therosclerosis is a progressive multifactorial process that begins in childhood and can develop for decades before clinical manifestations. Commonly known metabolic risk factors include hypercholesterolemia, diabetes and metabolic syndrome. Lipid and glucose metabolism, as well as artery wall inflammation, have been under extensive study in the search for the underlying mechanisms causing risk or progression of the disease.The upstream transcription factor 1 (USF1) is transcription factor that modulates the expression of more than 40 genes involved in glucose and lipid metabolism and inflammation, thus being an interesting candidate gene for cardiovascular disease. USF1 binds to specific promoter sequences, E-Boxes with a consensus sequence of CACGTG as a homodimer or as a heterodimer with USF2 transcription factor, thus modulating transcriptional processes (ie, of several genes) involved in inflammatory responses. [1][2][3][4] Familial combined hyperlipidemia (FCHL) is a common genetic dyslipidemia characterized by high levels of cholesterol and/or triglycerides. 5,6 Recently, specific alleles of the USF1 gene defined by single nucleotide polymorphisms (SNPs) (especially usf1s1 and usf1s2) were found to associate with FCHL in a Finnish study. 2 Results were soon replicated in other populations. 7-9 Functional USF1 polymorphisms seem to also have an impact on increased risk of coronary vascular disease (CVD) among females. 10 Carotid artery intima -media thickness (IMT) is 1 of the earliest measures of subclinical atherosclerosis and is a predictive factor of future cardiovascular events. 11,12 IMT is found to correlate with several risk factors of coronary artery disease (CAD), 13,14 and exposure to these risk factors during childhood has been shown to predict IMT in adulthood. 15 Background Polymorphisms of the upstream transcription factor 1 (USF1) have been associated with familial combined hyperlipidemia and coronary heart disease. The impact of this gene on subclinical atherosclerosis is unknown. Associations of 3 allelic variants of the USF1 gene and their haplotypes with carotid artery intimamedia thickness (IMT), carotid artery compliance (CAC) and brachial artery flow mediated dilatation (FMD) were studied in a population of Finnish healthy young adults.
Methods and ResultsThe study population comprised 2,281 individuals participating in the Cardiovascular Risk in Young Finns study. IMT, CAC and FMD values were measured by ultrasound examination. Genotypes were analysed using the 5' nuclease assay. A significant difference in IMT was found for usf1s1 (rs3737787) and usf1s8 (rs2516838) genotypes (p-values 0.046 and 0.021, respectively). Moreover, there was a significant difference between groups in haplotype 1 and haplotype 2 for IMT (p-values 0.011 and 0.028 respectively). In multivariate stepwise linear regression models adjusted by age, sex, body mass index, systolic and diastolic blood pressures, smoking, C-reactive protein, glucose, high-and low-density lipoprotein-cholesterols and triglycerides th...