Effect of 106PEAR1 and 168PTGS1 genetic polymorphisms on recurrent ischemic stroke in Chinese patient

The impact of genetic polymorphisms on the occurrence of recurrent ischemic stroke (RIS) is not fully understood. This study was aimed to examine the relationships among the 106PEAR1 and 168PTGS1 polymorphisms and RIS.This was a single-center, retrospective, case-control study of patients seen in co...

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Published in:Medicine (Baltimore) 2019-07, Vol.98 (29), p.e16457-e16457
Main Authors: Zhao, Jiali, Chen, Fudi, Lu, Lin, Tang, Hui, Yang, Ruirui, Wang, Yongxiang, Du, Yifeng
Format: Article
Language:English
Subjects:
Aged
Asian Continental Ancestry Group - genetics
Brain Ischemia - epidemiology
Brain Ischemia - genetics
Case-Control Studies
Cyclooxygenase 1 - genetics
Female
Genetic Predisposition to Disease
Humans
Male
Middle Aged
Observational Study
Polymorphism, Single Nucleotide
Receptors, Cell Surface - genetics
Recurrence
Retrospective Studies
Risk Assessment
Stroke - epidemiology
Stroke - genetics
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Summary:The impact of genetic polymorphisms on the occurrence of recurrent ischemic stroke (RIS) is not fully understood. This study was aimed to examine the relationships among the 106PEAR1 and 168PTGS1 polymorphisms and RIS.This was a single-center, retrospective, case-control study of patients seen in consultation between March 2016 and December 2016 at the Shandong Provincial Hospital. The 106PEAR1 (G>A) and 168PTGS1 (-842A>G) polymorphisms were determined by fluorescence in situ hybridization.There were 56 patients with RIS and 137 with initial stroke. Compared with the initial group, the RIS group showed lower LDL-C levels (P = .04). 168PTGS1 (-842A>G) did not meet the Hardy-Weinberg equilibrium. The AA genotype of the 106PEAR1 (G>A) polymorphism was more frequent in the RIS group (17.9% vs 5.8%, P = .009). The A allele also showed a higher frequency than the G allele in the RIS group (P = .02). The multivariable logistic regression analysis showed that 106PEAR1 (G>A) (OR = 3.24, 95%CI: 1.04-10.14, P = .04) and lipid-lowering agents (OR = 9.18, 95%CI: 4.48-18.84, P < .001) were independently associated with RIS.The polymorphism at 106PEAR1 (G>A) was independently associated with RIS in Chinese patients. The assessment of genetic polymorphisms in the prediction of RIS warrants further investigation in order to improve patient management and prognosis after a first ischemic stroke.
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000016457