C-reactive protein polymorphisms and genetic susceptibility to ischemic stroke and hemorrhagic stroke in the Chinese Han population

Aim: The inflammatory marker C-reactive protein (CRP) has been strongly correlated with the risk of cardiovascular disease. Some single-nucleotide polymorphisms (SNPs) have been reported to be associated with serum CRP levels. In this study, we assessed the genetic association between SNPs within th...

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Veröffentlicht in:Acta pharmacologica Sinica 2009-03, Vol.30 (3), p.291-298
Hauptverfasser: Wang, Qi, Ding, Hu, Tang, Jia-rong, Zhang, Lan, Xu, Yu-jun, Yan, Jiang-tao, Wang, Wei, Hui, Ru-tai, Wang, Cong-yi, Wang, Dao-wen
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container_issue 3
container_start_page 291
container_title Acta pharmacologica Sinica
container_volume 30
creator Wang, Qi
Ding, Hu
Tang, Jia-rong
Zhang, Lan
Xu, Yu-jun
Yan, Jiang-tao
Wang, Wei
Hui, Ru-tai
Wang, Cong-yi
Wang, Dao-wen
description Aim: The inflammatory marker C-reactive protein (CRP) has been strongly correlated with the risk of cardiovascular disease. Some single-nucleotide polymorphisms (SNPs) have been reported to be associated with serum CRP levels. In this study, we assessed the genetic association between SNPs within the CRP gene and ischemic and hemorrhagic stroke in the Han Chinese population. Methods: This study comprises 564 ischemic stroke patients, 220 hemorrhagic stroke patients and 564 controls from the ethnic Han Chinese population in Wuhan. Four CRP SNPs, -757A〉G (rs3093059), -717A〉G (rs2794521), -286C〉T〉A (rs3091244) and +2147C〉T (rs1205), were genotyped from patients using TaqMan assays. Results: The A allele frequency for the -717A〉G polymorphism was significant higher in controls than in ischemic stroke patients (P=0.037), after adjustment for traditional risk factors (odds ratio 0.28; 95% CI 0.12-0.65; P=0.003), suggesting a protective effect for this allele against ischemic stroke. Haplotype analysis showed that the H3 (G-C-C) haplotype conferred a significantly increased risk of ischemic stroke (odds ratio 1.052, 95% CI 1.001-1.106: P=0.047). Neither CRP genotypes nor haplotypes showed an association with hemorrhagic stroke. However, the frequency for haplotype H5 (A-T-C) was significantly higher in ischemic stroke than hemorrhagic stroke patients (P=0.0003). Conclusions: These data suggest that the CRP gene -717A allele confers a protective effect against ischemic stroke. Furthermore, the H3 haplotype (G-C-C) is an independent risk marker for ischemic stroke, whereas the H5 haplotype (A-T-C) can be used as a prognostic marker of hemorrhagic stroke.
doi_str_mv 10.1038/aps.2009.14
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Some single-nucleotide polymorphisms (SNPs) have been reported to be associated with serum CRP levels. In this study, we assessed the genetic association between SNPs within the CRP gene and ischemic and hemorrhagic stroke in the Han Chinese population. Methods: This study comprises 564 ischemic stroke patients, 220 hemorrhagic stroke patients and 564 controls from the ethnic Han Chinese population in Wuhan. Four CRP SNPs, -757A〉G (rs3093059), -717A〉G (rs2794521), -286C〉T〉A (rs3091244) and +2147C〉T (rs1205), were genotyped from patients using TaqMan assays. Results: The A allele frequency for the -717A〉G polymorphism was significant higher in controls than in ischemic stroke patients (P=0.037), after adjustment for traditional risk factors (odds ratio 0.28; 95% CI 0.12-0.65; P=0.003), suggesting a protective effect for this allele against ischemic stroke. Haplotype analysis showed that the H3 (G-C-C) haplotype conferred a significantly increased risk of ischemic stroke (odds ratio 1.052, 95% CI 1.001-1.106: P=0.047). Neither CRP genotypes nor haplotypes showed an association with hemorrhagic stroke. However, the frequency for haplotype H5 (A-T-C) was significantly higher in ischemic stroke than hemorrhagic stroke patients (P=0.0003). Conclusions: These data suggest that the CRP gene -717A allele confers a protective effect against ischemic stroke. Furthermore, the H3 haplotype (G-C-C) is an independent risk marker for ischemic stroke, whereas the H5 haplotype (A-T-C) can be used as a prognostic marker of hemorrhagic stroke.</description><identifier>ISSN: 1671-4083</identifier><identifier>EISSN: 1745-7254</identifier><identifier>DOI: 10.1038/aps.2009.14</identifier><identifier>PMID: 19262552</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Alleles ; Biomarkers ; Biomedical and Life Sciences ; Biomedicine ; Brain Ischemia - ethnology ; Brain Ischemia - genetics ; C-Reactive Protein - genetics ; Cerebral Hemorrhage - ethnology ; Cerebral Hemorrhage - genetics ; China ; C反应蛋白 ; Female ; Genetic Predisposition to Disease - ethnology ; Genotype ; Haplotypes ; Humans ; Immunology ; Internal Medicine ; Male ; Medical Microbiology ; Middle Aged ; Odds Ratio ; Original ; original-article ; Pharmacology/Toxicology ; Polymorphism, Single Nucleotide ; Risk Factors ; Stroke - ethnology ; Stroke - genetics ; Vaccine ; 出血性中风 ; 单核苷酸多态性 ; 基因多态性 ; 汉族人群 ; 等位基因频率 ; 缺血性中风 ; 遗传易感性</subject><ispartof>Acta pharmacologica Sinica, 2009-03, Vol.30 (3), p.291-298</ispartof><rights>CPS and SIMM 2009</rights><rights>Copyright Nature Publishing Group Mar 2009</rights><rights>Copyright © 2009 CPS and SIMM 2009 CPS and SIMM</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-8db18309dd937508c03dd401a954a7845ee59f5e5c8bf7e34a405854a57296933</citedby><cites>FETCH-LOGICAL-c502t-8db18309dd937508c03dd401a954a7845ee59f5e5c8bf7e34a405854a57296933</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/95561A/95561A.jpg</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4002404/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4002404/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19262552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Qi</creatorcontrib><creatorcontrib>Ding, Hu</creatorcontrib><creatorcontrib>Tang, Jia-rong</creatorcontrib><creatorcontrib>Zhang, Lan</creatorcontrib><creatorcontrib>Xu, Yu-jun</creatorcontrib><creatorcontrib>Yan, Jiang-tao</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Hui, Ru-tai</creatorcontrib><creatorcontrib>Wang, Cong-yi</creatorcontrib><creatorcontrib>Wang, Dao-wen</creatorcontrib><title>C-reactive protein polymorphisms and genetic susceptibility to ischemic stroke and hemorrhagic stroke in the Chinese Han population</title><title>Acta pharmacologica Sinica</title><addtitle>Acta Pharmacol Sin</addtitle><addtitle>Acta Pharmacologica Sinica</addtitle><description>Aim: The inflammatory marker C-reactive protein (CRP) has been strongly correlated with the risk of cardiovascular disease. Some single-nucleotide polymorphisms (SNPs) have been reported to be associated with serum CRP levels. In this study, we assessed the genetic association between SNPs within the CRP gene and ischemic and hemorrhagic stroke in the Han Chinese population. Methods: This study comprises 564 ischemic stroke patients, 220 hemorrhagic stroke patients and 564 controls from the ethnic Han Chinese population in Wuhan. Four CRP SNPs, -757A〉G (rs3093059), -717A〉G (rs2794521), -286C〉T〉A (rs3091244) and +2147C〉T (rs1205), were genotyped from patients using TaqMan assays. Results: The A allele frequency for the -717A〉G polymorphism was significant higher in controls than in ischemic stroke patients (P=0.037), after adjustment for traditional risk factors (odds ratio 0.28; 95% CI 0.12-0.65; P=0.003), suggesting a protective effect for this allele against ischemic stroke. Haplotype analysis showed that the H3 (G-C-C) haplotype conferred a significantly increased risk of ischemic stroke (odds ratio 1.052, 95% CI 1.001-1.106: P=0.047). Neither CRP genotypes nor haplotypes showed an association with hemorrhagic stroke. However, the frequency for haplotype H5 (A-T-C) was significantly higher in ischemic stroke than hemorrhagic stroke patients (P=0.0003). Conclusions: These data suggest that the CRP gene -717A allele confers a protective effect against ischemic stroke. Furthermore, the H3 haplotype (G-C-C) is an independent risk marker for ischemic stroke, whereas the H5 haplotype (A-T-C) can be used as a prognostic marker of hemorrhagic stroke.</description><subject>Alleles</subject><subject>Biomarkers</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Brain Ischemia - ethnology</subject><subject>Brain Ischemia - genetics</subject><subject>C-Reactive Protein - genetics</subject><subject>Cerebral Hemorrhage - ethnology</subject><subject>Cerebral Hemorrhage - genetics</subject><subject>China</subject><subject>C反应蛋白</subject><subject>Female</subject><subject>Genetic Predisposition to Disease - ethnology</subject><subject>Genotype</subject><subject>Haplotypes</subject><subject>Humans</subject><subject>Immunology</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medical Microbiology</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Original</subject><subject>original-article</subject><subject>Pharmacology/Toxicology</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Risk Factors</subject><subject>Stroke - ethnology</subject><subject>Stroke - genetics</subject><subject>Vaccine</subject><subject>出血性中风</subject><subject>单核苷酸多态性</subject><subject>基因多态性</subject><subject>汉族人群</subject><subject>等位基因频率</subject><subject>缺血性中风</subject><subject>遗传易感性</subject><issn>1671-4083</issn><issn>1745-7254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9ks2L1DAYxoso7rp68i7Fgx60Y77bXBZkUFdY8KLnkKZvp9ltk26SLszZf9zUGRwV8ZSQ55fn_SyK5xhtMKLNOz3HDUFIbjB7UJzjmvGqJpw9zHdR44qhhp4VT2K8QYgSiuXj4gxLIgjn5Lz4vq0CaJPsPZRz8AmsK2c_7icf5sHGKZbadeUOHCRryrhEA3OyrR1t2pfJlzaaAaZVSsHfwk86P_gQBr07PWfXNEC5HayDCOWVXqPMy6iT9e5p8ajXY4Rnx_Oi-Pbxw9ftVXX95dPn7fvrynBEUtV0LW4okl0nac1RYxDtOoawlpzpumEcgMueAzdN29dAmWaIN1njNZFCUnpRXB5856WdoDPgUtCjmoOddNgrr636U3F2UDt_rxhChCGWDV4fDYK_WyAmNeX6YRy1A79EVTOBRR7JSr76LymEbKSgPIMv_wJv_BJcboMimOaBISEy9OYAmeBjDND_yhkjte6Ayjug1h1QeI394vcyT-xx6Bl4ewBiltwOwinmv_2OKZrBu91d_qFabW57O4LKjRVS1JT-AOqwyXY</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Wang, Qi</creator><creator>Ding, Hu</creator><creator>Tang, Jia-rong</creator><creator>Zhang, Lan</creator><creator>Xu, Yu-jun</creator><creator>Yan, Jiang-tao</creator><creator>Wang, Wei</creator><creator>Hui, Ru-tai</creator><creator>Wang, Cong-yi</creator><creator>Wang, Dao-wen</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090301</creationdate><title>C-reactive protein polymorphisms and genetic susceptibility to ischemic stroke and hemorrhagic stroke in the Chinese Han population</title><author>Wang, Qi ; Ding, Hu ; Tang, Jia-rong ; Zhang, Lan ; Xu, Yu-jun ; Yan, Jiang-tao ; Wang, Wei ; Hui, Ru-tai ; Wang, Cong-yi ; Wang, Dao-wen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-8db18309dd937508c03dd401a954a7845ee59f5e5c8bf7e34a405854a57296933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Alleles</topic><topic>Biomarkers</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Brain Ischemia - ethnology</topic><topic>Brain Ischemia - genetics</topic><topic>C-Reactive Protein - genetics</topic><topic>Cerebral Hemorrhage - ethnology</topic><topic>Cerebral Hemorrhage - genetics</topic><topic>China</topic><topic>C反应蛋白</topic><topic>Female</topic><topic>Genetic Predisposition to Disease - ethnology</topic><topic>Genotype</topic><topic>Haplotypes</topic><topic>Humans</topic><topic>Immunology</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medical Microbiology</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Original</topic><topic>original-article</topic><topic>Pharmacology/Toxicology</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Risk Factors</topic><topic>Stroke - ethnology</topic><topic>Stroke - genetics</topic><topic>Vaccine</topic><topic>出血性中风</topic><topic>单核苷酸多态性</topic><topic>基因多态性</topic><topic>汉族人群</topic><topic>等位基因频率</topic><topic>缺血性中风</topic><topic>遗传易感性</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Qi</creatorcontrib><creatorcontrib>Ding, Hu</creatorcontrib><creatorcontrib>Tang, Jia-rong</creatorcontrib><creatorcontrib>Zhang, Lan</creatorcontrib><creatorcontrib>Xu, Yu-jun</creatorcontrib><creatorcontrib>Yan, Jiang-tao</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Hui, Ru-tai</creatorcontrib><creatorcontrib>Wang, Cong-yi</creatorcontrib><creatorcontrib>Wang, Dao-wen</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Some single-nucleotide polymorphisms (SNPs) have been reported to be associated with serum CRP levels. In this study, we assessed the genetic association between SNPs within the CRP gene and ischemic and hemorrhagic stroke in the Han Chinese population. Methods: This study comprises 564 ischemic stroke patients, 220 hemorrhagic stroke patients and 564 controls from the ethnic Han Chinese population in Wuhan. Four CRP SNPs, -757A〉G (rs3093059), -717A〉G (rs2794521), -286C〉T〉A (rs3091244) and +2147C〉T (rs1205), were genotyped from patients using TaqMan assays. Results: The A allele frequency for the -717A〉G polymorphism was significant higher in controls than in ischemic stroke patients (P=0.037), after adjustment for traditional risk factors (odds ratio 0.28; 95% CI 0.12-0.65; P=0.003), suggesting a protective effect for this allele against ischemic stroke. Haplotype analysis showed that the H3 (G-C-C) haplotype conferred a significantly increased risk of ischemic stroke (odds ratio 1.052, 95% CI 1.001-1.106: P=0.047). Neither CRP genotypes nor haplotypes showed an association with hemorrhagic stroke. However, the frequency for haplotype H5 (A-T-C) was significantly higher in ischemic stroke than hemorrhagic stroke patients (P=0.0003). Conclusions: These data suggest that the CRP gene -717A allele confers a protective effect against ischemic stroke. Furthermore, the H3 haplotype (G-C-C) is an independent risk marker for ischemic stroke, whereas the H5 haplotype (A-T-C) can be used as a prognostic marker of hemorrhagic stroke.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>19262552</pmid><doi>10.1038/aps.2009.14</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Alleles
Biomarkers
Biomedical and Life Sciences
Biomedicine
Brain Ischemia - ethnology
Brain Ischemia - genetics
C-Reactive Protein - genetics
Cerebral Hemorrhage - ethnology
Cerebral Hemorrhage - genetics
China
C反应蛋白
Female
Genetic Predisposition to Disease - ethnology
Genotype
Haplotypes
Humans
Immunology
Internal Medicine
Male
Medical Microbiology
Middle Aged
Odds Ratio
Original
original-article
Pharmacology/Toxicology
Polymorphism, Single Nucleotide
Risk Factors
Stroke - ethnology
Stroke - genetics
Vaccine
出血性中风
单核苷酸多态性
基因多态性
汉族人群
等位基因频率
缺血性中风
遗传易感性
title C-reactive protein polymorphisms and genetic susceptibility to ischemic stroke and hemorrhagic stroke in the Chinese Han population
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