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Gene Polymorphisms in Cardiovascular Disease and Cancer

2018, Angiology

We thank Tzovaras et al for their letter 1 regarding our previous study linking gene polymorphisms of tumor protein p53 with left main coronary artery disease. 2 In their letter, the association between cardiovascular disease (CVD) and cancer is briefly discussed. 1 In this context, apart from p53 gene, there are other genes that may contribute to the progression of both atherosclerosis and cancer. For example, the paraoxonase (PON) gene family, including 3 proteins (PON1, PON2, and PON3), has been involved in the development of CVD and cancer, thus representing potential therapeutic targets for these diseases. 3,4 Similarly, lectin-like oxidized low-density lipoprotein (LDL) receptor 1 has been reported to contribute to tumorigenesis and atherogenesis; therefore, its gene variants may affect susceptibility/protection from cancer and CVD. 5 C-reactive protein, a well-established marker of inflammation and atherosclerosis, 6-8 may also predict cancer prevalence and outcomes. 9,10 Lipoprotein lipase and cytochrome P450 CYP1A1 are also implicated in tumor progression and/or prevention, 11,12 apart from their role in atherogenesis. 13,14 These data highlight the presence of links between cancer and CVD in relation to several genes. Furthermore, modified LDL particles may act as codelivery polymers of anticancer therapy to tumor tissue. 15 Further large studies are needed to establish the clinical implications of such associations. Authors' Note N.K. has given talks, attended conferences and participated in trials sponsored by Amgen, Angelini, AstraZeneca, Boehringer Ingelheim, MSD, Novartis, Novo Nordisk, Sanofi, and WinMedica. G.K. have given talks, attended conferences, and participated in trials sponsored by Amgen, Angelini, MSD, Lilly, Vianex, and Sanofi-Aventis.

Letter Gene Polymorphisms in Cardiovascular Disease and Cancer Angiology 2018, Vol. 69(8) 738-739 ª The Author(s) 2018 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0003319718774693 journals.sagepub.com/home/ang Niki Katsiki, MD, PhD1, Vana Kolovou, MSc2,3, Aggelos Tsipis, MD, PhD2, Constantinos Mihas, MD, PhD4, Vasiliki Vartela, MD2, Maria Koutelou, MD, PhD5, Dionisia Manolopoulou2, Evangelos Leondiadis, MD, PhD2, Ioannis Iakovou, MD, PhD2, Sophia Mavrogieni, MD, PhD2, and Genovefa Kolovou, MD, PhD2 We thank Tzovaras et al for their letter1 regarding our previous study linking gene polymorphisms of tumor protein p53 with left main coronary artery disease.2 In their letter, the association between cardiovascular disease (CVD) and cancer is briefly discussed.1 In this context, apart from p53 gene, there are other genes that may contribute to the progression of both atherosclerosis and cancer. For example, the paraoxonase (PON) gene family, including 3 proteins (PON1, PON2, and PON3), has been involved in the development of CVD and cancer, thus representing potential therapeutic targets for these diseases.3,4 Similarly, lectin-like oxidized low-density lipoprotein (LDL) receptor 1 has been reported to contribute to tumorigenesis and atherogenesis; therefore, its gene variants may affect susceptibility/protection from cancer and CVD.5 C-reactive protein, a well-established marker of inflammation and atherosclerosis,6-8 may also predict cancer prevalence and outcomes.9,10 Lipoprotein lipase and cytochrome P450 CYP1A1 are also implicated in tumor progression and/or prevention,11,12 apart from their role in atherogenesis.13,14 These data highlight the presence of links between cancer and CVD in relation to several genes. Furthermore, modified LDL particles may act as codelivery polymers of anticancer therapy to tumor tissue.15 Further large studies are needed to establish the clinical implications of such associations. 3. Bacchetti T, Ferretti G, Sahebkar A. The role of paraoxonase in cancer [published online November 21, 2017]. Semin Cancer Biol. pii: S1044-579X(17)30191-8. 4. Chistiakov DA, Melnichenko AA, Orekhov AN, Bobryshev YV. Paraoxonase and atherosclerosis-related cardiovascular diseases. Biochimie. 2017;132:19-27. 5. Balzan S, Lubrano V. LOX-1 receptor: a potential link in atherosclerosis and cancer. Life Sci. 2018;198:79-86. 6. Poredos P, Jezovnik MK. The role of inflammatory biomarkers in the detection and therapy of atherosclerotic disease. Curr Vasc Pharmacol. 2016;14:534-46. 7. Adukauskien_e D, Čiginskien_e A, Adukauskait_e A, Pentiokinien_e D, Šlapikas R, Čeponien_e I. Clinical relevance of high sensitivity Creactive protein in cardiology. Medicina (Kaunas). 2016;52:1-10. 8. Paraskevas KI, Mikhailidis DP. C-reactive protein (CRP): more than just an innocent bystander? Curr Med Res Opin. 2008;24:75-8. 9. Shrotriya S, Walsh D, Bennani-Baiti N, Thomas S, Lorton C. C-reactive protein is an important biomarker for prognosis tumor recurrence and treatment response in adult solid tumors: a systematic review. PLoS One. 2015;10:e0143080. 10. Allin KH, Nordestgaard BG. Elevated C-reactive protein in the diagnosis, prognosis, and cause of cancer. Crit Rev Clin Lab Sci. 2011;48:155-70. Authors’ Note 1 N.K. has given talks, attended conferences and participated in trials sponsored by Amgen, Angelini, AstraZeneca, Boehringer Ingelheim, MSD, Novartis, Novo Nordisk, Sanofi, and WinMedica. G.K. have given talks, attended conferences, and participated in trials sponsored by Amgen, Angelini, MSD, Lilly, Vianex, and Sanofi-Aventis. References 1. Tzovaras AA, Gentimi F, Nikolaou M. Tumor protein p53 gene and cardiovascular disease. Angiology. 2018;69:736-37. 2. Kolovou V, Tsipis A, Mihas C, et al. Tumor protein p53 (TP53) gene and left main coronary artery disease. Angiology. 2018;69: 730-35. Second Propaedeutic Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, Hippocration Hospital, Thessaloniki, Greece 2 Cardiology Department, Onassis Cardiac Surgery Center, Athens, Greece 3 Molecular Immunology Laboratory, Onassis Cardiac Surgery Center, Athens, Greece 4 1st Department of Internal Medicine and Diabetes Center, Tzaneio General Hospital of Piraeus, Piraeus, Greece 5 Nuclear Cardiology Department, Onassis Cardiac Surgery Center, Athens, Greece Corresponding Author: Genovefa Kolovou, Onassis Cardiac Surgery Center, 356 Syngrou Ave, 176 74 Athens, Greece. Email: [email protected] Katsiki et al 11. Notarnicola M, Messa C, Caruso MG. A significant role of lipogenic enzymes in colorectal cancer. Anticancer Res. 2012;32: 2585-90. 12. Santes-Palacios R, Ornelas-Ayala D, Cabañas N, et al. Regulation of human cytochrome P4501A1 (hCYP1A1): a plausible target for chemoprevention? Biomed Res Int. 2016;2016: 5341081. 13. De Caterina R, Madonna R. Cytochromes CYP1A1 and CYP1B1: new pieces in the puzzle to understand the 739 biomechanical paradigm of atherosclerosis. Cardiovasc Res. 2009;81:629-32. 14. He PP, Jiang T, OuYang XP, et al. Lipoprotein lipase: biosynthesis, regulatory factors, and its role in atherosclerosis and other diseases. Clin Chim Acta. 2018;480:126-37. 15. Zhu WJ, Yang SD, Qu CX, et al. Low-density lipoprotein-coupled micelles with reduction and pH dual sensitivity for intelligent codelivery of paclitaxel and siRNA to breast tumor. Int J Nanomed. 2017;12:3375-93.