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Flavin containing monooxygenase 3 genetic polymorphisms Glu158Lys and Glu308Gly and their relation to ischemic stroke
Aysun Türkanoğlu Özçelik1, Birsen Can Demirdöğen, Seref Demirkaya
1Department of Biochemistry, Institute of Natural and Applied Sciences, Middle East Technical University, 06800 Ankara, Turkey. aysunturkanoglu@gmail.com
Insights
This study investigated FMO3 gene variants and ischemic stroke risk in the Turkish population. While no overall association was found, specific FMO3 genotypes increased stroke risk in hypertensive and obese individuals.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Disease
Background:
- Ischemic stroke is a leading cause of death and disability, with poorly understood genetic underpinnings.
- Oxidative stress from reactive oxygen species contributes to atherosclerosis, a major cause of ischemic stroke.
- The FMO3 gene's role in ischemic stroke pathogenesis requires further investigation.
Purpose of the Study:
- To examine the association between FMO3 gene variants (Glu158Lys and Glu308Gly) and ischemic stroke risk.
- To analyze these associations within the Turkish population.
- To explore potential gene-environment interactions with hypertension and obesity.
Main Methods:
- Case-control study design involving 245 ischemic stroke cases and 145 controls.
- Genotyping of two FMO3 single nucleotide polymorphisms (SNPs): Glu158Lys and Glu308Gly using PCR-RFLP.
- Statistical analysis including case-control comparisons and subgroup analyses for hypertension and obesity.
Main Results:
- No significant overall association between FMO3 Glu158Lys/Glu308Gly polymorphisms and ischemic stroke risk.
- Heterozygous FMO3 genotypes (158Glu/Lys and 308Glu/Gly) significantly increased stroke risk by approximately 6-fold in hypertensive subjects.
- Wild-type FMO3 genotypes (158Glu/Glu and 308Glu/Glu) were associated with a 6.2-fold and 4.8-fold higher risk of ischemic stroke in obese individuals, respectively.
Conclusions:
- FMO3 gene variants do not appear to be a general risk factor for ischemic stroke in the Turkish population.
- Specific FMO3 genotypes demonstrate a significant gene-environment interaction, increasing ischemic stroke risk in conjunction with hypertension and obesity.
- This study provides novel insights into the genetic susceptibility of ischemic stroke, particularly in relation to metabolic factors in the Turkish population.
Abstract:
Ischemic stroke is a multifactorial disease leading to severe long-term disability and it is the third leading cause of death in developed countries. Although many studies have been reported to elucidate etiological and pathological mechanisms of stroke, the genetic and molecular basis of disease remains poorly understood. Recent studies have shown that reactive oxygen species causing oxidative stress play a pivotal role in the pathogenesis of atherosclerosis that is the main cause of a group of cardiovascular diseases including ischemic stroke. In this study, we aimed to investigate the relationship between FMO3 Glu158Lys and Glu308Gly variants, and the risk of incidence of ischemic stroke in Turkish population. Two single nucleotide polymorphisms (SNPs) within the FMO3 gene were genotyped by using PCR-RFLP technique in a sample set of 245 cases and 145 controls. In the case-control analysis, no significant difference was observed between stroke patients and controls with respect to FMO3 Glu158Lys and Glu308Gly polymorphisms' genotype and allele frequency distribution. However, heterozygote 158Glu/Lys (OR=6.110, P<0.001) and 308Glu/Gly (OR=6.000, P=0.006) genotypes increase the risk of stroke 6 times in hypertensive subjects. On the other hand, the wild type genotypes 158Glu/Glu and 308Glu/Glu had 6.2-fold and 4.8-fold higher risk of ischemic stroke in obese subgroup, respectively. Our results clearly showed that the risk of hypertension-related ischemic stroke was higher in the heterozygote genotype carriers. This is the first study conducted regarding the association of FMO3 Glu158Lys and Glu308Gly genetic polymorphisms and ischemic stroke risk in Turkish population.
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