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Gene Variation Is Associated With Risk of Myocardial Infarction in More Than Seven Thousand Men From Five Cohorts
From the Center for Cancer Research (A.M.S., D.E.H.), Massachusetts Institute of Technology, Cambridge, Mass; Center for Cardiovascular Genetics (J.A.C., P.J.K., S.E.H.), Department of Medicine, Royal Free and University College London Medical School, Rayne Institute, United Kingdom; Portex Anaesthesia, Intensive Therapy and Respiratory Medicine Unit (P.J.K.), Institute of Child Health, London, United Kingdom; Medical Research Council Cardiovascular Research Group (G.J.M.), Wolfson Institute of Preventive Medicine, London, United Kingdom; Genomics Collaborative (K.G.A., B.J., K.I., K.L.L.), Cambridge, Mass; Departments of Internal Medicine and Epidemiology & Biostatistics (S.C.E.S., A.G.U., H.A.P.P.), Erasmus Medical Center, Rotterdam, The Netherlands; Department of Biostatistics, Boston University School of Public Health (S.D., L.A.C.), Boston, Mass; TuftsNew England Medical Center (M.E.M.), Boston, Mass; and the Framingham Heart Study of the National Heart, Lung, and Blood Institute (D.L.), Framingham, Mass.
Correspondence to Dr Amanda M. Shearman, E17-536, Massachusetts Institute of Technology, Cambridge, MA 02139. E-mail shearman{at}mit.edu
Abstract
Understanding the mechanisms by which estrogens affect cardiovascular disease risk, including the role of variation in the gene for estrogen receptor
(ESR1), may be key to new treatment strategies. We investigated whether the CC genotype at ESR1 c.454-397T>C is associated with increased risk among men. Study of more than 7000 whites in 5 cohorts from 4 countries provided evidence that genotype CC, present in roughly 20% of individuals, is a risk factor for nonfatal acute myocardial infarction (odds ratio=1.44; P<0.0001), after adjustment for established cardiovascular risk factors. After exclusion of younger subjects from 2 cohorts, because of age interaction, the odds ratio increased (to 1.63).
Key Words: genetics myocardial infarction estrogen receptor risk factors
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