Key result
Three ATG16L1 gene promoter mutations (rs185213911, rs568956599, rs1301744254) identified in acute myocardial infarction patients significantly altered the transcriptional activity of the ATG16L1 gene promoter.
Why the study?
Autophagy preserves cardiovascular homeostasis, but no studies had examined the association between acute myocardial infarction and the ATG16L1 gene promoter.
Are genetic variants in the ATG16L1 gene promoter associated with acute myocardial infarction?
Case-Control (n=688)
No
Are genetic variants in the ATG16L1 gene promoter associated with acute myocardial infarction?
p-value: p=<0.05
Rare and low-frequency mutations in the ATG16L1 gene promoter may alter autophagy levels and contribute to the risk of acute myocardial infarction.
ATG16L1 promoter variants may associate with AMI risk; hypothesis-generating and requires replication before clinical consideration.
Background Acute myocardial infarction (AMI), a common complex disease caused by an interaction between genetic and environmental factors, is a serious type of coronary artery disease and is also a leading cause of death worldwide. Autophagy-related 16-like 1 ( ATG16L1 ) is a key regulatory factor of autophagy and plays an important role in induced autophagy. In the cardiovascular system, autophagy is essential to preserve the homeostasis and function of the heart and blood vessels. No studies have hitherto examined the association between AMI and ATG16L1 gene promoter. Methods We conducted a case-control study, using polymerase chain reaction and sequencing techniques, dual luciferase reporter assay, and electrophoretic mobility shift assay, to analyze genetic and functional variation in the ATG16L1 gene promoter between AMI and controls. A variety of statistical analyses were used to analyze the allele and genotype frequencies and the relationship between single-nucleotide polymorphisms (SNPs) and AMI. Results In all, 10 SNPs and two DNA-sequence variants (DSVs) were identified in 688 subjects, and three ATG16L1 gene promoter mutations [g.233250693 T > C (rs185213911), g.233250946 G > A (rs568956599), g.233251133 C > G (rs1301744254)] that were identified in AMI patients significantly altered the transcriptional activity of ATG16L1 gene promoter in HEH2, HEK-293, and H9c2 cells ( P < 0.05). Further electrophoretic mobility shift assays indicated that the SNPs affected the binding of transcription factors ( P < 0.01). Conclusion ATG16L1 gene promoter mutations in AMI patients may affect the binding of transcription factors and change the transcriptional activity of the ATG16L1 gene, changing the level of autophagy and contributing to the occurrence and development of AMI as rare and low-frequency risk factors.
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Han et al. (2021) conducted a case-control in Acute Myocardial Infarction (n=688). ATG16L1 gene promoter mutations vs. Healthy controls / wild-type genotype was evaluated on Transcriptional activity of ATG16L1 gene promoter (p=<0.05). Three ATG16L1 gene promoter mutations (rs185213911, rs568956599, rs1301744254) identified in acute myocardial infarction patients significantly altered the transcriptional activity of the ATG16L1 gene promoter.
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