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IL1RN VNTR polymorphism in ischemic stroke: analysis in 3 populations
Bradford B Worrall1, Thomas G Brott, Robert D Brown
1Department of Neurology, University of Virginia Health System, Charlottesville, VA, USA.
Allele 2 of the IL-1 receptor antagonist gene (IL1RN) is associated with increased ischemic stroke risk in white individuals. This genetic variant may contribute to cerebrovascular disease, particularly under a recessive model.
Area of Science:
- Genetics
- Neurology
- Inflammation
Background:
- Genetic factors play a significant role in ischemic stroke risk.
- Inflammation-related gene variants are implicated in stroke pathogenesis.
- Previous research suggested a link between IL1RN allele 2 and cerebrovascular disease.
Purpose of the Study:
- To confirm the association between IL-1 receptor antagonist gene (IL1RN) allele 2 and ischemic stroke.
- To investigate the role of IL1RN variants in cerebrovascular disease.
Main Methods:
- Association study of IL1RN variable number tandem repeat (VNTR) genotype.
- Analysis of ischemic stroke cases and controls, stratified by race.
- DNA analysis performed on North American cohorts.
Main Results:
- Allele 2 of IL1RN showed a significant association with ischemic stroke in white participants (OR=2.80, P=0.03).
- The association in white individuals best fit a recessive genetic model (P=0.009).
- No significant association was found in nonwhite participants due to smaller sample size.
Conclusions:
- IL1RN allele 2 may contribute to the genetic risk of ischemic stroke, especially in white populations.
- The confirmed association supports the role of IL1RN in cerebrovascular disease.
- Further research with larger nonwhite cohorts is needed to clarify the association in diverse populations.
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