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The IL-6 G-174C polymorphism may be associated with ischaemic stroke in patients without a history of hypertension
J Balding1, W J Livingstone, S J Pittock
1Thrombosis and Haemostasis Laboratory, Institute of Molecular Medicine, Trinity Centre for Health Sciences, St James's Hospital, Dublin, Ireland.
Background:
Recent data suggest that inflammatory reactions are involved in the pathogenesis of cerebral ischaemia.
Aim:
To investigate whether certain inflammatory genetic polymorphisms are associated with the occurrence of ischaemic stroke.
Methods:
We investigated the prevalence of six polymorphisms in cytokine genes (IL-6, TNF-alpha, TNF-beta, IL-1beta, IL-10, and IL-1Ralpha) in a group of ischaemic stroke patients (n = 105) and in a control population (n = 389). We analysed the prevalence of these polymorphisms in different stroke subtypes and in relation to outcome six months post-stroke.
Results:
There was no significant variation in cytokine gene polymorphism frequencies between control and stroke populations or for different stroke subtypes. Subgroup analysis demonstrated that the prevalence of the IL-6 -174 CC genotype was significantly lower in stroke patients without a history of hypertension compared to controls.
Conclusion:
The IL6 -174 CC genotype may be protective against stroke in those patients who have no history of hypertension. Further studies are required to verify these findings.
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