1. Association of endothelial constitutive nitric oxide synthase gene polymorphism with acute coronary syndrome in Koreans.
- Author
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Park K-W, You K-H, Oh S, Chae I-H, Kim H-S, Oh B-H, Lee M-M, Park Y-B, Park, K-W, You, K-H, Oh, S, Chae, I-H, Kim, H-S, Oh, B-H, Lee, M-M, and Park, Y-B
- Subjects
GENETIC research ,REGRESSION analysis ,MATHEMATICAL statistics ,GENETIC polymorphisms ,ANGINA pectoris ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,MYOCARDIAL infarction ,OXIDOREDUCTASES ,RESEARCH ,EVALUATION research ,CASE-control method ,ODDS ratio ,GENOTYPES - Abstract
Objective: To examine the effects of two polymorphisms of the endothelial constitutive nitric oxide synthase (ecNOS) gene, 4a/4b(A:B) located in intron 4 and Glu298Asp(G:T) located in exon 7, on the development of acute coronary syndromes (ACS).Methods: 164 patients with ACS and 142 control participants were investigated for genotype and conventional risk factors. Genotype was determined by polymerase chain reaction and restriction fragment length polymorphism analysis.Results: Genotype and allele frequencies of the A:B polymorphism in the ACS group (0.15:0.85 for AA+AB:BB, 0.09:0.91 for A:B) differed from those in the control group (0.26:0.74 for AA+AB:BB, 0.15:0.85 for A:B). However, genotype and allele frequencies of the G:T polymorphism in the ACS group (0.22:0.78 for TT+TG:GG, 0.11:0.89 for T:G) were similar to those in the control group (0.17:0.83 for TT+TG:GG, 0.09:0.91 for T:G). Multiple logistic regression analysis showed that the non-BB (AA+AB) and the non-BB+GG genotypes were significant protective factors against ACS (odds ratios 0.49 and 0.34, 95% confidence intervals 0.26 to 0.93 and 0.14 to 0.83, respectively). In addition, linear association analysis showed that the percentage of ACS patients was significantly lower in the genotype group non-BB+GG than in the genotype group BB+non-GG (39.6% v 62.7%, p = 0.01).Conclusions: The non-BB genotype of the ecNOS 4a/4b gene polymorphism is a protective factor against the development of ACS. The GG genotype of the ecNOS Glu298Asp polymorphism exerts a benefit in addition to the non-BB genotype in the Korean population. [ABSTRACT FROM AUTHOR]- Published
- 2004
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