Association of KATP Variants With Coronary Microvascular Dysfunction (CMD) and Refractory Angina Pectoris (RAP) in Coronary Artery Disease (CAD) Patients With Increased Serum Lipoprotein(a) Levels

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

KATP rs141294036 may serve a potential genetic marker for hyperlipoprotein(a)emia, CMD, and RAP in patients with CAD.

Study context

Population
Newly diagnosed patients with CAD
Participants
1,148 participants
Exposure
KATP variant genotypes in CAD patients with vs without hyperlipoprotein(a)emia
Outcome
Hyperlipoprotein(a)emia risk by KATP variant
Methodological detailsgenetic association study
  • Genetic association study

Main finding

As reported in the abstract

Adjusted odds ratio (95% CI)P value
rs2285676 AA + GA genotype
1.44(1.10–1.88)
P = 0.008
rs1799858 CC genotype
1.33(1.03–1.73)
P = 0.030
rs141294036 CC genotype
1.43(1.10–1.87)
P = 0.008

Observational data: associations, not effects.

Further findings

CMD risk

aOR (95% CI)P value
rs141294036 CC genotype1.62 (1.23–2.13)P = 0.001

RAP risk · median follow-up 50.6 months

aHR (95% CI)P value
rs141294036 CC genotype2.05 (1.22–3.43)P = 0.007

CMD risk

Only rs141294036 was associated with increased CMD risk

Exosome-derived microRNAs between rs141294036 genotypes

Significantly differentially expressed exo-miRs
152
Exo-miRs confirmed in RAP patients with hyperlipoprotein(a)emia and CMD
10

Original publication

Association of KATP Variants With CMD and RAP in CAD Patients With Increased Serum Lipoprotein(a) Levels. J Clin Endocrinol Metab. Published 5 December 2022. doi:10.1210/clinem/dgac709

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