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Updated: May 9, 2026

A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
Cyclooxygenase-2 genetic polymorphism and stroke subtypes in Chinese
Guo-zhong Chen1, Xiao-yun Shan, Gan-ping Cheng
1Tongde Hospital of Zhejiang Province, Hangzhou, 311122, Zhejiang Province, People's Republic of China.
The cyclooxygenase-2 (COX-2) -1195G>A gene polymorphism and A-1195-G-765 haplotype are linked to increased ischemic stroke risk, particularly small vessel occlusion (SVO), in the Chinese population.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Research
Background:
- Cyclooxygenase-2 (COX-2) plays a role in inflammation associated with atherosclerosis.
- Investigating genetic variations in COX-2 is crucial for understanding stroke pathogenesis.
Purpose of the Study:
- To examine the association between COX-2 gene polymorphisms (-1195G>A and -765G>C) and ischemic stroke subtypes in a Chinese population.
- To determine if specific COX-2 genetic variants influence susceptibility to large artery atherosclerosis (LAA) or small vessel occlusion (SVO).
Main Methods:
- Genotyping of 224 LAA patients, 329 SVO patients, and 450 controls for COX-2 -1195G>A (rs689466) and -765G>C (rs20417) polymorphisms.
- Utilizing polymerase chain reaction-restriction fragment length polymorphism for genotyping.
- Applying chi-square tests and logistic regression for association and linkage disequilibrium analyses.
Main Results:
- The -1195G>A polymorphism was significantly associated with an increased risk of ischemic stroke (OR=1.51) and SVO (OR=1.57).
- The A-1195-G-765 haplotype also showed a significant association with higher risks of ischemic stroke (OR=1.27) and SVO (OR=1.27).
- No significant association was found between the -765G>C polymorphism and ischemic stroke risk, nor between the 1195G>A polymorphism and LAA.
Conclusions:
- The COX-2 -1195G>A polymorphism and the A-1195-G-765 haplotype are associated with ischemic stroke susceptibility in the Chinese population.
- These genetic associations appear specific to small vessel occlusion (SVO) rather than large artery atherosclerosis (LAA).
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