This family-based case-control study was novel in our settings and has highlighted the link between inflammation, immunity, and selleck bio CAD, thereby underscoring the biological insights gained from a genetic understanding of cardiovascular epidemic in South Asian population.2. Methodology This is familial case-control association study, carried out in the Department of Biochemistry, Quaid-i-Azam University, Islamabad, from January 2012 to February 2013. Thirty indigenous Pakistani families with documented history of CAD in at least two successive generations were recruited from different regions of the country for this study. These families were ascertained from diseased proband. A total of 88 members from these families were enrolled after thorough pedigree analysis.
Approval was obtained from Institutional Review Board (IRB), Quaid-i-Azam University. After obtaining written consent according to Helsinki Declaration of 1975 (revised in 1997) from all subjects, a detailed questionnaire was carefully filled through personal interview, done by a trained health professional. Patients were 36 with mean age of (46.4 �� 18.7) and healthy controls were 52 with mean age of (35.2 �� 17.4). Females were 44.4% in patients group and 42.3% in controls. The patients were confirmed on the basis of angiographic criteria established by Fran?ois14 and electrocardiographic features. Criteria for hypertension were considered as the mean limit of systolic blood pressure was >139mmHg and mean limit of diastolic blood pressure was >89mmHg, measured 15 minutes apart or taking antihypertensive drugs.
The category of overweight was defined as having BMI of 27kg/m2 (kilogram per meter square) or greater. Control subjects were from the same ethnic region and their clinical histories were reviewed by a cardiologist being unaware of the objectives of study. The healthy controls representing same geographical location were included on the basis of normal electrocardiogram, normal angiography, and no history and symptoms of cardiovascular diseases.Biochemical tests for quantitative analysis of serum lipids were performed using commercially available kits of AMP Diagnostics (Austria). Serum hs-CRP concentrations were measured by using a commercial high sensitivity turbidimetric kit provided by Roche Diagnostics Corp (Indianapolis, USA), whereas, circulating IL-6 level was measured using enzyme immunoassay (EIA) kit of Immunotech (Marseille, France).
Biochemical assays were carried out according to the manufacturer instructions followed by standard enzymatic protocols.Genomic DNA extraction from blood Drug_discovery samples was performed using standard organic method phenol-chloroform procedure. Amplification of 408bp long promoter region was done by conventional PCR using specific primers 5��-GCG ATG GAG TCA GAG GAA AC-3�� (forward) and 5��-ATC TTT GTT GGA GGG TGA GG-3�� (reverse).