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Polymorphisms of the tumor suppressor gene LSAMP are associated with left main coronary artery disease.

Abstract
Previous association mapping on chromosome 3q13-21 detected evidence for association at the limbic system-associated membrane protein (LSAMP) gene in individuals with late-onset coronary artery disease (CAD). LSAMP has never been implicated in the pathogenesis of CAD. We sought to thoroughly characterize the association and the gene. Non-redundant single nucleotide polymorphisms (SNPs) across the gene were examined in an initial dataset (168 cases with late-onset CAD, 149 controls). Stratification analysis on left main CAD (N = 102) revealed stronger association, which was further validated in a validation dataset (141 cases with left main CAD, 215 controls), a third control dataset (N = 255), and a family-based dataset (N = 2954). A haplotype residing in a novel alternative transcript of the LSAMP gene was significant in all independent case-control datasets (p = 0.0001 to 0.0205) and highly significant in the joint analysis (p = 0.00004). Lower expression of the novel alternative transcript was associated with the risk haplotype (p = 0.0002) and atherosclerosis burden in human aortas (p = 0.0001). Furthermore, silencing LSAMP expression in human aortic smooth muscle cells (SMCs) substantially augmented SMC proliferation (p<0.01). Therefore, the risk conferred by the LSAMP haplotype appears to be mediated by LSAMP down-regulation, which may promote SMC proliferation in the arterial wall and progression of atherosclerosis.
AuthorsL Wang, E R Hauser, S H Shah, D Seo, P Sivashanmugam, S T Exum, S G Gregory, C B Granger, J L Haines, C J H Jones, D Crossman, C Haynes, W E Kraus, N J Freedman, M A Pericak-Vance, P J Goldschmidt-Clermont, J M Vance
JournalAnnals of human genetics (Ann Hum Genet) Vol. 72 Issue Pt 4 Pg. 443-53 (Jul 2008) ISSN: 0003-4800 [Print] England
PMID18318786 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Validation Study)
Chemical References
  • Cell Adhesion Molecules, Neuronal
  • GPI-Linked Proteins
  • Tumor Suppressor Proteins
  • limbic system-associated membrane protein
Topics
  • Age of Onset
  • Aged
  • Aorta (metabolism)
  • Atherosclerosis (genetics, metabolism)
  • Case-Control Studies
  • Cell Adhesion Molecules, Neuronal (genetics, metabolism)
  • Cells, Cultured
  • Chromosomes, Human, Pair 3 (genetics)
  • Coronary Artery Disease (genetics, metabolism)
  • Down-Regulation
  • Female
  • GPI-Linked Proteins
  • Gene Expression
  • Haplotypes
  • Humans
  • Male
  • Middle Aged
  • Polymorphism, Single Nucleotide
  • Promoter Regions, Genetic
  • Risk Factors
  • Tumor Suppressor Proteins (genetics, metabolism)

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