BMC Medical Genetics (Jun 2009)

<it>PPARγ </it>Pro<sup>12</sup>Ala polymorphism and risk of acute coronary syndrome in a prospective study of Danes

  • Jensen Majken K,
  • Wallin Håkan,
  • Saber Anne,
  • Tjønneland Anne,
  • Dethlefsen Claus,
  • Segel Stine,
  • Vogel Ulla,
  • Schmidt Erik B,
  • Andersen Paal,
  • Overvad Kim

DOI
https://doi.org/10.1186/1471-2350-10-52
Journal volume & issue
Vol. 10, no. 1
p. 52

Abstract

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Abstract Background Acute coronary syndrome (ACS) is a major cause of morbidity and mortality in the western world. Peroxisome proliferator-activated receptor γ (PPARγ) plays a key role in the regulation of the energy balance, adipocyte differentiation and lipid biosynthesis. The aim was to investigate if the polymorphism PPARγ2 Pro12Ala, which encodes a less efficient transcription factor, was associated with risk of acute coronary disease and if there were interactions between this polymorphism and factors that modify PPARγ activity, such as alcohol intake, smoking, and use of non-steroidal anti-inflammatory medicine. Methods A case-cohort study including 1031 ACS cases and a sub-cohort of 1703 persons was nested within the population-based prospective study Diet, Cancer and Health of 57,053 individuals. Results Homozygous male variant allele carriers of PPARγ2 Pro12Ala were at higher risk of ACS (HR = 2.12, 95% CI: 1.00–4.48) than homozygous carriers of the Pro-allele. Among men, there was a statistically significant interaction between genotypes and alcohol intake such that homozygous variant allele carriers with a low alcohol intake were at higher risk of ACS (HR = 25.3, CI: 16.5–38.7) compared to homozygous common allele carriers (p for interaction Conclusion In the present study, there were no consistent associations between PPARγ Pro12Ala and risk of ACS, and no consistent interaction with alcohol, BMI, NSAID or smoking in relation to ACS.