Associations of fractalkine receptor (CX3CR1) and CCR5 gene variants with hypertension, diabetes and atherosclerosis in chronic renal failure patients undergoing hemodialysis

Int Urol Nephrol. 2016 Jul;48(7):1163-70. doi: 10.1007/s11255-016-1293-0. Epub 2016 Apr 27.

Abstract

Purpose: We aimed to investigate the associations of fractalkine receptor (CX3CR1) V249I, T280M and CCR5-59029 A/G gene polymorphisms in chronic renal failure (CRF) subjects undergoing hemodialysis and to evaluate possible associations of these polymorphisms with hypertension (HT), diabetes mellitus (DM) and atherosclerosis (AS).

Methods: A total of 225 CRF subjects undergoing hemodialysis and 201 healthy controls were enrolled in the study. CRF subjects were divided into three major subgroups according to comorbidities including HT (n = 127), DM (n = 65) and AS (n = 33). Genotyping was done using polymerase chain reaction-restriction fragment length polymorphism method.

Results: The II genotype and I allele frequencies of CX3CR1 V249I polymorphism were found significantly more frequent in CRF subjects, CRF subjects with DM and CRF subjects with AS compared with controls (p < 0.05 for all comparisons). G allele frequency of CCR5 polymorphism was found significantly more prevalent in CRF subjects with DM than that of controls. Further, GG genotype and G allele frequencies of CCR5 polymorphism were significantly more prevalent in CRF subjects with AS compared with controls (p < 0.05). We also explored these polymorphisms among CRF subjects with and without following comorbidities: HT, DM, AS. We found significant association between CRF subjects with HT and without HT in terms of genotype and allele frequencies of V249I polymorphism (p < 0.05). CX3CR1 T280M polymorphism was not found significantly different in none of the comparisons.

Conclusion: These data demonstrate possible associations between CX3CR1 V249I and CCR5-59029 A/G polymorphisms and/or HT, DM and AS in CRF subjects.

Keywords: Atherosclerosis; CCR5; CX3CR1; Chronic renal failure; Diabetes mellitus; Hypertension; Polymorphism.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Atherosclerosis / diagnosis
  • Atherosclerosis / epidemiology
  • Atherosclerosis / genetics
  • CX3C Chemokine Receptor 1
  • Case-Control Studies
  • Chi-Square Distribution
  • Comorbidity
  • Diabetes Mellitus / diagnosis
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus / genetics
  • Female
  • Genetic Predisposition to Disease / epidemiology*
  • Genetic Variation*
  • Genotype
  • Humans
  • Hypertension / diagnosis
  • Hypertension / epidemiology
  • Hypertension / genetics
  • Kidney Failure, Chronic / epidemiology
  • Kidney Failure, Chronic / genetics*
  • Kidney Failure, Chronic / therapy
  • Male
  • Middle Aged
  • Odds Ratio
  • Polymorphism, Single Nucleotide
  • Prognosis
  • Receptors, CCR5 / genetics*
  • Receptors, Chemokine / genetics*
  • Reference Values
  • Renal Dialysis / methods*
  • Renal Dialysis / mortality
  • Survival Analysis
  • Treatment Outcome

Substances

  • CCR5 protein, human
  • CX3C Chemokine Receptor 1
  • CX3CR1 protein, human
  • Receptors, CCR5
  • Receptors, Chemokine