2018
DOI: 10.1152/ajpheart.00070.2018
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A role for collagen type IV in cardiovascular disease?

Abstract: Over the past decade, studies have repeatedly found single-nucleotide polymorphisms located in the collagen ( COL) 4A1 and COL4A2 genes to be associated with cardiovascular disease (CVD), and the 13q34 locus harboring these genes is one of ~160 genome-wide significant risk loci for coronary artery disease. COL4A1 and COL4A2 encode the α- and α-chains of collagen type IV, a major component of basement membranes in various tissues including arteries. Despite the growing body of evidence indicating a role for col… Show more

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Cited by 53 publications
(39 citation statements)
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“… 88 90 Proteolysis of basement-membrane proteins can also shift SMC away from a contractile phenotype, weakening the fibrous cap. 91 A critical role for basement-membrane proteolysis that causes cap thinning and SMC death is supported by GWAS data that link coronary artery disease to a COL4A2 variant associated with lower COL4A1 and COL4A2 expression, increased SMC apoptosis, and fibrous cap thinning. 92 Other GWAS data associate SMC phenotypic modulation (a consequence of basement-membrane proteolysis) 91 with unstable coronary artery disease.…”
Section: Discussionmentioning
confidence: 96%
“… 88 90 Proteolysis of basement-membrane proteins can also shift SMC away from a contractile phenotype, weakening the fibrous cap. 91 A critical role for basement-membrane proteolysis that causes cap thinning and SMC death is supported by GWAS data that link coronary artery disease to a COL4A2 variant associated with lower COL4A1 and COL4A2 expression, increased SMC apoptosis, and fibrous cap thinning. 92 Other GWAS data associate SMC phenotypic modulation (a consequence of basement-membrane proteolysis) 91 with unstable coronary artery disease.…”
Section: Discussionmentioning
confidence: 96%
“…6 [15]). SMAD3 has been genetically linked to control of COL4A1 and COL4A2 [29], which also displayed multiple athero hypermeth DMRs.…”
Section: Resultsmentioning
confidence: 99%
“…Other examples of athero hypermeth genes with known relationships to atherosclerosis are COL4A1 and COL4A2 , whose protein products are present in subnormal levels in the medial layer of atherosclerotic tissue [29]. Transcription of the genes encoding these proteins is positively regulated by SMAD3, a signaling TF [43], which also is encoded by a gene that exhibited athero hypermeth DMRs (see Data in Brief Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Although the link between genetic variants encoding type IV collagen chains and rare kidney disease is well established, recent large genetic cohort studies suggest COL4A genes have a role in diseases that are much more common. Variants in COL4A genes have been found to be associated with CKD, diabetic nephropathy, cardiovascular disease, and stroke (38)(39)(40)(41)(42). This is perhaps representative of the organ-specific function of basement membranes and the role of the different type IV collagen isoforms.…”
Section: Basement Membrane Genesmentioning
confidence: 99%