PMID- 38028979 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231201 IS - 2673-6616 (Electronic) IS - 2673-6616 (Linking) VI - 4 DP - 2023 TI - E670G PCSK9 polymorphism in HeFH & CAD with diabetes: is the bridge to personalized therapy within reach? PG - 1277288 LID - 10.3389/fcdhc.2023.1277288 [doi] LID - 1277288 AB - OBJECTIVE: To assess the distribution of PCSK9 E670G genetic polymorphism and PCSK9 levels in patients with Coronary Artery Disease (CAD) and Heterozygous Familial Hypercholesterolemia (HeFH), based on the presence of type 2 Diabetes Mellitus (T2DM). METHODS: The study included 201 patients with chronic CAD, including those with HeFH (n=57, group I) and without it (n=144, group II). DLCN was used to diagnose HeFH. The PCSK9 E670G (rs505151) polymorphism was genetically typed using the PCR-RFLP procedure. In both the patient and control groups, the genotype frequency matched the Hardy-Weinberg equilibrium distribution (P>0.05). RESULTS: There were twice more G alleles in group I (13, 11.4%) than in group II (17, 6.0%), and thrice more (1, 3.0%) than in the healthy control group; nevertheless, these differences weren't statistically significant. Simultaneously, PCSK9 levels were higher in HeFH patients (P<0.05) compared to non-HeFH patients not taking statins (n=63). T2DM was equally represented in groups I and II (31.6% vs. 33.3%). But carriers of AG+GG genotypes in group I had a higher chance of having a history of T2DM (RR 4.18; 95%CI 2.19-8.0; P<0.001), myocardial infarction (RR 1.79; 95%CI 1.18-2.73; P<0.05), and revascularization (RR 12.6; 95%CI 4.06-38.8; P<0.01), than AA carriers. T2DM was also more common among G allele carriers (RR 1.85; 95% CI 1.11-3.06; P<0.05) in patients with non-HeFH. CONCLUSION: T2DM in patients with CAD, both with HeFH and non-HeFH, in the Uzbek population was significantly more often associated with the presence of the "gain-of-function" G allele of the PCSK9 E670G genetic polymorphism. CI - Copyright (c) 2023 Alieva, Shek, Abdullaev, Fozilov, Khoshimov, Abdullaeva, Zakirova, Kurbanova, Kan and Kim. FAU - Alieva, Rano AU - Alieva R AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Shek, Aleksandr AU - Shek A AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Abdullaev, Alisher AU - Abdullaev A AD - Center for Advanced Technologies, Ministry of Innovative Development of Uzbekistan, Tashkent, Uzbekistan. FAU - Fozilov, Khurshid AU - Fozilov K AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Khoshimov, Shovkat AU - Khoshimov S AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Abdullaeva, Guzal AU - Abdullaeva G AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Zakirova, Dariya AU - Zakirova D AD - Center for Advanced Technologies, Ministry of Innovative Development of Uzbekistan, Tashkent, Uzbekistan. FAU - Kurbanova, Rano AU - Kurbanova R AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Kan, Lilia AU - Kan L AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. FAU - Kim, Andrey AU - Kim A AD - CAD & Atherosclerosis Department, Republican Specialized Center of Cardiology, Tashkent, Uzbekistan. LA - eng PT - Journal Article DEP - 20231101 PL - Switzerland TA - Front Clin Diabetes Healthc JT - Frontiers in clinical diabetes and healthcare JID - 9918266295306676 PMC - PMC10646404 OTO - NOTNLM OT - CAD OT - Uzbek population OT - heterozygous familial hypercholesterolemia OT - pcsk9 OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/11/29 18:42 MHDA- 2023/11/29 18:43 PMCR- 2023/11/01 CRDT- 2023/11/29 17:20 PHST- 2023/08/14 00:00 [received] PHST- 2023/10/11 00:00 [accepted] PHST- 2023/11/29 18:43 [medline] PHST- 2023/11/29 18:42 [pubmed] PHST- 2023/11/29 17:20 [entrez] PHST- 2023/11/01 00:00 [pmc-release] AID - 10.3389/fcdhc.2023.1277288 [doi] PST - epublish SO - Front Clin Diabetes Healthc. 2023 Nov 1;4:1277288. doi: 10.3389/fcdhc.2023.1277288. eCollection 2023.