (ESR1) Gene Polymorphisms and Their Expression Patterns in Coronary Artery Disease Patients: A Study from India. PG - 133-142 LID - 10.1007/s12291-019-00827-y [doi] AB - The influence of Estrogen Receptor 1 (ESR1) gene -397T>C (PvuII) and -351A>G (XbaI) polymorphisms on the risk of development of coronary artery disease (CAD) in the north Indian population was analysed. We hypothesized that ESR1 gene polymorphisms may influence the susceptibility to CAD through variation in Estrogen Receptor alpha (ERalpha) expression. To assess this concept, we evaluated ERalpha mRNA expression in blood plasma of CAD patients. The study included hundred CAD patients who showed presence of greater than 50% luminal stenosis in at least one major coronary artery in angiography along with hundred age and sex matched healthy controls. The ESR1 polymorphisms were investigated by PCR-RFLP. Quantitative Real Time PCR was carried out for the measurement of ERalpha mRNA expression. The results showed that genotypic frequencies of ESR1 -397T>C and -351A>G gene polymorphisms were significantly higher in CAD patients than control subjects (p < 0.0001). A significantly increased CAD risk was also found in dominant and codominant inheritance model for both of the SNPs. In gender based analysis these findings were replicated only in male subgroup. In case of -397T>C polymorphism, the ERalpha mRNA expression was highest in CAD patients with wild type homozygous TT genotype (2(-∆ct) = 0.28). A mutant 'C' allele, dose dependent, significant decrease in trend in ERalpha mRNA expression was observed, with lowest expression in mutant homozygous CC genotype (2(-∆ct) = 0.09), and intermediate expression level in heterozygous TC genotype (2(-∆ct) = 0.14) subgroups of CAD patients. In conclusion, this study demonstrates a significantly heightened risk of CAD associated with the inheritance of mutant genotypes of ESR1 -397T>C and -351A>G gene polymorphisms, in the north Indian population. This is the first report of a lowered ERalpha mRNA expression in conjunction with the presence of mutant 'C' allele of ESR1 -397T>C polymorphism with consequent increased CAD susceptibility. FAU - Sumi, Mamta P AU - Sumi MP AD - 1Department of Biochemistry, Maulana Azad Medical College, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 FAU - Guru, Sameer Ahmad AU - Guru SA AD - 1Department of Biochemistry, Maulana Azad Medical College, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 FAU - Mir, Rashid AU - Mir R AD - 1Department of Biochemistry, Maulana Azad Medical College, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 FAU - Masroor, Mirza AU - Masroor M AD - 1Department of Biochemistry, Maulana Azad Medical College, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 FAU - Bhat, Musadiq A AU - Bhat MA AD - 1Department of Biochemistry, Maulana Azad Medical College, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 FAU - Girish, M P AU - Girish MP AD - 2Department of Cardiology, GB Pant Hospital, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 FAU - Saxena, Alpana AU - Saxena A AD - 1Department of Biochemistry, Maulana Azad Medical College, University of Delhi, New Delhi, India. ISNI: 0000 0001 2109 4999. GRID: grid.8195.5 LA - eng PT - Journal Article DEP - 20190405 PL - India TA - Indian J Clin Biochem JT - Indian journal of clinical biochemistry : IJCB JID - 8708303 PMC - PMC6486943 OTO - NOTNLM OT - Coronary artery disease OT - ERalpha mRNA expression OT - ESR1 gene polymorphisms OT - Real time PCR COIS- There is no conflict of interest to declare in this study.The study was conducted in accordance to GCP and ICMR guideline and approved by Institutional Ethical Committee of Maulana Azad Medical College, New Delhi, India. The study was approved by Institutional Ethical Committee of Maulana Azad Medical College, New Delhi, India.Written informed consent was obtained from each patient and healthy volunteer. EDAT- 2019/05/17 06:00 MHDA- 2019/05/17 06:01 PMCR- 2020/04/01 CRDT- 2019/05/17 06:00 PHST- 2019/01/24 00:00 [received] PHST- 2019/03/19 00:00 [accepted] PHST- 2019/05/17 06:00 [entrez] PHST- 2019/05/17 06:00 [pubmed] PHST- 2019/05/17 06:01 [medline] PHST- 2020/04/01 00:00 [pmc-release] AID - 827 [pii] AID - 10.1007/s12291-019-00827-y [doi] PST - ppublish SO - Indian J Clin Biochem. 2019 Apr;34(2):133-142. doi: 10.1007/s12291-019-00827-y. Epub 2019 Apr 5.