ASSOCIATION OF RS35006907 POLYMORPHISM WITH RISK OF DILATED ARDIOMYOPATHY IN HAN CHINESE POPULATION
Yang C, Chen F, Li Sh, Zeng X,Wang Sh, Lan J
*Corresponding Author: Jianjun Lan, Panzhihua Central Hospital, Panzhihua 34# Yi kang Ave., Panzhihua 617000, People’s Rep. of China; Email: pzhzxyyxnkljj@sina.com
page: 27

RESULTS

Clinical characteristics of participants As shown in Table 1, a total of 529 DCM and 600 healthy controls were matched by age with mean age of 56.6±10.5 and 55.8±9.6, respectively. There were no statistical differences between DCM and the control group in age (p=0.15), gender (p=0.5), SBP (p= 0.054), DBP (p= 0.09) or IVSD (p=0.3) between DCM and control groups. Compared with controls, the LVEDD and LVPWD were significantly higher in DCM group, while the LVEF was clearly lower. Association between rs35006907 and risk of DCM The genotype distribution was in HWE in both groups (χ2 =2.7, p = 0.1 in DCM group; χ2 =1.8, p = 0.18 in controls). As shown in Table 2, the frequency of A allele among DCM group was remarkably lower compared with controls (38% vs 44%). The results showed that rs35006907-A allele is significantly associated with reduced risk of DCM in additive (p= 0.004; OR=0.78; 95% CI=0.66–0.93) and recessive model (p=0.0005; OR=0.56; 95%CI=0.41-0.78) when compared with rs35006907-C allele. Correlation between rs35006907 and clinical characteristics We attempted to explore the relationship between rs35006907 and clinical characteristics in DCM patients. As shown in Figure 1, patients carrying AA genotype displayed reduced LVEDD and increased LVEF when compared with CC (p=0.0001 for LVEDD and p<0.0001 for LVEF) and AC (p=0.003 for LVEDD and p=0.03 for LVEF) genotype. While no differences were observed in IVSD and LVPWD between different genotypes of rs35006907. Functional Analysis Firstly, we attempted to compare the MTSS1 expression among 3 genotypes of rs35006907 using human heart samples. The results indicated that MTSS1 mRNA level of CC genotype showed significantly higher than AC genotype (p=0.0028) and AA genotype (p=0.0034) (shown in Figure 2A). The difference between AC and AA genotypes had no statistical significance but showed a trend, probably owing to the limited samples. Furthermore, western blot results also demonstrated that CC genotype displayed increased protein expression when compared with the AC and AA genotypes (shown in Figure 2B). Subsequently, we investigated the effect of rs35006907 on MTSS1 expression in lymphocytes including 126 samples (33 CC genotype, 71 AC and 22 AA genotype). As shown in Figure 2C, MTSS1 mRNA of participants with the CC genotype were significantly higher than AC genotype (p<0.0001) and AA genotype (p<0.0001). Similarly, the difference between the AC and AA genotypes was also statistically significant (p=0.005). Finally, we transfected AC16 and 293T cells with reporter plasmids and found that the reporter gene expression of rs35006907-C allele was significantly increased compared with the rs35006907-A allele (shown in Figure 2D).



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