Zhu Yanping, Liu Kuo, Tang Xun, Wang Jinwei, Yu Zhiping, Wu Yiqun, Chen Dafang, Wang Xueyin, Fang Kai, Li Na, Huang Shaoping, Hu Yonghua
Department of Epidemiology and Biostatistics, Peking University Health Science Center, 38 Xueyuan Road, Beijing, 100191, China.
J Thromb Thrombolysis. 2014 Nov;38(4):470-6. doi: 10.1007/s11239-014-1065-6.
Novel susceptibility genes related to ischemic stroke (IS) are proposed in recent literatures. Population-based replicate studies would cause false positive results due to population stratification. 229 recruit IS patients and their 229 non-IS siblings were used in this study to avoid population stratification. The family-based study was conducted in Beijing from June 2005 to June 2012. Association between SNPs and IS was found in the sibship discordant tests, and the conditional logistic regression was performed to identify effect size and explore gene-environment interactions. Significant allelic association was identified between NINJ2 gene rs11833579 (P = 0.008), protein kinase C η gene rs2230501 (P = 0.039) and IS. The AA genotype of rs11833579 increased 1.51-fold risk (95% CI 1.04-3.46; P = 0.043) of IS, and it conferred susceptibility to IS only in a dominant model (OR 2.69; 95% CI 1.06-6.78; P = 0.036]. Risk of IS was higher (HR 3.58; 95% CI 1.54-8.31; P = 0.003) especially when the carriers of rs11833579 AA genotype were smokers. The present study suggests A allele of rs11833579 may play a role in mediating susceptibility to IS and it may increase the risk of IS together with smoking.
近期文献提出了与缺血性中风(IS)相关的新型易感基因。基于人群的重复研究由于人群分层可能会导致假阳性结果。本研究纳入了229例IS患者及其229名非IS的同胞,以避免人群分层。该基于家系的研究于2005年6月至2012年6月在北京进行。在同胞不一致性检验中发现了单核苷酸多态性(SNPs)与IS之间的关联,并进行了条件逻辑回归以确定效应大小并探索基因-环境相互作用。在NINJ2基因rs11833579(P = 0.008)、蛋白激酶C η基因rs2230501(P = 0.039)与IS之间鉴定出显著的等位基因关联。rs11833579的AA基因型使IS风险增加1.51倍(95%可信区间1.04 - 3.46;P = 0.043),并且仅在显性模型中赋予对IS的易感性(比值比2.69;95%可信区间1.06 - 6.78;P = 0.036)。尤其是当rs11833579 AA基因型携带者为吸烟者时,IS风险更高(风险比3.58;95%可信区间1.54 - 8.31;P = 0.003)。本研究表明rs11833579的A等位基因可能在介导对IS的易感性中起作用,并且它可能与吸烟一起增加IS风险。