Abstract
The aim of the present study was to explore the role of lncRNA ANRIL in the pathogenesis of ischemic stroke (IS) and coronary artery disease (CAD) and to determine the association between ANRIL variants and the genetic susceptibility of IS and CAD in the Chinese Han population. A genetic association study including 550 IS patients, 550 CAD patients, and 550 healthy controls was conducted. The expression levels of lncRNA ANRIL, CDKN2A, and CDKN2B were detected using qRT-PCR. Genotyping was performed by Sequenom MassARRAY on an Agena platform. Our study showed that IS patients had an increased lncRNA ANRIL expression (P = 0.002) and a decreased CDKN2A expression (P < 0.001) compared with normal controls. A significant difference with regard to the genotype distribution of rs2383207 was found between male IS patients and controls (P = 0.011). The minor allele of rs2383207 significantly increased the IS risk under a recessive model (OR = 1.52, 95% CI = 1.05–2.21, P = 0.027). The minor allele of rs1333049 was significantly associated with the risk of IS among the male patients under a recessive model (OR = 1.56, 95% CI = 1.04–2.35, P = 0.031). However, no significant association was found between the ANRIL variants and the risk of CAD (all P > 0.050). In addition, we found a decreased lncRNA ANRIL expression in IS patients who carried the GG genotype of rs1333049 compared with IS patients who carried the CC or CG genotype (P = 0.041). In summary, we found that IS patients had an increased lncRNA ANRIL expression and a decreased CDKN2A expression compared with the controls, which might play an impellent role in pathological processes of IS. The ANRIL variants rs2383207 and rs1333049 were significantly associated with the risk of IS among males but not females in the Chinese Han population.
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References
Aguilo F, Zhou MM, Walsh MJ (2011) Long noncoding RNA, polycomb, and the ghosts haunting INK4b-ARF-INK4a expression. Cancer Res 71:5365–5369. https://doi.org/10.1158/0008-5472.CAN-10-4379
Aguilo F, Di Cecilia S, Walsh MJ (2016) Long non-coding RNA ANRIL and Polycomb in human cancers and cardiovascular disease. Curr Topics Microbiol Immunol 394:29–39. https://doi.org/10.1007/82_2015_455
Akinyemi R et al (2017) Interleukin-6 (IL-6) rs1800796 and cyclin dependent kinase inhibitor (CDKN2A/CDKN2B) rs2383207 are associated with ischemic stroke in indigenous West. Afr Men J Neurol Sci 379:229–235. https://doi.org/10.1016/j.jns.2017.05.046
Atianand MK et al (2016) A long noncoding RNA lincRNA-EPS acts as a transcriptional brake to restrain inflammation. Cell 165:1672–1685. https://doi.org/10.1016/j.cell.2016.05.075
Bao MH, Szeto V, Yang BB, Zhu SZ, Sun HS, Feng ZP (2018) Long non-coding RNAs in ischemic stroke. Cell Death Dis 9:281. https://doi.org/10.1038/s41419-018-0282-x
Bardach AE, Caporale JE, Rubinstein AL, Danaei G (2017) Impact of level and patterns of alcohol drinking on coronary heart disease and stroke burden in, Argentina. PLoS ONE 12:e0173704. https://doi.org/10.1371/journal.pone.0173704
Cakmak HA et al (2015) Evaluation of association between common genetic variants on chromosome 9p21 and coronary artery disease in Turkish population. Anatol J Cardiol 15:196–203. https://doi.org/10.5152/akd.2014.5285
Carninci P et al (2005) The transcriptional landscape of the mammalian genome. Science 309:1559–1563. https://doi.org/10.1126/science.1112014
Cheng J et al (2017) Variants in ANRIL gene correlated with its expression contribute to myocardial infarction risk. Oncotarget 8:12607–12619. https://doi.org/10.18632/oncotarget.14721
Chi JS, Li JZ, Jia JJ, Zhang T, Liu XM, Yi L (2017) Long non-coding RNA ANRIL in gene regulation and its duality in atherosclerosis. J Huazhong Univ Sci Technol Med Sci 37:816–822. https://doi.org/10.1007/s11596-017-1812-y
Cunnington MS, Santibanez Koref M, Mayosi BM, Burn J, Keavney B (2010) Chromosome 9p21 SNPs associated with multiple disease phenotypes correlate with ANRIL expression. PLoS Genet 6:e1000899. https://doi.org/10.1371/journal.pgen.1000899
Dandona S et al (2010) Gene dosage of the common variant 9p21 predicts severity of coronary artery disease. J Am Coll Cardiol 56:479–486. https://doi.org/10.1016/j.jacc.2009.10.092
Dehghan A et al. (2016) Genome-wide association study for incident myocardial infarction and coronary heart disease in prospective cohort studies: the charge consortium. PLoS ONE 11:e0144997 https://doi.org/10.1371/journal.pone.0144997
Dichgans M et al (2014) Shared genetic susceptibility to ischemic stroke and coronary artery disease: a genome-wide analysis of common variants. Stroke 45:24–36. https://doi.org/10.1161/STROKEAHA.113.002707
Dimitrova N et al. (2014) LincRNA-p21 activates p21 in cis to promote Polycomb target gene expression and to enforce the G1/S checkpoint. Mol Cell 54:777–790 https://doi.org/10.1016/j.molcel.2014.04.025
Dykstra-Aiello C et al (2016) Altered expression of long noncoding RNAs in blood after ischemic stroke and proximity to putative stroke risk loci. Stroke 47:2896–2903. https://doi.org/10.1161/STROKEAHA.116.013869
El-Chami C, Haslam IS, Steward MC, O’Neill CA (2014) Role of organic osmolytes in water homoeostasis in skin. Exp Dermatol 23:534–537. https://doi.org/10.1111/exd.12473
Engreitz JM et al (2016) Local regulation of gene expression by lncRNA promoters, transcription and splicing. Nature 539:452–455. https://doi.org/10.1038/nature20149
Gil J, Peters G (2006) Regulation of the INK4b-ARF-INK4a tumour suppressor locus: all for one or one for all. Nat Rev Mol Cell Biol 7:667–677. https://doi.org/10.1038/nrm1987
Harmsen P, Lappas G, Rosengren A, Wilhelmsen L (2006) Long-term risk factors for stroke: twenty-eight years of follow-up of 7457 middle-aged men in Goteborg, Sweden. Stroke 37:1663–1667. https://doi.org/10.1161/01.STR.0000226604.10877.fc
Hayden MS, Ghosh S (2008) Shared principles in NF-kappaB signaling. Cell 132:344–362. https://doi.org/10.1016/j.cell.2008.01.020
Holdt LM et al (2010) ANRIL expression is associated with atherosclerosis risk at chromosome 9p21. Arterioscl Thromb Vasc Biol 30:620–627. https://doi.org/10.1161/ATVBAHA.109.196832
Holdt LM, Sass K, Gabel G, Bergert H, Thiery J, Teupser D (2011) Expression of Chr9p21 genes CDKN2B (p15(INK4b)), CDKN2A (p16(INK4a), p14(ARF)) and MTAP in human. atherosclerotic plaque. Atherosclerosis 214:264–270. https://doi.org/10.1016/j.atherosclerosis.2010.06.029
Howard VJ et al (2011) Disparities in stroke incidence contributing to disparities in stroke mortality. Ann Neurol 69:619–627. https://doi.org/10.1002/ana.22385
Iyer MK et al (2015) The landscape of long noncoding RNAs in the human transcriptome. Nat Genet 47:199–208. https://doi.org/10.1038/ng.3192
Jansen MD et al (2014) Genetic variants in loci 1p13 and 9p21 and fatal coronary heart disease in a Norwegian case-cohort study. Mol Biol Rep 41:2733–2743. https://doi.org/10.1007/s11033-014-3096-7
Jing J, Su L, Zeng Y, Tang X, Wei J, Wang L, Zhou L (2016) Variants in 9p21 predicts severity of coronary artery disease in a Chinese Han population. Ann Human Genet 80:274–281. https://doi.org/10.1111/ahg.12163
Kalinina N, Agrotis A, Antropova Y, Ilyinskaya O, Smirnov V, Tararak E, Bobik A (2004) Smad expression in human atherosclerotic lesions: evidence for impaired TGF-beta/Smad signaling in smooth muscle cells of fibrofatty lesions. Arterioscl Thromb Vasc Biol 24:1391–1396. https://doi.org/10.1161/01.ATV.0000133605.89421.79
Kojima Y et al (2014) Cyclin-dependent kinase inhibitor 2B regulates efferocytosis and atherosclerosis. J Clin Investig 124:1083–1097. https://doi.org/10.1172/JCI70391
Kopp F, Mendell JT (2018) Functional classification and experimental dissection of long noncoding RNAs. Cell 172:393–407. https://doi.org/10.1016/j.cell.2018.01.011
Kotake Y, Nakagawa T, Kitagawa K, Suzuki S, Liu N, Kitagawa M, Xiong Y (2011) Long non-coding RNA ANRIL is required for the PRC2 recruitment to and silencing of p15(INK4B) tumor suppressor gene. Oncogene 30:1956–1962. https://doi.org/10.1038/onc.2010.568
Lian J et al (2014) A replication study and a meta-analysis of the association between the CDKN2A rs1333049 polymorphism and coronary heart disease. J Atheroscl Thromb 21:1109–1120
Lowe SW, Sherr CJ (2003) Tumor suppression by Ink4a-Arf: progress and puzzles. Curr Opin Genet Dev 13:77–83
Motterle A et al (2012) Functional analyses of coronary artery disease associated variation on chromosome 9p21 in vascular smooth muscle cells. Human Mol Genet 21:4021–4029. https://doi.org/10.1093/hmg/dds224
Nie FQ et al (2015) Long noncoding RNA ANRIL promotes non-small cell lung cancer cell proliferation and inhibits apoptosis by silencing KLF2 and P21 expression. Mol Cancer Therap 14:268–277. https://doi.org/10.1158/1535-7163.MCT-14-0492
Popov N, Gil J (2010) Epigenetic regulation of the INK4b-ARF-INK4a locus: in sickness and in health. Epigenetics 5:685–690
Ren W, Yang X (2018) Pathophysiology of long non-coding RNAs in ischemic stroke Front Mol Neurosci 11:96 https://doi.org/10.3389/fnmol.2018.00096
Ridder DA, Schwaninger M (2009) NF-kappaB signaling in cerebral ischemia. Neuroscience 158:995–1006. https://doi.org/10.1016/j.neuroscience.2008.07.007
Rinn JL et al (2007) Functional demarcation of active and silent chromatin domains in human HOX loci by noncoding RNAs. Cell 129:1311–1323. https://doi.org/10.1016/j.cell.2007.05.022
Schwertz H, Rondina MT (2016) Cdkn2a orchestrates platelet production and reactivity in atherosclerosis. Circ Cardiovasc Genet 9:203–205. https://doi.org/10.1161/CIRCGENETICS.116.001479
Slowik A, Lammerding L, Hoffmann S, Beyer C (2018) Brain inflammasomes in stroke and depressive disorders: regulation by oestrogen. J Neuroendocrinol https://doi.org/10.1111/jne.12482
Smith EM, Gregg M, Hashemi F, Schott L, Hughes TK (2006) Corticotropin Releasing Factor (CRF) activation of NF-kappaB-directed transcription in leukocytes. Cell Mol Neurobiol 26:1021–1036. https://doi.org/10.1007/s10571-006-9040-1
Smith JG et al (2009) Common genetic variants on chromosome 9p21 confers risk of ischemic stroke: a large-scale genetic association study. Circ Cardiovasc Genet 2:159–164. https://doi.org/10.1161/CIRCGENETICS.108.835173
Suzuki S et al (2017) Effects of smoking on ischemic stroke, intracranial hemorrhage, and coronary artery events in Japanese patients with non-valvular atrial fibrillation. Int Heart J 58:506–515. https://doi.org/10.1536/ihj.16-228
Tajbakhsh A et al (2016) The 9p21 locus and its potential role in atherosclerosis susceptibility; molecular mechanisms and clinical implications. Curr Pharm Des 22:5730–5737
Tu XK et al (2010) Spatio-temporal distribution of inflammatory reaction and expression of TLR2/4 signaling pathway in rat brain following permanent focal cerebral ischemia. Neurochem Res 35:1147–1155. https://doi.org/10.1007/s11064-010-0167-6
Ulitsky I, Bartel DP (2013) lincRNAs: genomics, evolution. and mechanisms. Cell 154:26–46. https://doi.org/10.1016/j.cell.2013.06.020
Wang W, Oh S, Koester M, Abramowicz S, Wang N, Tall AR, Welch CL (2016) Enhanced megakaryopoiesis and platelet activity in hypercholesterolemic, B6-Ldlr−/−, Cdkn2a-deficient mice. Circ Cardiovasc Genet 9:213–222. https://doi.org/10.1161/CIRCGENETICS.115.001294
Yap KL et al. (2010) Molecular interplay of the noncoding RNA ANRIL and methylated histone H3 lysine 27 by polycomb CBX7 in transcriptional silencing of INK4a Molecular cell 38:662–674 https://doi.org/10.1016/j.molcel.2010.03.021
Zhang W et al (2012) Variants on chromosome 9p21.3 correlated with ANRIL expression contribute to stroke risk and recurrence in a large prospective stroke population. Stroke 43:14–21. https://doi.org/10.1161/STROKEAHA.111.625442
Zhang J et al (2016) Altered long non-coding RNA transcriptomic profiles in brain microvascular endothelium after cerebral ischemia. Exp Neurol 277:162–170. https://doi.org/10.1016/j.expneurol.2015.12.014
Zhang B, Wang D, Ji TF, Shi L, Yu JL (2017) Overexpression of lncRNA ANRIL up-regulates VEGF expression and promotes angiogenesis of diabetes mellitus combined with cerebral infarction by activating NF-kappaB signaling pathway in a. rat model. Oncotarget 8:17347–17359. https://doi.org/10.18632/oncotarget.14468
Zhao W et al (2015) The cis and trans effects of the risk variants of coronary artery disease in the Chr9p21 region. BMC Med genom 8:21. https://doi.org/10.1186/s12920-015-0094-0
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This study was funded by Grants from National Natural Science Foundation of China (Nos. 81573756 and 81473670).
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Li Su and Jianxiong Long designed the study protocol and conceived the framework of this article. Jialei Yang, Lian Gu, and Xiaojing Guo collected the study samples and their individual information. Jialei Yang, Xiaojing Guo, Jiao Huang, Zhaoxia Chen, Guifeng Huang Yiwen Kang, and Xiaoting Zhang performed the experiments. Zhaoxia Chen and Guifeng Huang conducted the statistical analysis. Then, Jialei Yang, Lian Gu, and Xiaojing Guo wrote the first draft of this manuscript, all of the authors made contributions to the final version of the manuscript.
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Yang, J., Gu, L., Guo, X. et al. LncRNA ANRIL Expression and ANRIL Gene Polymorphisms Contribute to the Risk of Ischemic Stroke in the Chinese Han Population. Cell Mol Neurobiol 38, 1253–1269 (2018). https://doi.org/10.1007/s10571-018-0593-6
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DOI: https://doi.org/10.1007/s10571-018-0593-6