He Lingbin, Ma Qingfeng, Wang Yongqin, Liu Xin, Yuan Yuan, Zhang Yongzhi, Ou Wenjing, Liu Lisheng, Tan Xuerui, Wang Xingyu
The First Affiliated Hospital, Medical College of Shantou University, Shantou, Guangdong, China; Laboratory of Human Genetics, Beijing Hypertension League Institute, Beijing, China.
Department of Neurology, Xuanwu Hospital, Beijing, China.
J Stroke Cerebrovasc Dis. 2014 Oct;23(9):2322-7. doi: 10.1016/j.jstrokecerebrovasdis.2014.04.029. Epub 2014 Aug 29.
KCNK17 (potassium channel, subfamily K, member17) has a role in the pathogenesis of stroke. We reported previously that rs10947803 single-nucleotide polymorphism (SNP) in KCNK17 is associated with cerebral hemorrhage in a Chinese population. The aim of the present study was to examine other SNPs in the KCNK17 gene that are associated with cerebral hemorrhage and other subtypes of stroke in the Chinese population.
A total of 1356 subjects with stroke and 1225 control patients were examined by a case-control methodology. The SNPs (rs12214600, rs12195376, rs2758912, and rs10807204) in KCNK17 gene were genotyped with the TaqMan real-time polymerase chain reaction assay.
rs12214600 SNP in KCNK17 was significantly associated with cerebral hemorrhage (unadjusted odds ratio = .55, 95% confidence interval = .35-.86, P = .008, q = .0328) under the allele model. After adjusting for age, sex, and hypertension, we found that the association remained significant (odds ratio = .56, 95% confidence interval = .35-.90, P = .0158). There was no association detected for other SNPs in KCNK17 with cerebral hemorrhage, and none of the SNPs in KCNK17 had an association with ischemic stroke.
The T carrier of an SNP (rs12214600) is associated with reduced risk of cerebral hemorrhage in the Chinese population, together with previous findings that SNPs rs10947803 and rs12214600 in the KCNK17 gene are associated with hemorrhagic stroke, but none of the SNPs tested had an association with ischemic stroke. KCNK17 may be important in the pathogenesis of cerebral hemorrhage.
钾通道亚家族K成员17(KCNK17)在中风发病机制中起作用。我们之前报道过,KCNK17基因中的rs10947803单核苷酸多态性(SNP)与中国人群的脑出血有关。本研究的目的是检测KCNK17基因中其他与中国人群脑出血及其他中风亚型相关的SNP。
采用病例对照研究方法对1356例中风患者和1225例对照患者进行检测。使用TaqMan实时聚合酶链反应分析法对KCNK17基因中的SNP(rs12214600、rs12195376、rs2758912和rs10807204)进行基因分型。
在等位基因模型下,KCNK17基因中的rs12214600 SNP与脑出血显著相关(未调整优势比=0.55,95%置信区间=0.35 - 0.86,P = 0.008,q = 0.0328)。在调整年龄、性别和高血压因素后,我们发现这种关联仍然显著(优势比=0.56,95%置信区间=0.35 - 0.90,P = 0.0158)。未检测到KCNK17基因中的其他SNP与脑出血有关联,且KCNK17基因中的任何SNP均与缺血性中风无关联。
SNP(rs12214600)的T携带者与中国人群脑出血风险降低有关,此前已有研究表明KCNK17基因中的SNP rs10947803和rs12214600与出血性中风有关,但所检测的SNP均与缺血性中风无关联。KCNK17可能在脑出血发病机制中起重要作用。