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Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke
BACKGROUND AND PURPOSE: Polymorphisms in coagulation genes have been associated with early-onset ischemic stroke. Here we pursue an a priori hypothesis that genetic variation in the endothelial-based receptors of the thrombomodulin−protein C system (THBD and PROCR) may similarly be associated with e...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211695/ https://www.ncbi.nlm.nih.gov/pubmed/30383853 http://dx.doi.org/10.1371/journal.pone.0206554 |
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author | Cole, John W. Xu, Huichun Ryan, Kathleen Jaworek, Thomas Dueker, Nicole McArdle, Patrick Gaynor, Brady Cheng, Yu-Ching O'Connell, Jeffrey Bevan, Steve Malik, Rainer Ahmed, Naveed Uddin Amouyel, Philippe Anjum, Sheraz Bis, Joshua C. Crosslin, David Danesh, John Engelter, Stefan T. Fornage, Myriam Frossard, Philippe Gieger, Christian Giese, Anne-Katrin Grond-Ginsbach, Caspar Ho, Weang Kee Holliday, Elizabeth Hopewell, Jemma Hussain, M. Iqbal, W. Jabeen, S. Jannes, Jim Kamal, Ayeesha Kamatani, Yoichiro Kanse, Sandip Kloss, Manja Lathrop, Mark Leys, Didier Lindgren, Arne Longstreth, W. T. Mahmood, Khalid Meisinger, Christa Metso, Tiina M. Mosley, Thomas Müller-Nurasyid, Martina Norrving, Bo Parati, Eugenio Peters, Annette Pezzini, Alessandro Quereshi, I. Rasheed, Asif Rauf, A. Salam, T. Shen, Jess Słowik, Agnieszka Stanne, Tara Strauch, Konstantin Tatlisumak, Turgut Thijs, Vincent N. Tiedt, Steffen Traylor, Matthew Waldenberger, Melanie Walters, Matthew Zhao, Wei Boncoraglio, Giorgio Debette, Stéphanie Jern, Christina Levi, Christopher Markus, Hugh Meschia, James Rolfs, Arndt Rothwell, Peter Saleheen, Danish Seshadri, Sudha Sharma, Pankaj Sudlow, Cathie Worrall, Bradford Stine, O. Colin Kittner, Steven J. Mitchell, Braxton D. |
author_facet | Cole, John W. Xu, Huichun Ryan, Kathleen Jaworek, Thomas Dueker, Nicole McArdle, Patrick Gaynor, Brady Cheng, Yu-Ching O'Connell, Jeffrey Bevan, Steve Malik, Rainer Ahmed, Naveed Uddin Amouyel, Philippe Anjum, Sheraz Bis, Joshua C. Crosslin, David Danesh, John Engelter, Stefan T. Fornage, Myriam Frossard, Philippe Gieger, Christian Giese, Anne-Katrin Grond-Ginsbach, Caspar Ho, Weang Kee Holliday, Elizabeth Hopewell, Jemma Hussain, M. Iqbal, W. Jabeen, S. Jannes, Jim Kamal, Ayeesha Kamatani, Yoichiro Kanse, Sandip Kloss, Manja Lathrop, Mark Leys, Didier Lindgren, Arne Longstreth, W. T. Mahmood, Khalid Meisinger, Christa Metso, Tiina M. Mosley, Thomas Müller-Nurasyid, Martina Norrving, Bo Parati, Eugenio Peters, Annette Pezzini, Alessandro Quereshi, I. Rasheed, Asif Rauf, A. Salam, T. Shen, Jess Słowik, Agnieszka Stanne, Tara Strauch, Konstantin Tatlisumak, Turgut Thijs, Vincent N. Tiedt, Steffen Traylor, Matthew Waldenberger, Melanie Walters, Matthew Zhao, Wei Boncoraglio, Giorgio Debette, Stéphanie Jern, Christina Levi, Christopher Markus, Hugh Meschia, James Rolfs, Arndt Rothwell, Peter Saleheen, Danish Seshadri, Sudha Sharma, Pankaj Sudlow, Cathie Worrall, Bradford Stine, O. Colin Kittner, Steven J. Mitchell, Braxton D. |
author_sort | Cole, John W. |
collection | PubMed |
description | BACKGROUND AND PURPOSE: Polymorphisms in coagulation genes have been associated with early-onset ischemic stroke. Here we pursue an a priori hypothesis that genetic variation in the endothelial-based receptors of the thrombomodulin−protein C system (THBD and PROCR) may similarly be associated with early-onset ischemic stroke. We explored this hypothesis utilizing a multi-stage design of discovery and replication. METHODS: Discovery was performed in the Genetics-of-Early-Onset Stroke (GEOS) Study, a biracial population-based case-control study of ischemic stroke among men and women aged 15–49 including 829 cases of first ischemic stroke (42.2% African-American) and 850 age-comparable stroke-free controls (38.1% African-American). Twenty-four single-nucleotide-polymorphisms (SNPs) in THBD and 22 SNPs in PROCR were evaluated. Following LD pruning (r(2)≥0.8), we advanced uncorrelated SNPs forward for association analyses. Associated SNPs were evaluated for replication in an early-onset ischemic stroke population (onset-age<60 years) consisting of 3676 cases and 21118 non-stroke controls from 6 case–control studies. Lastly, we determined if the replicated SNPs also associated with older-onset ischemic stroke in the METASTROKE data-base. RESULTS: Among GEOS Caucasians, PROCR rs9574, which was in strong LD with 8 other SNPs, and one additional independent SNP rs2069951, were significantly associated with ischemic stroke (rs9574, OR = 1.33, p = 0.003; rs2069951, OR = 1.80, p = 0.006) using an additive-model adjusting for age, gender and population-structure. Adjusting for risk factors did not change the associations; however, associations were strengthened among those without risk factors. PROCR rs9574 also associated with early-onset ischemic stroke in the replication sample (OR = 1.08, p = 0.015), but not older-onset stroke. There were no PROCR associations in African-Americans, nor were there any THBD associations in either ethnicity. CONCLUSION: PROCR polymorphisms are associated with early-onset ischemic stroke in Caucasians. |
format | Online Article Text |
id | pubmed-6211695 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-62116952018-11-19 Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke Cole, John W. Xu, Huichun Ryan, Kathleen Jaworek, Thomas Dueker, Nicole McArdle, Patrick Gaynor, Brady Cheng, Yu-Ching O'Connell, Jeffrey Bevan, Steve Malik, Rainer Ahmed, Naveed Uddin Amouyel, Philippe Anjum, Sheraz Bis, Joshua C. Crosslin, David Danesh, John Engelter, Stefan T. Fornage, Myriam Frossard, Philippe Gieger, Christian Giese, Anne-Katrin Grond-Ginsbach, Caspar Ho, Weang Kee Holliday, Elizabeth Hopewell, Jemma Hussain, M. Iqbal, W. Jabeen, S. Jannes, Jim Kamal, Ayeesha Kamatani, Yoichiro Kanse, Sandip Kloss, Manja Lathrop, Mark Leys, Didier Lindgren, Arne Longstreth, W. T. Mahmood, Khalid Meisinger, Christa Metso, Tiina M. Mosley, Thomas Müller-Nurasyid, Martina Norrving, Bo Parati, Eugenio Peters, Annette Pezzini, Alessandro Quereshi, I. Rasheed, Asif Rauf, A. Salam, T. Shen, Jess Słowik, Agnieszka Stanne, Tara Strauch, Konstantin Tatlisumak, Turgut Thijs, Vincent N. Tiedt, Steffen Traylor, Matthew Waldenberger, Melanie Walters, Matthew Zhao, Wei Boncoraglio, Giorgio Debette, Stéphanie Jern, Christina Levi, Christopher Markus, Hugh Meschia, James Rolfs, Arndt Rothwell, Peter Saleheen, Danish Seshadri, Sudha Sharma, Pankaj Sudlow, Cathie Worrall, Bradford Stine, O. Colin Kittner, Steven J. Mitchell, Braxton D. PLoS One Research Article BACKGROUND AND PURPOSE: Polymorphisms in coagulation genes have been associated with early-onset ischemic stroke. Here we pursue an a priori hypothesis that genetic variation in the endothelial-based receptors of the thrombomodulin−protein C system (THBD and PROCR) may similarly be associated with early-onset ischemic stroke. We explored this hypothesis utilizing a multi-stage design of discovery and replication. METHODS: Discovery was performed in the Genetics-of-Early-Onset Stroke (GEOS) Study, a biracial population-based case-control study of ischemic stroke among men and women aged 15–49 including 829 cases of first ischemic stroke (42.2% African-American) and 850 age-comparable stroke-free controls (38.1% African-American). Twenty-four single-nucleotide-polymorphisms (SNPs) in THBD and 22 SNPs in PROCR were evaluated. Following LD pruning (r(2)≥0.8), we advanced uncorrelated SNPs forward for association analyses. Associated SNPs were evaluated for replication in an early-onset ischemic stroke population (onset-age<60 years) consisting of 3676 cases and 21118 non-stroke controls from 6 case–control studies. Lastly, we determined if the replicated SNPs also associated with older-onset ischemic stroke in the METASTROKE data-base. RESULTS: Among GEOS Caucasians, PROCR rs9574, which was in strong LD with 8 other SNPs, and one additional independent SNP rs2069951, were significantly associated with ischemic stroke (rs9574, OR = 1.33, p = 0.003; rs2069951, OR = 1.80, p = 0.006) using an additive-model adjusting for age, gender and population-structure. Adjusting for risk factors did not change the associations; however, associations were strengthened among those without risk factors. PROCR rs9574 also associated with early-onset ischemic stroke in the replication sample (OR = 1.08, p = 0.015), but not older-onset stroke. There were no PROCR associations in African-Americans, nor were there any THBD associations in either ethnicity. CONCLUSION: PROCR polymorphisms are associated with early-onset ischemic stroke in Caucasians. Public Library of Science 2018-11-01 /pmc/articles/PMC6211695/ /pubmed/30383853 http://dx.doi.org/10.1371/journal.pone.0206554 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication. |
spellingShingle | Research Article Cole, John W. Xu, Huichun Ryan, Kathleen Jaworek, Thomas Dueker, Nicole McArdle, Patrick Gaynor, Brady Cheng, Yu-Ching O'Connell, Jeffrey Bevan, Steve Malik, Rainer Ahmed, Naveed Uddin Amouyel, Philippe Anjum, Sheraz Bis, Joshua C. Crosslin, David Danesh, John Engelter, Stefan T. Fornage, Myriam Frossard, Philippe Gieger, Christian Giese, Anne-Katrin Grond-Ginsbach, Caspar Ho, Weang Kee Holliday, Elizabeth Hopewell, Jemma Hussain, M. Iqbal, W. Jabeen, S. Jannes, Jim Kamal, Ayeesha Kamatani, Yoichiro Kanse, Sandip Kloss, Manja Lathrop, Mark Leys, Didier Lindgren, Arne Longstreth, W. T. Mahmood, Khalid Meisinger, Christa Metso, Tiina M. Mosley, Thomas Müller-Nurasyid, Martina Norrving, Bo Parati, Eugenio Peters, Annette Pezzini, Alessandro Quereshi, I. Rasheed, Asif Rauf, A. Salam, T. Shen, Jess Słowik, Agnieszka Stanne, Tara Strauch, Konstantin Tatlisumak, Turgut Thijs, Vincent N. Tiedt, Steffen Traylor, Matthew Waldenberger, Melanie Walters, Matthew Zhao, Wei Boncoraglio, Giorgio Debette, Stéphanie Jern, Christina Levi, Christopher Markus, Hugh Meschia, James Rolfs, Arndt Rothwell, Peter Saleheen, Danish Seshadri, Sudha Sharma, Pankaj Sudlow, Cathie Worrall, Bradford Stine, O. Colin Kittner, Steven J. Mitchell, Braxton D. Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke |
title | Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke |
title_full | Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke |
title_fullStr | Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke |
title_full_unstemmed | Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke |
title_short | Genetics of the thrombomodulin-endothelial cell protein C receptor system and the risk of early-onset ischemic stroke |
title_sort | genetics of the thrombomodulin-endothelial cell protein c receptor system and the risk of early-onset ischemic stroke |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211695/ https://www.ncbi.nlm.nih.gov/pubmed/30383853 http://dx.doi.org/10.1371/journal.pone.0206554 |
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