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Single nucleotide polymorphisms associated with coronary heart disease predict incident ischemic stroke in the
Alanna C Morrison1, Lance A Bare, May M Luke
1Human Genetics Center, University of Texas Health Science Center at Houston, Houston, TX 77030, USA. Alanna.C.Morrison@uth.tmc.edu
Insights
Genetic factors may link coronary heart disease (CHD) and ischemic stroke. This study found specific single nucleotide polymorphisms (SNPs) associated with stroke risk in the Atherosclerosis Risk in Communities (ARIC) study.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Epidemiology
Background:
- Ischemic stroke and coronary heart disease (CHD) share common etiological factors.
- Genetic predispositions may underlie this shared etiology.
- Identifying shared genetic markers is crucial for understanding disease mechanisms.
Purpose of the Study:
- To investigate the association between 51 single nucleotide polymorphisms (SNPs) previously linked to CHD and the risk of incident ischemic stroke.
- To determine if genetic variants confer risk for ischemic stroke across different ethnicities.
Main Methods:
- Utilized data from the multiethnic Atherosclerosis Risk in Communities (ARIC) cohort (14,215 individuals).
- Identified 495 validated ischemic stroke events.
- Employed Cox proportional hazards models, adjusting for age and gender, to assess SNP associations.
Main Results:
- Three SNPs in Whites and two SNPs in Blacks were associated with incident stroke (p <= 0.05).
- The rs11628722 polymorphism in SERPINA9 showed association with incident stroke in both Whites and Blacks.
- This association remained significant after adjusting for traditional cardiovascular risk factors.
Conclusions:
- Suggests that common genetic factors, including variants in SERPINA9, may contribute to the etiology of both ischemic stroke and CHD.
- Highlights the potential role of SERPINA9 as a shared genetic risk factor.
- Recommends further investigation of these shared genetic links in independent cohorts.
Abstract:
Ischemic stroke and coronary heart disease (CHD) may share genetic factors contributing to a common etiology. This study investigates whether 51 single nucleotide polymorphisms (SNPs) associated with CHD in multiple antecedent studies are associated with incident ischemic stroke in the Atherosclerosis Risk in Communities (ARIC) study. From the multiethnic ARIC cohort of 14,215 individuals, 495 validated ischemic strokes were identified. Cox proportional hazards models, adjusted for age and gender, identified three SNPs in Whites and two SNPs in Blacks associated with incident stroke (p
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