Kumar Pradeep, Kumar Amit, Sagar Ram, Misra Shubham, Faruq Mohammad, Suroliya Varun, Vivekanandhan Subiah, Srivastava Achal Kumar, Prasad Kameshwar
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Department of Functional Genomics, Institute of Genomics and Integrative Biology, New Delhi, India.
J Stroke Cerebrovasc Dis. 2016 Feb;25(2):461-8. doi: 10.1016/j.jstrokecerebrovasdis.2015.10.020. Epub 2015 Dec 1.
Anti-inflammatory interleukin-10 (IL-10) cytokine and its genetic variations may play an important role in the pathogenesis of various human diseases including stroke.
The aim of this present case-control study was to determine the association between IL-10 -1082G/A (rs1800896) gene polymorphism and risk of stroke in the North Indian population.
Genotyping was carried out by using SNaPshot method (Applied Biosystems, Foster City, California, United States) for 250 ischemic stroke (IS) patients, 250 age- and sex-matched IS free controls, 100 intracerebral hemorrhage (ICH) patients, and 100 age- and sex-matched ICH free controls. IS was classified using the Trial of Org 10172 in Acute Stroke Treatment classification. Conditional logistic regression analysis with adjustment for multiple demographic and risk factor variables was used to calculate the strength of association between IL-10 (-1082G/A) polymorphism and risk of stroke.
Conditional logistic regression analysis showed an independent association between IL-10 -1082G/A and risk of IS under a dominant model (odds ratio [OR] = 2.39, 95% confidence interval [CI] = 1.34-4.27, P = .003) and an allelic model (OR = 2.49, 95% CI 1.71-3.63, P < .001). An independent association between IL-10 -1082G/A, under the dominant model (OR = 6.8, 95% CI 2.2-20.7, P < .001) and the allelic model (OR = 3.4, 95% CI 1.8-6.3, P < .001), and the risk of ICH was also observed.
Our results suggest that IL-10 -1082G/A gene polymorphism is an independent risk factor for the risk of IS and ICH in the North Indian population. Our findings indicate that IL-10 -1082G/A polymorphism may be used as a genetic marker for identifying individuals at increased risk of developing stroke.
抗炎性细胞因子白细胞介素-10(IL-10)及其基因变异可能在包括中风在内的多种人类疾病的发病机制中发挥重要作用。
本病例对照研究旨在确定北印度人群中IL-10 -1082G/A(rs1800896)基因多态性与中风风险之间的关联。
采用SNaPshot方法(美国加利福尼亚州福斯特城应用生物系统公司)对250例缺血性中风(IS)患者、250例年龄和性别匹配的无IS对照者、100例脑出血(ICH)患者和100例年龄和性别匹配的无ICH对照者进行基因分型。IS采用急性中风治疗中Org 10172试验分类法进行分类。使用多因素人口统计学和风险因素变量调整的条件逻辑回归分析来计算IL-10(-1082G/A)多态性与中风风险之间的关联强度。
条件逻辑回归分析显示,在显性模型下(优势比[OR]=2.39,95%置信区间[CI]=1.34-4.27,P=.003)和等位基因模型下(OR=2.49,95%CI 1.71-3.63,P<.001),IL-10 -1082G/A与IS风险之间存在独立关联。在显性模型下(OR=6.8,95%CI 2.2-20.7,P<.001)和等位基因模型下(OR=3.4,95%CI 1.8-6.3,P<.001),也观察到IL-10 -1082G/A与ICH风险之间存在独立关联。
我们的结果表明,IL-10 -1082G/A基因多态性是北印度人群中IS和ICH风险的独立危险因素。我们的研究结果表明,IL-10 -1082G/A多态性可作为识别中风发病风险增加个体的遗传标记。