Genetic inflammatory factors predict restenosis after percutaneous coronary interventions

Restenosis is a negative effect of percutaneous coronary intervention (PCI). No clinical factors are available that allow good risk stratification. However, evidence exists that genetic factors are important in the restenotic process as well as in the process of inflammation, a pivotal factor in res...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2005-10, Vol.112 (16), p.2417-2425
Hauptverfasser: MONRAATS, Pascalle S, PIRES, Nuno M. M, FRANTS, Rune R, QUAX, Paul H. A, VAN VLIJMEN, Bart J. M, ATSMA, Douwe E, VAN DER LAARSE, Arnoud, VAN DER WALL, Ernst E, JUKEMA, J. Wouter, AGEMA, Willem R. P, ZWINDERMAN, Aeiiko H, SCHEPERS, Abbey, DE MAAT, Moniek P. M, DOEVENDANS, Pieter A, DE WINTER, Robbert J, TIO, René A, WALTENBERGER, Johannes
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container_end_page 2425
container_issue 16
container_start_page 2417
container_title Circulation (New York, N.Y.)
container_volume 112
creator MONRAATS, Pascalle S
PIRES, Nuno M. M
FRANTS, Rune R
QUAX, Paul H. A
VAN VLIJMEN, Bart J. M
ATSMA, Douwe E
VAN DER LAARSE, Arnoud
VAN DER WALL, Ernst E
JUKEMA, J. Wouter
AGEMA, Willem R. P
ZWINDERMAN, Aeiiko H
SCHEPERS, Abbey
DE MAAT, Moniek P. M
DOEVENDANS, Pieter A
DE WINTER, Robbert J
TIO, René A
WALTENBERGER, Johannes
description Restenosis is a negative effect of percutaneous coronary intervention (PCI). No clinical factors are available that allow good risk stratification. However, evidence exists that genetic factors are important in the restenotic process as well as in the process of inflammation, a pivotal factor in restenosis. Association studies have identified genes that may predispose to restenosis, but confirmation by large prospective studies is lacking. Our aim was to identify polymorphisms and haplotypes in genes involved in inflammatory pathways that predispose to restenosis. The GENetic DEterminants of Restenosis (GENDER) project is a multicenter prospective study, including 3104 consecutive patients after successful PCI. Forty-eight polymorphisms in 34 genes in pathways possibly involved in the inflammatory process were analyzed. The 16Gly variant of the beta2-adrenergic receptor gave an increased risk of target vessel revascularization (TVR). The rare alleles of the CD14 gene (-260T/T), colony-stimulating factor 2 gene (117Thr/Thr), and eotaxin gene (-1328A/A) were associated with decreased risk of TVR. However, through the use of multiple testing corrections with permutation analysis, the probability of finding 4 significant markers by chance was 12%. Polymorphisms in 4 genes considered involved in the inflammatory reaction showed an association with TVR after PCI. Our results may contribute to the unraveling of the restenotic process. Given the explorative nature of this analysis, our results need to be replicated in other studies.
doi_str_mv 10.1161/CIRCULATIONAHA.105.536268
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M</au><au>FRANTS, Rune R</au><au>QUAX, Paul H. A</au><au>VAN VLIJMEN, Bart J. M</au><au>ATSMA, Douwe E</au><au>VAN DER LAARSE, Arnoud</au><au>VAN DER WALL, Ernst E</au><au>JUKEMA, J. Wouter</au><au>AGEMA, Willem R. P</au><au>ZWINDERMAN, Aeiiko H</au><au>SCHEPERS, Abbey</au><au>DE MAAT, Moniek P. M</au><au>DOEVENDANS, Pieter A</au><au>DE WINTER, Robbert J</au><au>TIO, René A</au><au>WALTENBERGER, Johannes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Genetic inflammatory factors predict restenosis after percutaneous coronary interventions</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>2005-10-18</date><risdate>2005</risdate><volume>112</volume><issue>16</issue><spage>2417</spage><epage>2425</epage><pages>2417-2425</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><coden>CIRCAZ</coden><abstract>Restenosis is a negative effect of percutaneous coronary intervention (PCI). No clinical factors are available that allow good risk stratification. However, evidence exists that genetic factors are important in the restenotic process as well as in the process of inflammation, a pivotal factor in restenosis. Association studies have identified genes that may predispose to restenosis, but confirmation by large prospective studies is lacking. Our aim was to identify polymorphisms and haplotypes in genes involved in inflammatory pathways that predispose to restenosis. The GENetic DEterminants of Restenosis (GENDER) project is a multicenter prospective study, including 3104 consecutive patients after successful PCI. Forty-eight polymorphisms in 34 genes in pathways possibly involved in the inflammatory process were analyzed. The 16Gly variant of the beta2-adrenergic receptor gave an increased risk of target vessel revascularization (TVR). The rare alleles of the CD14 gene (-260T/T), colony-stimulating factor 2 gene (117Thr/Thr), and eotaxin gene (-1328A/A) were associated with decreased risk of TVR. However, through the use of multiple testing corrections with permutation analysis, the probability of finding 4 significant markers by chance was 12%. Polymorphisms in 4 genes considered involved in the inflammatory reaction showed an association with TVR after PCI. Our results may contribute to the unraveling of the restenotic process. Given the explorative nature of this analysis, our results need to be replicated in other studies.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>16230497</pmid><doi>10.1161/CIRCULATIONAHA.105.536268</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals; Journals@Ovid Complete
subjects Amino Acid Substitution
Angioplasty, Balloon, Coronary
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Coronary heart disease
Coronary Restenosis - genetics
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Heart
Humans
Inflammation - genetics
Medical sciences
Neurology
Polymorphism, Single Nucleotide
Prospective Studies
Treatment Outcome
Vascular diseases and vascular malformations of the nervous system
title Genetic inflammatory factors predict restenosis after percutaneous coronary interventions
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