© 2000 American Heart Association, Inc.
Atherosclerosis and Lipoproteins |
Stromelysin-1 and Interleukin-6 Gene Promoter Polymorphisms Are Determinants of Asymptomatic Carotid Artery Atherosclerosis
From Kuopio Research Institute of Exercise Medicine and the Department of Physiology, University of Kuopio (Finland) (R.R., S.B.V., I.M.P., J.T.); the Department of Clinical Physiology and Nuclear Medicine (R.R.) and the Department of Clinical Chemistry (S.B.V., I.M.P.), Kuopio University Hospital, Kuopio, Finland; the Centre for Cardiovascular Genetics, Department of Medicine, UCLMS, The Rayne Institute (L.-A.L., S.E.H.), London, UK; the Department of Prevention, Rehabilitation, and Sports Medicine, Freiburg University Hospital (A.S.-T.), Freiburg, Germany; and Pennington Biomedical Research Center, Louisiana State University (C.B.), Baton Rouge.
Correspondence to Prof Rainer Rauramaa, Kuopio Research Institute of Exercise Medicine, Haapaniementie 16, FIN-70100 Kuopio, Finland. E-mail rainer.rauramaa{at}messi.uku.fi
Abstract—The functional 5A/6A polymorphism of the stromelysin-1 promoter has been implicated as a potential genetic marker for the progression of angiographically determined atherosclerosis in patients with coronary artery disease. Recently, a novel interleukin-6 (IL-6) gene functional G/C polymorphism at -174 in the promoter has also been reported. In this study, we analyzed the relation of these two polymorphisms with carotid artery atherosclerosis in 109 randomly selected, middle-aged men without exercise-induced ischemia. Atherosclerosis was quantified as intima-media thickness (IMT) by high-resolution ultrasonography. Univariately, stromelysin genotype was significantly (P=0.015) associated with IMT, and this relation remained (P=0.033) after adjustments for age, cardiorespiratory fitness, body mass index, smoking, LDL cholesterol, and systolic blood pressure and for sonographers. The 5A/6A polymorphism independently explained 7% of the variance in carotid bifurcation IMT. The IL-6 polymorphism was also significantly associated (P=0.036) with increased IMT, with men homozygous for the G allele having IMT that was 11% greater than men homozygous for the C allele. Men who were homozygous for both the 6A and G alleles had an covariate adjusted IMT that was 36% greater than men who were homozygous for neither allele (P<0.003). These data suggest that genetic factors that predispose to reduced matrix remodeling (stromelysin 6A allele) and to increased inflammation (IL-6 G allele) combine to increase susceptibility for intima-media thickening in the carotid bifurcation, a predilection site for atherosclerosis.
Key Words: stromelysin-1 • interleukin-6 • DNA polymorphism • B-mode ultrasonography • carotid atherosclerosis • population sample
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