Abstract. coronary heart disease (chd) is a complex disorder resulting from the interaction of a number of genetic and environmental factors. increasing evidence has shown that Ox40 ligand (Ox40l), also known as tumor necrosis factor superfamily member 4 (tnFSF4), plays a key role in the pathogenesis of atherosclerosis. however, there have been inconsistent reports in various populations, and further studies are required to clarify this issue. a gene-based association study was conducted using five single-nucleotide polymorphisms (SNPs) reported in previous studies. The five SNPs (rs1234314, rs45454293, rs3850641, rs1234313 and rs3861950) were genotyped in 547 unrelated chd patients and 601 healthy controls in a case-control study using polymerase chain reaction and restriction fragment length polymorphism. rs1234314, rs3850641 and rs3861950 were further genotyped in an additional 512 cases and 520 controls using the taqman Snp genotyping method. a possible relationship between the five SNPs and the severity of CHD was investigated. The results revealed no significant association between the TNFSF4 polymorphism and chd. in addition, the stratified analysis of genotypic and allelic frequencies showed no association between the TNFSF4 polymorphism and chd in either gender. Finally, no significant correlation between the TNFSF4 polymorphism and chd severity was detected. These findings do not support a role of the TNFSF4 gene in chd pathogenesis in the chinese han population.
Introductioncoronary heart disease (chd) is the leading cause of death in industrialized countries, and its prevalence is rapidly increasing in China. Recent research has shown that inflammation plays a critical role in chd pathogenesis and in other manifestations of atherosclerosis (1). Experimental evidence has confirmed that activated T cells are implicated in atherogenesis (2,3).numerous studies have implicated tnFSF4/tnFrSF4 in the activation of t cells, as well as that of macrophages (4). TNFSF4, also known as Ox40l, is primarily expressed by activated B cells, vessel endothelial cells, macrophages, dendritic cells and certain activated t cells. this generates costimulatory signals by interacting with tnFrSF4 on activated t lymphocytes and enhances the proliferation and differentiation of t lymphocytes and the development and survival of memory t cells (5). thus, it is suggested that the tnFSF4-tnFrSF4 pathway plays a key role in atherosclerosis through its participation in t cell activation. numerous genetic studies have indicated a relationship between tnFSF4-tnFrSF4 and cardiovascular diseases. in 2006, ria et al confirmed that genetic variation in TNFRSF4 was associated with myocardial infarction (mi) in a Swedish population (6). Furthermore, mashimo et al found an association between TNFRSF4 gene polymorphisms and essential hypertension (7). there is current evidence showing that TNFSF4 is the gene underlying the atherosclerosis susceptibility locus 1 (ath1) in mice, and that genetic polymorphisms in TNFSF4 are associated with mi an...