A Lead ANRIL Polymorphism Is Associated with Elevated CRP Levels in Periodontitis: A Pilot Case-Control Study

PLoS One. 2015 Sep 8;10(9):e0137335. doi: 10.1371/journal.pone.0137335. eCollection 2015.

Abstract

Elevated high sensitive C-reactive protein (hsCRP) is a marker for systemic inflammation and a risk marker for atherosclerotic cardiovascular disease (ACVD), and has also been associated with periodontitis. Inter-individual variation for hsCRP in periodontitis has been shown. ANRIL is the strongest genetic susceptibility locus for both periodontitis and ACVD, and it is speculated that genetic variation in ANRIL may modulate inflammatory processes. Therefore, we explored the possible association between hsCRP plasma levels and a leading ANRIL single nucleotide polymorphism (SNP) in periodontitis patients and controls. 171 healthy subjects with North European descent (115 periodontitis and 56 controls) were included in this case-control study. hsCRP levels were determined and subjects were genotyped for the leading ANRIL SNP rs1333048. In a multivariate analysis, periodontitis, female gender, increasing BMI and homozygosity for the major allele (AA-genotype) of rs1333048 were significantly associated with elevated hsCRP plasma levels (p = 0.012, p = 0.004, p = 0.007 and p = 0.003, respectively). Periodontitis patients with rs1333048 AA-genotype showed higher levels of hsCRP than those carrying the minor C allele (median: 4.5 mg/L vs. 1.6 mg/L, padjusted = 0.007). This study is the first to show that, in addition to gender and BMI, also a leading SNP in ANRIL is explanatory for inter-individual variation in hsCRP levels in periodontitis patients of North European descent.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alveolar Bone Loss
  • Body Mass Index
  • C-Reactive Protein / biosynthesis
  • C-Reactive Protein / genetics*
  • Female
  • Genetic Association Studies*
  • Genotype
  • Humans
  • Inflammation / genetics*
  • Inflammation / pathology
  • Male
  • Middle Aged
  • Periodontitis / genetics*
  • Periodontitis / pathology
  • Polymorphism, Single Nucleotide
  • RNA, Long Noncoding / genetics*
  • Risk Factors
  • Sex Characteristics
  • Smoking / adverse effects
  • Tooth / pathology

Substances

  • CDKN2B antisense RNA, human
  • RNA, Long Noncoding
  • C-Reactive Protein

Grants and funding

The Department of Periodontology at ACTA, the Netherlands is supported in part by a grant of the University of Amsterdam for its participation in the focal point “Oral Infections and Inflammation”. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. For the rest of the study, the authors did not receive specific funding. There was no additional external funding received for this study.