title: Paraoxonase2 C311S polymorphism and low levels of HDL contribute to a higher mortality risk after acute myocardial infarction in elderly patients.
abstract: It is well known that oxidative stress plays an important role in atherosclerosis and age-related diseases. The antioxidant properties of the Human Paraoxonase gene family (PON1, 2, 3) have been widely investigated, as well as a possible role of the such gene family in cardiovascular disease. In this study, we investigated the relationship between the C311S PON2 polymorphism and the prognosis of acute myocardial infarction (AMI). We analyzed the PON2 C311S polymorphism in 442 elderly patients who had experienced an AMI. PON2 C311S genotypes were identified by PCR based analysis and analyzed as C- (SS genotype) or C+ (CS+CC) carriers. After 1 year of follow-up, the cardiovascular mortality rate in a sub-group of 295 AMI patients was calculated. We found that AMI patients carrying CS+CC genotypes (C+ carriers) had a history of type 2 diabetes mellitus, low levels of HDL-cholesterol and higher levels of TroponinT (TnT). Furthermore, we found that C+ carrier patients with low levels of HDL-cholesterol had an increased risk for mortality after 1 year of follow-up (Log Rank=11.45, p=0.001). Our study suggests a possible role for PON2 C311S polymorphism in the pathogenesis of cardiac ischemic damage. Patients with at least one C allele (C+ carriers) represent a category of subjects at a higher risk for the development of AMI with a worse prognosis. Our findings suggest the need for a more careful clinical monitoring in older persons with such characteristics.
authors.affiliation: Immunology Center, Italian National Research Center on Aging (I.N.R.C.A.), Ancona, Italy. fr.marchegiani@inrca.it
authors.forename: Francesca
authors.initials: F
authors.lastname: Marchegiani
authors.forename: Liana
authors.initials: L
authors.lastname: Spazzafumo
authors.forename: Mauro
authors.initials: M
authors.lastname: Provinciali
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cardelli
authors.forename: Fabiola
authors.initials: F
authors.lastname: Olivieri
authors.forename: Claudio
authors.initials: C
authors.lastname: Franceschi
authors.forename: Fabrizia
authors.initials: F
authors.lastname: Lattanzio
authors.forename: Roberto
authors.initials: R
authors.lastname: Antonicelli
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D043303:Aryldialkylphosphatase / Q000235:genetics*; D008076:Cholesterol, HDL / Q000097:blood*; D005260:Female; D005838:Genotype; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000453:epidemiology / Q000235:genetics* / Q000401:mortality*; D011110:Polymorphism, Genetic; D012307:Risk Factors
chemical_list: D008076:Cholesterol, HDL; D043303:Aryldialkylphosphatase; C468411:PON2 protein, human