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Published on: April 1, 2019
The thrombomodulin gene mutation G(127)-->A (Ala25Thr) and cerebrovascular disease
1Unit of Molecular Vascular Medicine, Research School of Medicine, General Infirmary, Leeds, UK. darren_warner@lineone-net
Insights
The G(127)-->A point mutation in thrombomodulin is uncommon in patients with acute stroke. This genetic variation is unlikely to be a significant risk factor for cerebrovascular disease.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Neurology
Background:
- Thrombomodulin is crucial for the protein C anticoagulant pathway.
- Gene polymorphisms in thrombomodulin are linked to thrombosis.
- A specific G(127)-->A mutation is associated with myocardial infarction.
Purpose of the Study:
- To investigate the prevalence of the G(127)-->A thrombomodulin gene mutation in acute stroke patients.
- To determine if this mutation is a risk factor for cerebrovascular disease.
Main Methods:
- Studied 465 acute stroke patients and 353 control subjects.
- Amplified genomic DNA using Polymerase Chain Reaction (PCR).
- Identified genotypes using Restriction Fragment Length Polymorphism (RFLP).
Main Results:
- The A allele frequency was 0.5% in the stroke group and 0.7% in the control group.
- No statistically significant difference in allele frequency between stroke patients and controls.
Conclusions:
- The G(127)-->A point mutation is rare.
- This mutation is unlikely to be a major risk factor for cerebrovascular disease in the studied population.
Background And Purpose:
Thrombomodulin is an integral part of the protein C anticoagulation pathway, and polymorphisms of its gene have been implicated in thrombosis. The point mutation G(127)-->A has recently been found to be associated with myocardial infarction.
Methods:
We investigated this mutation in 465 patients with acute stroke and 353 control subjects. Genomic DNA containing the region of interest was amplified by PCR, and differing genotypes were identified by RFLP.
Results:
The A allele frequency was not statistically significantly different in the two groups, being 0.5% in the stroke group and 0.7% in the control group.
Conclusions:
The point mutation G(127)-->A is an uncommon finding and, in this population, is unlikely to be a major risk factor for cerebrovascular disease.
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