Mitochondrial Haplogroups A and M7a Confer a Genetic Risk for Coronary Atherosclerosis in the Japanese Elderly: An Autopsy Study of 1,536 Patients

  • Sawabe Motoji
    Department of Pathology and Bioresource Center for Geriatric Research, Tokyo Metropolitan Geriatric Hospital.
  • Tanaka Masashi
    Department of Genomics for Longevity and Health, Tokyo Metropolitan Institute of Gerontology.
  • Chida Kouji
    Department of Pathology and Bioresource Center for Geriatric Research, Tokyo Metropolitan Geriatric Hospital.
  • Arai Tomio
    Department of Pathology and Bioresource Center for Geriatric Research, Tokyo Metropolitan Geriatric Hospital.
  • Nishigaki Yutaka
    Department of Genomics for Longevity and Health, Tokyo Metropolitan Institute of Gerontology.
  • Fuku Noriyuki
    Department of Genomics for Longevity and Health, Tokyo Metropolitan Institute of Gerontology.
  • Naka Mieno Makiko
    Department of Medical Informatics, Center for Information, Jichi Medical University, Shimotsuke.
  • Kuchiba Aya
    Genetics Division, National Cancer Center Research Institute.
  • Tanaka Noriko
    Department of Biostatistics, Harvard School of Public Health.

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  • Mitochondrial DNA analysis of Hokkaido Jomon skeletons: Remnants of archaic maternal lineages at the southwestern edge of former Beringia

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Abstract

Aim: We previously reported significant associations between mitochondrial single nucleotide polymorphisms (mtSNPs) and myocardial infarction, atherothrombotic cerebral infarction, metabolic syndrome and type 2 diabetes. Here, we assessed the hypothesis that mtSNPs may confer a risk for atherosclerosis, the most important intermediate phenotype of ischemic cardiovascular events.<BR>Methods: The subjects were 1,536 consecutive autopsy cases (827 men and 709 women). The average age at death was 80 years. The severity of coronary atherosclerosis was semi-quantitatively examined on cut sections. We examined 149 mtSNPs using the PCR-Luminex method, with a success rate of 97%. Phylogenetic tree analysis yielded 36 haplogroups. Multiple logistic regression analysis was performed after adjustments for sex, age, and conventional cardiovascular risk factors.<BR>Results: Among the 45 mtSNPs with minor genotype frequencies >0.05, 6 mtSNPs were associated with coronary atherosclerosis. Among 10 haplogroups with frequencies >0.04, haplogroups A and M7a were significantly associated with coronary atherosclerosis, with odds ratios (95% confidence intervals) of 1.80 (1.09-2.97; p=0.023) and 1.92 (1.23-3.01; p=0.004), respectively. Haplogroup D4a, which was previously reported to be associated with extreme longevity in a Japanese population, was associated with pathological myocardial infarction in men with an odds ratio of 2.05 (1.01-4.14; p=0.046).<BR>Conclusions: The mitochondrial haplogroups A and M7a confer a significant risk for coronary atherosclerosis in the Japanese. The mitochondrial haplogroup may contribute some genetic risk for coronary heart disease.

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