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T-786C polymorphism of the NOS3 gene is associated with increased risk of acute coronary syndromeGenetic Variation Linked to Increased Risk of Heart Disease

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Key Takeaway
Note the association between the T-786C polymorphism of the NOS3 gene and increased risk of acute coronary syndrome.

This meta-analysis evaluated the association between the T-786C polymorphism of the nitric oxide synthase 3 (NOS3) gene and cardiovascular outcomes in a population of 17,324 subjects. The study specifically focused on the risk of acute coronary syndrome (ACS) and premature coronary artery disease (PCAD).

The analysis reported a significant association for both the dominant genetic model and the allelic genetic model. For the dominant model, the reported effect size was OR 1.26 (95% CI, 1.09-1.45, p = 0.001). The allelic model also showed an OR of 1.26 (95% CI, 1.11-1.43, p = 0.0002). These results indicate an increased risk of ACS or PCAD associated with the T-786C polymorphism.

The authors noted that large, prospective investigations are warranted to confirm the findings presented in this meta-analysis. Clinical application is currently limited by the need for prospective validation. The results indicate an association rather than a direct cause of coronary disease.

How this fits prior evidence

This meta-analysis addresses a gap in the genetic risk factors for coronary artery disease. While previous coverage has focused on procedural interventions like bivalirudin for acute coronary syndrome and FMEA-based nursing to reduce bleeding in coronary artery disease, this study provides data on the genetic components of risk. The findings specifically identify the T-786C polymorphism of the NOS3 gene as a significant risk factor for ACS and PCAD.

Researchers analyzed data from over 17,000 people to look for links between genetics and heart health. They specifically looked at a variation called the T-786C polymorphism in the nitric oxide synthase 3 (NOS3) gene. This gene plays a role in how the body manages blood flow and heart health.

The study found a significant link between this specific genetic variation and conditions like acute coronary syndrome and premature coronary artery disease. The data showed that people with this genetic marker had a higher risk of developing these heart issues. The results remained consistent across different ways of measuring the genetic data.

Because this is a meta-analysis of existing data, it shows a link rather than a direct cause. The results are currently not enough to change how doctors treat heart disease today. More large and forward-looking studies are needed to confirm these findings and understand exactly how this gene affects heart health over time.

What this means for you:
A specific genetic variation in the NOS3 gene is linked to a higher risk of heart disease and heart attacks.

Common questions

What is the link between the NOS3 gene and heart health?

The study found that a specific variation in the NOS3 gene, known as the T-786C polymorphism, is linked to a higher risk of acute coronary syndrome and premature coronary artery disease. This means people with this specific genetic marker may have a higher likelihood of developing these heart conditions.

Does having this genetic variation mean I will have a heart attack?

The study shows a link between the genetic variation and heart issues, but it does not mean the gene causes heart disease on its own. Because the evidence is based on a meta-analysis, more large and prospective studies are needed to confirm these findings and understand the risks fully.

How many people were included in this study?

The analysis included data from a large group of 17,324 subjects. This large sample size helped researchers identify a significant association between the T-786C polymorphism and heart conditions like myocardial infarction and coronary artery disease.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedOct 2026
View Original Abstract ↓
A systematic review and a study level meta-analysis was conducted to assess the association between the T-786C polymorphism of the nitric oxide synthase 3 (NOS3) gene with acute coronary syndrome (ACS) or premature coronary artery disease (PCAD). Online databases of PubMed, EMBASE, MEDLINE, Scopus, Cochrane library and Web of Science were systematically searched, yielding 23 different studies (from 22 articles, involving 17,324 subjects), which were included for quantitative synthesis. Study level odds ratios (ORs) and their 95% confidence intervals (CI) were pooled using random effects, employing a Z test. Pooled results suggested a significant association between T-786C polymorphism and ACS or PCAD through dominant and allelic genetic model comparisons (OR, 1.26, 95% CI, 1.09-1.45, p = 0.001 and OR, 1.26, 95% CI, 1.11-1.43, p = 0.0002 respectively). Leave-one-out sensitivity analysis, in addition to the results for the myocardial infarction endpoint, attested to the robustness of the obtained results. Large, prospective investigations are, however, warranted to confirm the presented findings.
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