R497K polymorphism in epidermal growth factor receptor gene is associated with the risk of acute coronary syndrome
2008

EGFR Gene Polymorphism and Acute Coronary Syndrome Risk

Sample size: 401 publication Evidence: moderate

Author Information

Author(s): Gao Lin-Bo, Zhou Bin, Zhang Lin, Wei Ye-Sheng, Wang Yan-Yun, Liang Wei-Bo, Lv Mei-Li, Pan Xin-Min, Chen Yu-Cheng, Rao Li

Primary Institution: Sichuan University

Hypothesis

HER-1 R497K and EGFR intron 1 (CA)n repeat polymorphisms may modulate the susceptibility to acute coronary syndrome (ACS).

Conclusion

R497K polymorphism of the EGFR gene is significantly associated with the risk of ACS.

Supporting Evidence

  • The Lys allele of the R497K polymorphism was found to significantly increase the risk of ACS compared to the Arg allele.
  • Multivariable logistic regression identified R497K as an independent risk factor for ACS.
  • Significant differences in smoking status and lipid levels were observed between ACS patients and controls.

Takeaway

This study found that a specific change in a gene related to the epidermal growth factor receptor can increase the risk of heart problems in some people.

Methodology

A case-control study analyzing genetic polymorphisms in 191 patients with ACS and 210 matched controls using PCR-RFLP and direct sequencing.

Potential Biases

Potential bias due to the retrospective nature of the study and selection criteria for controls.

Limitations

The study had a non-random sampling design and a limited sample size.

Participant Demographics

191 ACS patients (112 males, 79 females, mean age 60.6) and 210 controls (132 males, 78 females, mean age 59.4).

Statistical Information

P-Value

0.006

Confidence Interval

95% CI: 1.12–1.98

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2350-9-74

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