Abstract
Background and aim
Polymorphism in the p53 gene at codon 72 has been linked to the development of certain
diseases including cancer. A possible association between such polymorphism and the
development of coronary artery disease (CAD) and diabetes is being investigated, but
no conclusive evidence has been reached yet. Our study is the first pilot study to
be conducted on Kuwaitis suffering from CAD and diabetes, aiming at investigating
the possible existence of the above association.
Materials and methods
We analyzed the genotype distribution and allele frequency of p53 gene at codon 72
in 158 CAD samples and 110 controls, and in 142 diabetic and 130 controls.
Results
Analysis of CAD patients revealed an alarming significant association between the
disease and the existence of diabetes (P=0.0007). Also, the CAD patients had significantly higher level of triglyceride (P<0.0001) and cholesterol (P<0.0001) as compared to control. As for the polymorphism in p53 gene codon 72, we could
not detect any association with the genotype Pro/Pro, Pro/Arg or Arg/Arg distribution
(P=0.28) or allele (Pro or Arg) frequency (P=0.25) in the CAD patients. Similarly, no association was found with the genotype Pro/Pro,
Pro/Arg or Arg/Arg distribution (P=0.44) or allele (Pro or Arg) frequency (P=0.26) in the diabetic patients.
Conclusion
CAD seems to be strongly linked to diabetes in Kuwait. Polymorphism in the p53 gene
at codon 72 revealed no significant association with the development of CAD or diabetes
in Kuwait, which confirms other similar results obtained in the US and Asia.
Keywords
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References
- P53 gene codon 72 polymorphism and susceptibility to Keloid in Chinese population.Zhongguo xiu fu Chong Jian Wai Ke Za zhi. 2005; 19: 28-30
- Recurrent pregnancy failure is associated with a polymorphism in the p53 tumour suppressor gene.Hum Reprod. 2005; 20: 848-851
- I. P53 codon 72 polymorphism and correlation with ovarian and endometrial cancer in Greek women.Eur J Cancer Prev. 2004; 13: 277-280
- Prognostic value of P53 codon 72 polymorphism in invasive cervical cancer in Brazil.Gynecol Oncol. 2004; 93: 374-380
- The R72P P53 mutation is associated with familial breast cancer in Jewish women.Br J Cancer. 2005; 92: 1144-1148
- Molecular epidemiology of atherosclerosis.Fed Am Soc Exp Biol J. 1997; 11: 1021-1031
- Atherosclerosis, just another cancer?.J Clin Invest. 1997; 100: 2143-2145
- Genetic instability and atherosclerosis: can somatic mutations account for the development of cardiovascular diseases?.Environ Mol Mutagen. 2000; 35: 265-269
- Cancer. p53, guardian of the genome.Nature. 1992; 358: 15-16
- Atherosclerosis—an inflammatory disease.N Engl J Med. 1999; 340: 115-126
- The different apoptotic potential of the p53 codon 72 alleles increases with age and modulates in vivo ischaemia-induced cell death.Cell Death Differ. 2004; 11: 962-973
- Hyperglycemia-induced apoptotic cell death in the mouse blastocyst is dependent on expression of p53.Mol Reprod Dev. 2001; 60: 214-224
- Tumor suppressor p53 inhibits autoimmune inflammation and macrophage function.Diabetes. 2005; 54: 1423-1428
- Molecular and cellular basis of the aetiology and management of diabetic cardiomyopathy: a short review.Mol Cell Biochem. 2004; 261: 187-191
- Hyperglycemia activates p53 and p53-regulated genes leading to myocyte cell death.Diabetes. 2001; 50: 2363-2375
- A registry of acute myocardial infarction in Kuwait: patient characteristics and practice patterns.Can J Cardiol. 2004; 20: 783-787
- Kuwait Diabetes Study Group. Further evidence for the rising incidence of childhood type 1 diabetes in Kuwait.Diabet Med. 2002; 19: 522-525
- Non-insulin-dependent diabetes in Kuwait: prevalence rates and associated risk factors.Diabet Res Clin Pract. 1998; 42: 187-196
- Diabetes mellitus as a contributor to the in-hospital mortality after acute myocardial infarction in Kuwait.Acta Cardiol. 2004; 59: 317-322
- Differential distribution of risk factors and outcome of acute coronary syndrome in Kuwait: three years' experience.Med Princ Pract. 2004; 13: 63-68
- Racial variation in risk factors and occurrence of acute myocardial infarction: comparison between Arab and South Asian men in Kuwait.Indian Heart J. 2002; 54: 266-270
- Association of p53 gene polymorphism with susceptibility to ovarian cancer.Zhonghua Fu Chan Ke Za Zhi. 2004; 39: 754-758
- Autoimmunity against p53 predicts invasive cancer with poor survival in patients with an ovarian mass.Br J Cancer. 2000; 83: 1338-1343
- Analysis of a germ line polymorphism of the p53 gene in lung cancer patients; discrete results with smoking history.Carcinogenesis. 1996; 17: 261-264
- Prognostic significance of p53 codon 72 polymorphism in lung carcinomas.Eur J Cancer. 1999; 35: 226-230
- The p53 codon 72 polymorphism and lung cancer risk.Cancer Epidemiol Biomarkers Prev. 2000; 9: 1037-1042
- p53 polymorphisms and haplotypes in breast cancer.Carcinogenesis. 1996; 17: 1313-1316
- p53 codon 72 polymorphism as a risk factor in the development of breast cancer.Mol Cell Biol Res Commun. 2000; 3: 389-392
- p53 polymorphism in human papillomavirus-associated esophageal cancer.Cancer Res. 2000; 60: 2753-2755
- Genetic polymorphisms of p53 and GSTP1, but not NAT2, are associated with susceptibility to squamous-cell carcinoma of the esophagus.Int J Cancer. 2000; 89: 458-464
- Cutaneous squamous cell carcinoma and p53 codon 72 polymorphism: a need for screening?.Mol Carcinog. 2001; 30: 56-61
- Determination of p53 genotypes in oral cancer patients from India.Br J Cancer. 2001; 84: 739-742
- DNA sequence variants of p53: cancer and aging.Am J Hum Genet. 1999; 65: 1779-1782
- Potential role of human cytomegalovirus and p53 interaction in coronary restenosis.Science. 1994; 265: 391-394
- Interactive effect of the p53 gene and cigarette smoking on coronary artery disease.Cardiovasc Res. 1997; 35: 250-255
- The absence of p53 accelerates atherosclerosis by increasing cell proliferation in vivo.Nat Med. 1999; 5: 335-339
- Macrophage p53 deficiency leads to enhanced atherosclerosis in APOECirc Res. 2001; 88: 780-786
3-Leiden transgenic mice.
- Inhibition of the p53 tumor suppressor gene results in growth of human aortic vascular smooth muscle cells. Potential role of p53 in regulation of vascular smooth muscle cell growth.Hypertension. 1999; 34: 192-200
- p53 and atherosclerosis.Circ Res. 2001; 88: 747-749
- Evidence for DNA damage in patients with coronary artery disease.Mutat Res. 2001; 493: 23-30
- Evidence for a monoclonal origin of human atherosclerotic plaques.Proc Natl Acad Sci U S A. 1973; 70: 1753-1756
- Reactive oxygen species and death: oxidative DNA damage in atherosclerosis.Circ Res. 2001; 88: 648-650
- Oxidative DNA damage and cardiovascular disease.Trends Cardiovasc Med. 2001; 11: 148-155
- Oxyradicals and DNA damage.Carcinogenesis. 2000; 21: 361-370
- Assessment of DNA strand breakage by comet assay in diabetic patients and the role of antioxidant supplementation.Mutat Res. 2001; 490: 123-129
- Determination of DNA damage induced by oxidative stress in hyperlipidemic patients.Mutat Res. 2002; 513: 17-25
- Lipoprotein lipids and apolipoproteins (AI, AII, B, CII, CIII) in type 1 and type 2 diabetes mellitus in young Kuwaiti women.Diabet Med. 1991; 8: 732-737
- P53 codon 72 polymorphism in coronary artery disease: no evidence for association with increased risk or micronucleus frequency.Environ Mol Mutagen. 2002; 40: 110-115
- Role of a p53 polymorphism in luminal narrowing after balloon coronary angioplasty.Atherosclerosis. 2000; 151: 585-586
- Transfer of wild-type p53 gene effectively inhibits vascular smooth muscle cell proliferation in vitro and in vivo.Circ Res. 1998; 82: 147-156
- TP53 haplotype-based analysis and incidence of post-angioplasty restenosis.Hum Genet. 2004; 114: 386-390
Article info
Publication history
Published online: June 24, 2006
Accepted:
January 9,
2006
Received in revised form:
January 5,
2006
Received:
November 15,
2005
Identification
Copyright
© 2006 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.