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      Genetic analysis of the relation of telomere length‐related gene ( RTEL1) and coronary heart disease risk

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          Abstract

          Background

          Regulator of telomere elongation helicase 1 ( RTEL1), a telomere length‐related gene, is closely linked to cancer and age‐related diseases. The aim of this study was to investigate the association between genetic polymorphisms in the RTEL1 gene and coronary heart disease (CHD) risk.

          Methods

          In this case–control study, which includes samples from 596 CHD patients and 603 healthy controls, five SNPs in RTEL1 were selected. The genotypes were studied using the Agena MassARRAY platform, and the statistical analyses were performed using the chi‐square and Fisher's exact tests, genetic model analysis, and haplotype analysis.

          Results

          In the allele model, using the chi‐square test, we found that the patients with the “G” allele of rs6010620 and the “C” allele of rs4809324 in the RTEL1 gene showed a decreased risk of CHD once the results were adjusted for age and gender. In the genetic model, logistic regression analyses revealed that the rs6010620 polymorphism conferred a decreased risk of CHD in the codominant model (OR = 0.52, 95% CI: 0.31–0.88, p = 0.007 for the “G/G” genotype) and the recessive model (OR = 0.49, 95% CI: 0.30–0.80, p = 0.004 for the “G/G” genotype). In addition, the haplotype “G rs6010620T rs6010621T rs4809324” of RTEL1 was associated with a 0.03‐fold decreased risk of CHD once the results were adjusted for age and gender (OR = 0.03, 95% CI: 0.01–0.12, p < 0.001).

          Conclusion

          Our findings have demonstrated that the genetic variants of RTEL1 may have a protective role against CHD risk.

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          Most cited references26

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          Telomeres and human disease: ageing, cancer and beyond.

          Telomere length and telomerase activity are important factors in the pathobiology of human disease. Age-related diseases and premature ageing syndromes are characterized by short telomeres, which can compromise cell viability, whereas tumour cells can prevent telomere loss by aberrantly upregulating telomerase. Altered functioning of both telomerase and telomere-interacting proteins is present in some human premature ageing syndromes and in cancer, and recent findings indicate that alterations that affect telomeres at the level of chromatin structure might also have a role in human disease. These findings have inspired a number of potential therapeutic strategies that are based on telomerase and telomeres.
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            Statistics notes. The odds ratio.

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              Identification of seven loci affecting mean telomere length and their association with disease

              Interindividual variation in mean leukocyte telomere length (LTL) is associated with cancer and several age-associated diseases. We report here a genome-wide meta-analysis of 37,684 individuals with replication of selected variants in an additional 10,739 individuals. We identified seven loci, including five new loci, associated with mean LTL (P < 5 × 10(-8)). Five of the loci contain candidate genes (TERC, TERT, NAF1, OBFC1 and RTEL1) that are known to be involved in telomere biology. Lead SNPs at two loci (TERC and TERT) associate with several cancers and other diseases, including idiopathic pulmonary fibrosis. Moreover, a genetic risk score analysis combining lead variants at all 7 loci in 22,233 coronary artery disease cases and 64,762 controls showed an association of the alleles associated with shorter LTL with increased risk of coronary artery disease (21% (95% confidence interval, 5-35%) per standard deviation in LTL, P = 0.014). Our findings support a causal role of telomere-length variation in some age-related diseases.
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                Author and article information

                Contributors
                honghaozhou163@163.com
                Journal
                Mol Genet Genomic Med
                Mol Genet Genomic Med
                10.1002/(ISSN)2324-9269
                MGG3
                Molecular Genetics & Genomic Medicine
                John Wiley and Sons Inc. (Hoboken )
                2324-9269
                08 January 2019
                March 2019
                : 7
                : 3 ( doiID: 10.1002/mgg3.2019.7.issue-3 )
                : e550
                Affiliations
                [ 1 ] Department of Clinical Pharmacology, Xiangya Hospital Central South University Changsha China
                [ 2 ] Institute of Clinical Pharmacology Hunan Key Laboratory of Pharmacogenetics Central South University Changsha China
                [ 3 ] Department of Cardiology, Haikou People’s Hospital Central South University Xiangya School of Medicine Affliated Haikou Hospital Haikou China
                Author notes
                [*] [* ] Correspondence

                Honghao Zhou, Xiangya Hospital, Changsha, China.

                Email: honghaozhou163@ 123456163.com

                Author information
                https://orcid.org/0000-0002-8745-8502
                Article
                MGG3550
                10.1002/mgg3.550
                6418357
                30623606
                f051a8f2-55e2-4a27-bfd9-d94dd9b5c34b
                © 2019 The Authors. Molecular Genetics & Genomic Medicine published by Wiley Periodicals, Inc.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 September 2018
                : 04 December 2018
                : 05 December 2018
                Page count
                Figures: 2, Tables: 4, Pages: 7, Words: 12296
                Funding
                Funded by: The International Cooperation Program of Science and Technology Department of Hainan Province
                Award ID: ZDYF2016223
                Funded by: Natural Science Foundation of Hainan Province grants
                Award ID: 20168320
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                mgg3550
                March 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.1 mode:remove_FC converted:15.03.2019

                case–control study,coronary heart disease,genetic polymorphism,rtel1,snp

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