Background
Mitogen‐activated protein kinase‐1 (MAPK1), as well as its downstream factors of hypoxia‐inducible factor‐1 (HIF‐1) and heme oxygenase‐1 (HO‐1), have been documented to be involved in modulating development of coronary artery disease (CAD).
Hypothesis
Genetic mutations within the MAPK1/HIF‐1/HO‐1 signaling pathway could alter the risk of perimenopausal CAD in Chinese patients.
Methods
Peripheral blood samples were gathered from 589 CAD patients and 860 healthy controls, and 12 potential single‐nucleotide polymorphisms (SNPs) were obtained from HapMap database and previously published studies. Genotyping of SNPs was implemented with the TaqMan SNP Genotyping Assays. Odds ratios (OR) and 95% confidence intervals (CI) were utilized to evaluate the correlations between SNPs and CAD risk.
Results
Regarding
MAPK1
, rs6928 (OR: 1.71, 95% CI: 1.47‐1.98, P < 0.05), rs9340 (OR: 0.85, 95% CI: 0.73‐0.99, P < 0.05), and rs11913721 (OR: 0.70, 95% CI: 0.52‐0.95, P < 0.05) were remarkably associated with susceptibility to perimenopausal CAD. Of these, rs9340 and rs11913721 were also regarded as protective factors for perimenopausal CAD patients. Moreover, results of HIF‐1 indicated noticeable correlations between combined SNPs of rs1087314 and rs2057482 and risk of perimenopausal CAD (OR: 1.24, 95% CI: 1.01‐1.53, P < 0.05; and OR: 0.71, 95% CI: 0.55‐0.91, P < 0.05, respectively). Nonetheless, rs2071746 in HO‐1 was found to be only associated with perimenopausal CAD risk (OR: 0.67, 95% CI: 0.58‐0.78, P < 0.05).
Conclusions
The genetic mutations within MAPK1 (rs6928, rs9340, rs11913721), HIF‐1 (rs1087314, rs2057482), and HO‐1 (rs2071746) could alter susceptibility to perimenopausal CAD in this Chinese population.