Variation in the Sodium-Dependent Vitamin C Transporter 2 Gene Is Associated with Risk of Acute Coronary Syndrome among Women
Open accessAbstract
BACKGROUND: Vitamin C is associated with a lower risk of coronary heart disease possibly due to its anti-oxidative effects, beneficial effects on endothelial function and importance in collagen synthesis. The sodium-dependent vitamin C transporter 2 is responsible for the transport of vitamin C into various cells and malfunction of this protein leads to reduced vitamin C in tissue, including the arterial wall. We tested the hypothesis that candidate variations rs6139591 and rs1776964 in the gene coding for sodium-dependent vitamin C transporter 2 are associated with development of acute coronary syndrome. DESIGN: In the Danish Diet, Cancer and Health cohort study, we performed a case-cohort study among 57,053 subjects aged 50-64 years. RESULTS: During a mean follow-up period of 6.4 years, we identified 936 cases and randomly selected a sub-cohort (n = 1,580) with full information on genotypes and covariates. Using Cox proportional hazard models, we found that women with the rs6139591 TT genotype and a lower than median dietary vitamin C intake had a higher risk of acute coronary syndrome compared with those with the CC genotype (adjusted HR 5.39, 95% confidence interval, 2.01-14.50). We also observed a not as strong but positive although inconsistent association for women at a higher than median intake of vitamin C rich food. For the rs1776964 polymorphism, we found a higher risk (adjusted HR 3.45, 95% CI, 1.16-10.28) among TT-homozygous women with higher than median vitamin C intake compared with the CC genotype and low vitamin C intake. Among men, weaker and non-significant associations were observed for both polymorphisms. CONCLUSION: Genetic variation in the sodium-dependent vitamin C transporter 2 is associated with risk of incident acute coronary syndrome in women. The genotype effects may not be fully compensated by a higher intake of vitamin C rich food.
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Common variations of SLC23A2 are linked to acute coronary syndrome in women.
“Common variations of SLC23A2 were linked to increased or decreased risk of gastric cancer depending on a discrete genotype [85,90], decreased risk of colorectal adenocarcinoma [91], HPV16-positive head and neck cancer [92], increased risk of bladder cancer [93], non-Hodgkin lymphoma [87], chronic lymphocytic leukemia [94], preterm delivery [84], open-angle glaucoma [95], and acute coronary syndrom”
From Vitamin C-Sources, Physiological Role, Kinetics, Deficiency, Use, Toxicity, and Determination (2021) · cites this paper as [96]
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- Authors
- Dalgård, C., Christiansen, L., Vogel, U., Dethlefsen, C., Tjønneland, A., & Overvad, K.
- Affiliations
- University of Southern Denmark (DK)
- National Research Centre for the Working Environment (DK)
- Aalborg University Hospital (DK)
- Danish Cancer Society (DK)
- Aarhus University (DK)
- Corresponding author
- Dalgård, Christine
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2013-08-21
- Volume
- 8
- Issue
- 8
- Pages
- e70421
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3749152
- OpenAlex
- W1966422355
- Cited by
- 15
- References
- 35
- Citations by year
- 2025: 1 · 2021: 1 · 2019: 1 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 3
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion)
- 141st APHA Annual Meeting and Exposition (November 2 - November 6, 2013)
- Funders
- Hjerteforeningen
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Vitamin C and Antioxidants Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Keywords
- SVCT2, SLC27A4, acute coronary syndrome, genetic polymorphism, vitamin C intake, coronary heart disease risk, sex differences, women
- MeSH terms
- Ascorbic Acid, Diet, Female, Genetic Markers, Genotype, Humans, Male, Middle Aged, Polymorphism, Genetic, Risk, Genetic Variation, Cohort Studies, Proportional Hazards Models, Genetic Predisposition to Disease, Acute Coronary Syndrome, Sodium-Coupled Vitamin C Transporters
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