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瞬时受体电位阳离子通道M亚家族成员7(TRPM7)的基因变异与缺血性卒中发病风险:前瞻性巢式病例对照研究。

Gene variation of the transient receptor potential cation channel, subfamily M, member 7 (TRPM7), and risk of incident ischemic stroke: prospective, nested, case-control study.

作者信息

Romero José R, Ridker Paul M, Zee Robert Y L

机构信息

Division of Endocrinology, Diabetes, and Hypertension, Brigham and Women's Hospital, Boston, MA 02115, USA.

出版信息

Stroke. 2009 Sep;40(9):2965-8. doi: 10.1161/STROKEAHA.109.558346. Epub 2009 Jul 30.

Abstract

BACKGROUND AND PURPOSE

Transient receptor potential cation channel, subfamily M, member 7 (TRPM7), has been implicated in ischemic brain damage, a major source of morbidity and mortality in westernized society. We hypothesized that TRPM7 gene variation might play a role in the risk of ischemic stroke.

METHODS

From a group of DNA samples collected at baseline in a prospective cohort of 14 916 initially healthy American men, we assessed 16 TRPM7 tag-single-nucleotide polymorphisms (SNPs) (dbSNP: rs11854949, rs4775899, rs11635825, rs12905120, rs16973487, rs7173321, rs7163283, rs17520378, rs17520350, rs4775892, rs7174839, rs17645523, rs3109894, rs616256, rs11070795, and rs313158) from 245 white men who subsequently had an incident ischemic stroke and from 245 age- and smoking habit-matched white men who remained free of reported vascular disease during follow-up (controls).

RESULTS

All SNPs examined were in Hardy-Weinberg equilibrium. Overall allele, genotype, and haplotype distributions were similar between cases and controls. Marker-by-marker conditional logistic-regression analysis, adjusted for potential risk factors, showed no evidence for an association between any of the SNPs tested and ischemic stroke. Further investigation with an Entropy Blocker-defined, haplotype-based approach showed similar null findings. Prespecified analysis limited to participants without baseline diabetes and hypertension (ie, low-risk group) again showed similar null findings.

CONCLUSIONS

The present prospective investigation provides no evidence of a role for the TRPM7 gene in the risk of incident ischemic stroke.

摘要

背景与目的

瞬时受体电位阳离子通道M亚家族成员7(TRPM7)与缺血性脑损伤有关,缺血性脑损伤是西方社会发病和死亡的主要原因。我们假设TRPM7基因变异可能在缺血性中风风险中起作用。

方法

在一个由14916名最初健康的美国男性组成的前瞻性队列中,从基线时收集的一组DNA样本中,我们评估了245名随后发生缺血性中风的白人男性以及245名年龄和吸烟习惯相匹配、在随访期间未报告有血管疾病的白人男性(对照组)的16个TRPM7标签单核苷酸多态性(SNP)(dbSNP:rs11854949、rs4775899、rs11635825、rs12905120、rs16973487、rs7173321、rs7163283、rs17520378、rs17520350、rs4775892、rs7174839、rs17645523、rs3109894、rs616256、rs11070795和rs313158)。

结果

所有检测的SNP均处于哈迪-温伯格平衡。病例组和对照组之间的总体等位基因、基因型和单倍型分布相似。在对潜在风险因素进行调整后,逐个标记的条件逻辑回归分析未显示任何检测的SNP与缺血性中风之间存在关联的证据。使用熵阻断定义的基于单倍型的方法进行的进一步研究也显示了类似的阴性结果。限于无基线糖尿病和高血压的参与者(即低风险组)的预先指定分析再次显示了类似的阴性结果。

结论

目前的前瞻性研究没有提供证据表明TRPM7基因在缺血性中风发病风险中起作用。

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