Serum PCSK9 levels, but not PCSK9 polymorphisms, are associated with CAD risk and lipid profiles in southern Chinese Han population

Abstract

BackgroundGenetic and environment factors affect the occurrence and development of coronary artery disease (CAD). Proprotein convertase subtilisin/kexin type 9 (PCSK9), has been investigated extensively in the field of lipid metabolism and CAD. We performed this case-control study to investigate the relationship between serum PCSK9 levels and PCSK9 polymorphisms and lipid levels and CAD risk in a southern Chinese population.MethodsA hospital-based case-control study with 1, 096 subjects, including 626 CAD patients and 470 controls, were conducted. Genotyping of PCSK9 polymorphisms was performed using polymerase chain reaction-ligase detection reaction (PCR-LDR) method.ResultsThe frequencies of the AA, AG and GG genotypes of PCSK9 E670G polymorphism were 90.58, 9.27, and 0.16% in the CAD patients, compared with 88.72, 10.85 and 0.43% in the controls, respectively. No R46L variant was detected in this population. There were no significant differences in genotype and allele frequencies of PCSK9E670G polymorphism between the CAD group and the controls. Serum lipid levels were not significantly different in carriers with the G allele and those with the AA genotype. The median (QR) of PCSK9 concentration was 1205.00 ng/l (577.28–1694.13 ng/l) in cases and 565.87 ng/l (357.17–967.50 ng/l) in controls, respectively. Compared with controls, CAD patients had significantly higher PCSK9 levels (z = 4.559, P < 0.001). After adjusting for age, gender, essential hypertension, diabetic mellitus, smoking and lipid profiles, PCSK9 levels remain significantly associated with increased CAD susceptibility (OR = 1.002, 95% CI = 1.001–1.002, P < 0.001). The correlation analyses showed that serum PCSK9 levels were positively associated with triglyceride (TG), Apo B and atherogenic index of plasma (AIP) levels in controls. No significant association between the PCSK9 E670G polymorphism and serum PCSK9 levels was observed in the CAD group and the controls.ConclusionsThe present study shows that serum PCSK9 levels, but not PCSK9 polymorphisms, are associated with CAD risk in Southern Chinese Han population, and that serum PCSK9 levels are positively associated with AIP.Electronic supplementary materialThe online version of this article (10.1186/s12944-018-0859-5) contains supplementary material, which is available to authorized users.

Complement C3 gene polymorphisms are associated with lipid levels, but not the risk of coronary artery disease: a case-control study

“…After overnight fasting, peripheral venous blood (2 ml) was collected from each patient. The methods for genomic DNA extraction and storage were described in our previous study [14]. The polymerase chain reaction-ligase detection reaction (PCR-LDR) method was performed to identify the genotypes of each polymorphism.…”

Novel protein-altering variants associated with serum apolipoprotein and lipid levels

“…42 PAVs in the negative effects observed for the previously reported rare p.Glu57Lys (rs201672011) variant. 43 Finally, the three previously reported PAVs in the PCSK9 gene, including the protective rs11591147 loss-of-function mutation 44 were associated with total cholesterol (p=3.0×10 -4 ), LDLC (p=0.0014), non-HDLC (p=4.8×10 -4 ) and, surprisingly, with serum isoleucine (p=2.9×10 -4 ).…”

Impact of PCSK9, WDR12, CDKN2A, and CXCL12 Polymorphisms in Jordanian Cardiovascular Patients on Warfarin Responsiveness and Sensitivity

“…PCSK9 polymorphisms were not associated with coronary artery disease risk in Southern Chinese Han population. 33 Moreover, the association of the WDR12 polymorphisms with CVD was proved by Schunkertet al (2010). 24 While López -Mejías et al were not able to confirm this association of the WDR12 gene with CVD in Southern European patients.…”