Functional analyses of coronary artery disease associated variation on chromosome 9p21 in vascular smooth muscle cells
Open accessAbstract
Variation on chromosome 9p21 is associated with risk of coronary artery disease (CAD). This genomic region contains the CDKN2A and CDKN2B genes which encode the cell cycle regulators p16(INK4a), p14(ARF) and p15(INK4b) and the ANRIL gene which encodes a non-coding RNA. Vascular smooth muscle cell (VSMC) proliferation plays an important role in the pathogenesis of atherosclerosis which causes CAD. We ascertained whether 9p21 genotype had an influence on CDKN2A/CDKN2B/ANRIL expression levels in VSMCs, VSMC proliferation and VSMC content in atherosclerotic plaques. Immunohistochemical examination showed that VSMCs in atherosclerotic lesions expressed p16(INK4a), p14(ARF) and p15(INK4b). Analyses of primary cultures of VSMCs showed that the 9p21 risk genotype was associated with reduced expression of p16(INK4a), p15(INK4b) and ANRIL (P = 1.2 × 10(-5), 1.4 × 10(-2) and 3.1 × 10(-9)) and with increased VSMC proliferation (P = 1.6 × 10(-2)). Immunohistochemical analyses of atherosclerotic plaques revealed an association of the risk genotype with reduced p15(INK4b) levels in VSMCs (P = 3.7 × 10(-2)) and higher VSMC content (P = 5.6 × 10(-4)) in plaques. The results of this study indicate that the 9p21 variation has an impact on CDKN2A and CDKN2B expression in VSMCs and influences VMSC proliferation, which likely represents an important mechanism for the association between this genetic locus and susceptibility to CAD.
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Chromosome 9p21 encodes the long non-coding RNA ANRIL, which regulates cell proliferation, adhesion, and apoptosis, central mechanisms of atherogenesis and endometriosis.
“Chr9p21 encodes the long non-coding RNA(ncRNA) ANRIL, which has been demonstrated to regulate cell proliferation, adhesion and apoptosis,(43, 44) - central mechanisms of atherogenesis (13, 43) and endometriosis. (2, 3)”
From Endometriosis and Risk of Coronary Heart Disease (2016) · cites this paper as [44]
The Introduction identifies ANRIL as a non-coding RNA gene at 9p21, and the Results and Discussion link ANRIL expression to cell-cycle regulators in vascular smooth muscle cells. The paper also associates 9p21 variation with smooth muscle cell proliferation in atherosclerosis, but it does not demonstrate that ANRIL regulates adhesion or apoptosis. The citing sentence attributes its endometriosis point to other references, not this source. (LLM, conf=0.86)
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- Authors
- Motterle, A., Pu, X., Wood, H., Xiao, Q., Gor, S., Liang Ng, F., Chan, K., Cross, F., Shohreh, B., Poston, R. N., Tucker, A. T., Caulfield, M. J., & Ye, S.
- Affiliations
- Queen Mary University of London (GB)
- Barts Health NHS Trust (GB)
- Corresponding author
- Ye, S.
- Venue
- Human Molecular Genetics
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-06-15
- Volume
- 21
- Issue
- 18
- Pages
- 4021-4029
- ISSN
- 0964-6906 (ISSN-L)
- 1460-2083
- PMC
- PMC3428153
- OpenAlex
- W2132038259
- Cited by
- 160
- References
- 39
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 6 · 2023: 10 · 2022: 7 · 2021: 7 · 2020: 12 · 2019: 17 · 2018: 18 · 2017: 14 · 2016: 15 · 2015: 16 · 2014: 18 · 2013: 8 · 2012: 2
- FWCI
- 6.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Human Molecular Genetics (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- British Heart Foundation (FS/12/82/29736, FS/09/044/28007, FS/07/021, FS/11/28/28758)
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- chromosome 9p21, coronary artery disease, vascular smooth muscle cells, CDKN2A, CDKN2B, ANRIL, p16INK4a, p14ARF, cell cycle regulators, vascular smooth muscle cell proliferation, atherosclerosis, atherosclerotic plaque, genetic susceptibility
- MeSH terms
- Cells, Cultured, Chromosomes, Human, Pair 9, Coronary Artery Disease, Genotype, Humans, Muscle, Smooth, Vascular, Gene Expression, Cyclin-Dependent Kinase Inhibitor p16, Polymorphism, Single Nucleotide, Myocytes, Smooth Muscle, Cell Proliferation, Atherosclerosis, Cyclin-Dependent Kinase Inhibitor p15, Genetic Association Studies, Plaque, Atherosclerotic, Primary Cell Culture, RNA, Long Noncoding
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