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Published on: November 23, 2017
[Tissue plasminogen activator and plasminogen activator inhibitor gene polymorphisms: possible relation to
N D Selezneva1, D A Zateĭshchikov, B A Sidorenko
1Presidential Medical Center of Russia, Central Clinical Hospital, ul. Marshala Timoshenko 15, 121356 Moscow, Russia.
Insights
Genetic variants in plasminogen activator inhibitor type 1 (PAI-1) and tissue plasminogen activator (tPA) genes show potential links to ischemic heart disease and atherosclerosis. More research is needed to confirm their role in pathogenesis and thrombotic complications.
Area of Science:
- Cardiovascular Genetics
- Molecular Biology
- Thrombosis Research
Context:
- Plasminogen activator inhibitor type 1 (PAI-1) and tissue plasminogen activator (tPA) are key regulators of fibrinolysis.
- Genetic variations in PAI-1 and tPA genes may influence their activity and plasma concentrations.
- Ischemic heart disease and atherosclerosis are complex conditions with multifactorial etiologies, including genetic predispositions.
Purpose:
- To review and synthesize current data on the association between PAI-1 and tPA gene polymorphisms and ischemic heart disease (IHD) and atherosclerosis.
- To explore the influence of these polymorphisms on PAI-1 and tPA synthesis, plasma levels, and their potential role in disease pathogenesis.
- To evaluate the existing clinical evidence supporting or refuting the connection between these genetic markers and vascular diseases.
Summary:
- The review summarizes findings on PAI-1 and tPA gene polymorphisms and their association with IHD and atherosclerosis.
- It discusses the synthesis, regulation, and genetic variations of PAI-1 and tPA, including their impact on protein levels and thrombotic risk.
- Current evidence is insufficient for a definitive conclusion on the role of these polymorphisms in atherosclerosis pathogenesis, highlighting the need for further studies.
Impact:
- Identifies knowledge gaps regarding the genetic contribution of PAI-1 and tPA polymorphisms to cardiovascular diseases.
- Suggests the necessity for large-scale genetic studies in high-risk populations to elucidate the role of these markers.
- Provides a foundation for future research into personalized medicine approaches for preventing IHD and atherosclerosis based on genetic profiles.
Abstract:
In the present review the dates about association of genetic variants of a plasminogen activator inhibitor type 1 (PAI-1) and tissue plasminogen activator (tPA) with ischemic heart disease and atherosclerosis of other localization are toted. The singularities of synthesis of PAI-1 and tPA, possible paths of regulation of their activity briefly surveyed. Known polymorphisms of PAI-1 gene and tPA gene, their localization, frequencies in different ethnic groups are circumscribed. In operation the genetic influence of polymorphisms of PAI-1 gene and tPA gene on synthesis and plasma concentration of PAI-1 and tPA, including under an operation of risk factors of atherosclerosis, and as possible clinical consequences of sectional violations is featured. In the review the possible role of polymorphisms of PAI-1 gene and tPA gene in a pathogenesis of atherosclerosis, association with hazard thrombotic complications for different diseases is considered. Many clinical examinations are circumscribed which have confirmed or not confirmed a possible connection of genetic markers with development and current of ischemic heart disease and other vascular diseases. We considered that there are no enough dates to one valued estimation of possible role of polymorphisms of PAI-1 and tPA genes in pathogenesis of atherosclerosis. It is necessary to get new genetic studies in groups of patient with high risk of ischemic heart disease and atherosclerosis.
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