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Thromb Haemost 2004; 91(05): 986-990
DOI: 10.1160/TH03-11-0668
Wound Healing and Inflammation/Infection
Schattauer GmbH

Pharmacogenetics of the CD14 endotoxin receptor polymorphism and progression of coronary atherosclerosis

Willem R. P. Agema
1   Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
2   Interuniversity Cardiology Institute of the Netherlands, Utrecht, The Netherlands
,
J. Wouter Jukema
1   Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
2   Interuniversity Cardiology Institute of the Netherlands, Utrecht, The Netherlands
,
Moniek P. M. de Maat
3   Gaubius Laboratory, TNO PG, Leiden, The Netherlands
,
Aeilko H. Zwinderman
4   Department of Medical Statistics, Academic Medical Center, Amsterdam, The Netherlands
,
John J. P. Kastelein
5   Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands
,
Ton J. Rabelink
6   Department of Vascular Medicine and Nephrology, University Medical Center Utrecht, Utrecht, The Netherlands
,
Ernst E. van der Wall
1   Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
› Author AffiliationsFinancial support Dr. W. R. P. Agema is supported by grant 99.210 from the Netherlands Heart Foundation, The Hague, The Netherlands and a grant from the Interuniversity Cardiology Institute of the Netherlands, Utrecht, the Netherlands. Dr J.W. Jukema is an established clinical investigator (2001 D 032) of the Netherlands Heart Foundation, The Hague, the Netherlands.
Further Information

Publication History

Received 03 November 2003

Accepted after revision 11 February 2004

Publication Date:
01 December 2017 (online)

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Summary

Atherosclerosis is at least in part an inflammatory disease. CD14 is an endotoxin receptor that after binding of lipopolysaccharides evokes endothelial activation and secretion of several cytokines. A polymorphism of CD14 has been associated with myocardial infarction. We evaluated the role of the -159 T/C polymorphism in the promoter region of the CD14 gene in relation to severity and progression of coronary atherosclerosis and response to the HMG CoA reductase inhibitor pravastatin. We recruited patients from the multicenter double-blind randomized placebo controlled REGRESS trial and genotyped the -159T/C CD14 polymorphism. DNA and angiographic follow-up were available from 759 patients with objectivated coronary artery disease. We measured changes in mean segment diameter (MSD) and minimum obstruction diameter (MOD) with quantitative coronary angiography and noted the occurrence of major adverse cardiac events. The genotype distribution was 28% TT, 49% CT, 23% CC. We did not find any association between genotype and MSD and MOD at baseline, frequency of previous myocardial infarction, changes in MSD and MOD or major clinical events. Treatment with the HMG CoA reductase inhibitor pravastatin reduced progression of coronary atherosclerosis and adverse events equally for all genotypes. We conclude, that the -159T/C polymorphism in the CD14 monocyte receptor gene was not associated with progression of coronary atherosclerosis in this population nor did it influence the efficacy of pravastatin in the treatment of atherosclerosis.

Keywords

Atherosclerosis - clinical/epidemiological studies - gene mutations - inflammatory mediators - ischaemic heart disease
 

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