Xiong Li, Liu Wei, Gao Li, Mu Qiwen, Liu Xindong, Feng Yuhuan, Tang Zhi, Tang Huanyu, Liu Hua
Department of Neurology, Nanchong Central Hospital & the Second Clinical Medical College, North Sichuan Medical College, Nanchong, China.
Department of Neurology, Nanbu County People's Hospital, Nanbu, China.
J Stroke Cerebrovasc Dis. 2018 Sep;27(9):2336-2347. doi: 10.1016/j.jstrokecerebrovasdis.2018.04.020.
Ischemic stroke (IS) is considered to be a heterogeneous, multifactorial disease with a strong genetic background. This study aims to determine whether variants in the antisense noncoding RNA in the INK4 locus (ANRIL) gene are associated with IS in Han Chinese, as well as whether there is evidence of a gene-environment interactions.
A case-controlled association study was conducted in which only patients with atherothrombotic stroke (ATS) were enrolled. Multifactor dimensionality reduction model was employed to screen the best interaction combinations among gene and environmental risk factors; RESULTS: A total of 405 subjects (200 cases and 205 controls) and 16 single nucleotide polymorphisms (SNPs) in ANRIL gene were included in this study. The 4 SNPs (rs1537378, rs2184061, rs7044859, and rs7865618) were found to be significantly related to ATS in Chinese Han nationality. In overall people or subjects aged 45 years or older, the GG genotype and G allele of rs1537378, the AA genotype and A allele of rs2184061 and rs7865618, and the AA genotype of rs7044859 increased the risk of ATS. In males, the GG genotype and G allele of rs1537378, the AA genotype and A allele of rs7865618, and the A allele of rs2184061 conferred a susceptibility to ATS. Additionally, the AAAGAGCAAAAAATAG haplotype exhibited an elevated risk of ATS, and a significant interaction was found in ATS susceptibility between ANRIL gene and dyslipidemia; CONCLUSIONS: The ANRIL gene was related to ATS susceptibility in a Han Chinese. Future studies should be performed with larger samples and among different ethnic populations.
缺血性卒中(IS)被认为是一种具有强烈遗传背景的异质性、多因素疾病。本研究旨在确定INK4基因座反义非编码RNA(ANRIL)基因变异是否与中国汉族人群的缺血性卒中相关,以及是否存在基因-环境相互作用的证据。
进行了一项病例对照关联研究,仅纳入动脉粥样硬化血栓形成性卒中(ATS)患者。采用多因素降维模型筛选基因与环境危险因素之间的最佳相互作用组合;结果:本研究共纳入405名受试者(200例病例和205例对照)以及ANRIL基因中的16个单核苷酸多态性(SNP)。发现4个SNP(rs1537378、rs2184061、rs7044859和rs7865618)与中国汉族人群的ATS显著相关。在总体人群或45岁及以上的受试者中,rs1537378的GG基因型和G等位基因、rs2184061和rs7865618的AA基因型和A等位基因以及rs7044859的AA基因型增加了ATS风险。在男性中,rs1537378的GG基因型和G等位基因、rs7865618的AA基因型和A等位基因以及rs2184061的A等位基因赋予了对ATS的易感性。此外,AGAGCAAAAAATAG单倍型表现出较高的ATS风险,并且在ANRIL基因与血脂异常之间的ATS易感性中发现了显著的相互作用;结论:ANRIL基因与中国汉族人群的ATS易感性相关。未来的研究应该在更大的样本量和不同种族人群中进行。