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- W2096570055 abstract "This editorial refers to “Genetic risk and gene–environment interaction in coronary artery spasm in Japanese men and women”1 by Y. Murase et al. on page 970The complexity of coronary artery disease genetics arises from the diversity of clinical phenotypes and from the many biological pathways that contribute to atherosclerotic plaque biology, including lipid metabolism, inflammation, endothelial function, oxidative stress and thrombosis. In addition to environmental factors, inter-individual variation in disease susceptibility or outcome may arise from common polymorphic variation in the genes encoding the proteins that participate in these and other biological pathways. Twin studies suggest that the total genetic contribution to coronary artery disease risk is substantial, but dissecting out the nature of these effects in a complex polygenic trait with multiple sub-phenotypes remains a major challenge.In this issue, Murase et al.1 have investigated possible associations between the presence of coronary artery spasm and 35 single nucleotide polymorphisms (SNPs) in 29 candidate genes. In comparing these SNPs in approximately 600 patients with coronary artery spasm with 1600 controls, they observed a significant association between coronary artery spasm in men and an SNP in the NAD(P)H oxidase p22phox gene, and in women with polymorphisms in the stromolysin-1 and interleukin-6 genes. These findings add weight to smaller case-control studies that have found associations between these and other biologically plausible candidate genes and phenotypes such as angiographic coronary artery disease, myocardial infarction or coronary artery spasm.2–4 A longstanding problem with many of these smaller case-control studies has … *Correspondence to: K.M. Channon, Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, Oxford OX3 9DU, UK. Tel.: +44-1865-741166/851085; fax: +44-1865-768844/222077 E-mail address: keith.channon{at}cardiov.ox.ac.uk" @default.
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- W2096570055 date "2004-06-01" @default.
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- W2096570055 title "Coronary artery disease genetics: bigger is better" @default.
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- W2096570055 doi "https://doi.org/10.1016/j.ehj.2004.04.013" @default.
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