Summary
The aim was to investigate whether the Thr715Pro P-selectin polymorphism is associated
with soluble P-selectin (sP-selectin) levels in individuals from different ethnic
groups. Plasma sPselectin and Thr715Pro (A/C) P-selectin gene polymorphism were measured
in 237 white (106 females), 177 black African origin (92 females) and 201 South Asian
(94 females) individuals living in England. All were free from coronary heart disease
(CHD), stroke and other cardiovascular disease, diabetes, drug therapy for hypertension
or high lipids, hormone replacement therapy or oral contraceptive pill. The Thr715Pro
C allele was rare in blacks (0.8%) and intermediate in South Asians (3.0%) compared
to whites (11.2%; p <0.001). sP-selectin levels were significantly lower in the individuals
with the AC or CC compared to the AA genotype in both whites (-25% (95% C.I. -33.3
to -16.9); p <0.001) and South Asians (-25.2% (-40.5 to -6.1); p <0.012). There was
insufficient power for this analysis in blacks. In conclusion, in whites and South
Asians the C allele of the Thr715Pro P-selectin polymorphism is associated with lower
sP-selectin levels. Lower levels of sP-selectin were not accounted for by this polymorphism
in blacks, in whom the C allele was very rare.
Keywords
Ethnicity - polymorphism - sP-selectin - inflammation - cardiovascular disease