Background:
Coronary artery disease (CAD), which is a multifactorial genetic disease, is known as
one of the most common causes of death worldwide. In this regard, X-ray repair cross-complementing group 1 (XRCC1), a
DNA repair protein involved in single-strand breaks (SSBs), and base excision repair (BER) pathways have been reported to
be responsible for the efficient repair of single strand breaks and damaged bases in DNA.
Objective:
In the current study, we analyzed Arg399Gln (rs25487), which is one of the most common polymorphism of
XRCC1 gene that might be associated with the increased risk for CAD.
Method:
This case-control study was performed to investigate the relationship between this polymorphism and the CAD development. In this study, 290 patients and 216 controls were diagnosed by cardiac angiography and then screened for the
above-mentioned polymorphism using Restriction Fragment Length Polymorphisms (RFLP) method.
Results:
The frequency of the GA genotype of XRCC1 Arg399Gln (rs25487) was significantly higher in CAD patients
compared to the controls (p=0.002, OR: 1.21, 95% CI: 1.06-1.37). Moreover, its dominant mode (AA + GA) genotype had a
1.851-fold increase in the risk of CAD (p = 0.005).
Conclusion:
Our findings demonstrated that Arg399Gln polymorphism of XRCC1 (rs25487) has a significant relationship
with CAD and also plays a probable predisposing role in that. Our results support the role of DNA damages and the malfunctions of DNA repair system in the patients with CAD.