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February 25, 2019Archives of Medical Science - Atherosclerotic DiseasesOpen Access

Genetic analysis of early onset familial coronary artery diseases

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Key result

Homozygous OLR1 missense mutation linked to early-onset familial MI.

  • n=40

Why the study?

Coronary artery disease is a leading cause of death, and early onset MI in a first-degree relative is an independent risk factor, prompting investigation into the genetic causes of early onset familial CAD.

What is the genetic cause of early onset familial CAD in a family with consanguineous marriage?

Population

Patients with a family history of CAD undergoing angiography before age 50 years without traditional risk factors

Design

Family-based genetic analysis study

Authors

MGMohammad Javad GhorbaniNRNematollah RazmiKTKaoru Tabei

Discussion

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Overview

May flag high-risk families for genetic evaluation; leaves open causal variants and clinical utility pending larger studies.

Study Design

Type

Observational (n=40)

Multicenter

No

Structured PICO

What is the genetic cause of early onset familial CAD in a family with consanguineous marriage?

P
Population
40 patients with premature coronary artery disease and myocardial infarction before age 50, without traditional risk factors, from which a 32-member consanguineous family was identified for genetic analysis.
E
Exposure
Whole exome sequencing in probands, confirmed by PCR and Sanger sequencing
C
Comparator
Healthy family members
O
Outcome
Identification of the genetic cause of early onset familial CAD

Whole exome sequencing identified a specific gene mutation associated with early-onset familial myocardial infarction, highlighting the importance of genetic screening and counseling in consanguineous families.

Limitations

  • Whole exome sequencing has not been approved for clinical and diagnostic use
  • Lack of clinical data for the first, second, and third generations of the pedigree
  • Findings are based on a single family, which may limit generalizability

Cite This Study

Ghorbani et al. (2019) conducted an observational in Early onset familial coronary artery disease and myocardial infarction (n=40). c.501G>C (p.K167N) mutation in the OLR1 gene vs. Wild-type OLR1 gene was evaluated on Identification of genetic mutation causing early onset familial MI. The c.501G>C (p.K167N) missense mutation in the OLR1 gene was identified in the homozygous state as a possible genetic cause of early onset familial myocardial infarction in a consanguineous Iranian family.

synapsesocial.com/papers/6aa26cd4d081bdd435a72c40https://doi.org/10.5114/amsad.2019.83149
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