Vitamin D receptor: a new risk marker for clinical restenosis after percutaneous coronary intervention

Autor: Nuno Pires, Arnoud van der Laarse, Huibert A. P. Pols, André G. Uitterlinden, Moniek P.M. de Maat, Rune R. Frants, PS Monraats, Aeilko H. Zwinderman, Paul H.A. Quax, Douwe Pons, Johannes Waltenberger, Pieter A. Doevendans, J. Wouter Jukema, Robbert DeWinter, Yue Fang, René A. Tio, Ernst E. van der Wall
Přispěvatelé: Amsterdam Public Health, Epidemiology and Data Science, Amsterdam Cardiovascular Sciences, Cardiology, Cardiologie, RS: CARIM School for Cardiovascular Diseases, Internal Medicine, Hematology, Vascular Ageing Programme (VAP)
Rok vydání: 2010
Předmět:
Zdroj: Expert opinion on therapeutic targets, 14(3), 243-251. Taylor and Francis Ltd.
Expert Opinion on Therapeutic Targets, 14(3), 243-251. Informa Healthcare
Expert Opinion on Therapeutic Targets, 14(3), 243-251. Taylor & Francis Ltd
Expert Opinion on Therapeutic Targets, 14(3), 243-251
EXPERT OPINION ON THERAPEUTIC TARGETS, 14(3), 243-251. TAYLOR & FRANCIS LTD
ISSN: 1744-7631
1472-8222
Popis: Objective: Restenosis is the main drawback of percutaneous coronary intervention (PCI). Inherited factors may explain part of the risk of restenosis. Recently, the vitamin D receptor (VDR) has been shown to be involved not only in bone metabolism but also in modulating immune responses and cell proliferation. Since the inflammatory response is implicated in restenosis, VDR-gene variants could therefore contribute to the risk of restenosis. Methods/results: Systematic genotyping for 15 haplotype tagging single-nucleotide polymorphisms (SNPs) of the VDR gene was performed with the high throughput TaqMan allelic discrimination assays in the Genetic Determinants of Restenosis (GENDER) population. A haplotype-based survival analysis revealed an association of haplotypes in blocks 2, 3 and 4 of the VDR-gene with the risk of clinical restenosis (p-values 0.01, 0.04 and 0.02 respectively). After adjustment for clinical risk factors for restenosis, the individual effect of the block 2 AA haplotype (p = 0.011) persisted. Conclusions: The present study indicates that VDR plays a role in restenosis after PCI. Therefore, VDR genotype may be used as risk marker for restenosis and may contribute to individual patient screening prior to PCI in clinical practice.
Databáze: OpenAIRE