Startseite Association of GSTM1 and GSTT1 gene polymorphisms with coronary artery disease in relation to tobacco smoking
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Association of GSTM1 and GSTT1 gene polymorphisms with coronary artery disease in relation to tobacco smoking

  • Lian-Sheng Wang , Jian-Jin Tang , Na-Ping Tang , Min-Wei Wang , Jian-Jun Yan , Qi-Min Wang , Zhi-Jian Yang und Bin Wang
Veröffentlicht/Copyright: 1. Dezember 2008
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Abstract

Background: Recent studies suggest that the common variant in the glutathione S-transferase (GST) M1 (GSTM1) and T1 (GSTT1) gene is associated with the risk of smoking-related coronary artery disease (CAD). Intra-ethnic as well as inter-ethnic differences are known to impact the frequencies of GST gene polymorphisms, thus influencing its interactive effect with tobacco smoking on CAD risk. The aim of the present study was to evaluate the interaction of the genetic polymorphisms of GSTM1 and GSTT1 with cigarette smoking and the risk of CAD in a Chinese population.

Methods: We conducted a study with 277 CAD patients and 277 controls matched by age and sex to examine the prevalence of GSTM1 and GSTT1 polymorphism in CAD.

Results: We found that homozygous deletion of GSTM1 had a frequency of 32.1% among patients with CAD and 21.3% among those without CAD (p=0.004). The frequency of the GSTT1null genotype was 27.8% among the patients with CAD and 19.1% among CAD-free subjects (p=0.016). Patients who smoked having both the wild-type genotypes of GSTM1 and GSTT1 were protected from developing coronary heart disease (p<0.001). Moreover, smokers with combined GSTM1nullGSTT1null genotypes had a significantly higher number of stenosed vessels than those with the positive genotype (p=0.02).

Conclusions: Our results suggest that GST polymorphisms may be a susceptibility factor to smoking-related CAD in the Chinese population.

Clin Chem Lab Med 2008;46:1720–5.


a

Drs. L.S. Wang, J.J. Tang and N.P. Tang contributed equally to this work.

Corresponding authors: Bin Wang, PhD, Department of Pharmacology, Nanjing Medical University, 140 Hanzhong Road, Nanjing 210029, Jiangsu Province, China Phone/Fax: +86-25-86862884, Lian-Sheng Wang, MD, PhD, Department of Cardiology, First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, Jiangsu Province, China Phone/Fax: +86-25-83724440,

Received: 2008-6-3
Accepted: 2008-9-1
Published Online: 2008-12-01
Published in Print: 2008-12-01

©2008 by Walter de Gruyter Berlin New York

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