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Published on: September 17, 2014
Association of apolipoprotein M gene polymorphisms with ischemic stroke in a Han Chinese population
Dongxue Zhao1, Zhiyi He, Xue Qin
1Department of Neurology, Sheng Jing Hospital of China Medical University, Shenyang, 110001, China.
Abstract:
The apolipoprotein M (ApoM) gene is critical in the formation of pre-β-high-density lipoprotein (HDL) and cholesterol efflux to HDL. In this case and control study, 314 ischemic stroke patients and 389 healthy controls were analyzed for three ApoM gene single-nucleotide polymorphisms (SNPs), i.e., C-1065A, T-855C, and T-778C, using a SNaPshot Multiplex sequencing assay. The genotype and allele frequencies of the T-855C were similar in both ischemic stroke patients and the controls. But the frequency of the TC genotype, the C allele of T-778C, and the A allele of the C-1065A SNPs in ischemic stroke patients was significantly higher than that of the healthy controls. After adjusting for confounding risk factors (such as hypertension, diabetes, tobacco smoking, and alcohol consumption), the ApoM gene TC genotype, C allele of T-778C, and A allele of C-1065A were associated with a risk of ischemic stroke. Moreover, plasma levels of total cholesterol were significantly higher in patients with CC or CT genotypes of T-778C than those with TT genotype in the controls. The current data demonstrated that ApoM T-778 C and C-1065A SNPs were associated with increased risk of ischemic stroke in this Han Chinese population.
Insights
Genetic variations in the apolipoprotein M (ApoM) gene, specifically T-778C and C-1065A single-nucleotide polymorphisms (SNPs), are linked to an increased risk of ischemic stroke in the Han Chinese population.
Area of Science:
- Genetics
- Cardiovascular Disease
- Molecular Biology
Background:
- Apolipoprotein M (ApoM) plays a key role in high-density lipoprotein (HDL) metabolism and cholesterol transport.
- Single-nucleotide polymorphisms (SNPs) in genes can influence susceptibility to complex diseases like ischemic stroke.
- Understanding the genetic basis of ischemic stroke is crucial for developing targeted prevention strategies.
Purpose of the Study:
- To investigate the association between specific apolipoprotein M (ApoM) gene single-nucleotide polymorphisms (SNPs) and the risk of ischemic stroke.
- To evaluate the relationship between ApoM gene variants and plasma lipid levels in ischemic stroke patients and healthy controls.
Main Methods:
- A case-control study was conducted involving 314 ischemic stroke patients and 389 healthy controls.
- Genotyping of three ApoM gene SNPs (C-1065A, T-855C, and T-778C) was performed using a SNaPshot Multiplex sequencing assay.
- Statistical analyses were employed to compare genotype and allele frequencies and adjust for confounding factors.
Main Results:
- The T-855C SNP showed no significant difference in genotype or allele frequencies between patients and controls.
- Significantly higher frequencies of the TC genotype (T-778C), C allele (T-778C), and A allele (C-1065A) were observed in ischemic stroke patients compared to controls.
- After adjusting for hypertension, diabetes, smoking, and alcohol consumption, the TC genotype of T-778C and the A allele of C-1065A remained associated with increased ischemic stroke risk.
- Higher total cholesterol levels were found in controls with CC or CT genotypes of T-778C compared to those with the TT genotype.
Conclusions:
- The ApoM gene T-778C and C-1065A SNPs are associated with an increased risk of ischemic stroke in the Han Chinese population.
- These specific ApoM gene variants may contribute to the pathogenesis of ischemic stroke, potentially through alterations in cholesterol metabolism.
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