Chromosome 9p21.3 Variants Are Associated with Cerebral Infarction in Chinese Population

Xuanye Yue1, Lili Tian, Xinying Fan

  • 1Department of Neurology, Tianjin Neurological Institute, Tianjin Medical University General Hospital, Tianjin, 300052, China.

Insights

Genetic variants on chromosome 9p21.3 are linked to cerebral infarction (CI) risk in the Chinese Han population. This study identified specific single-nucleotide polymorphisms (SNPs) and haplotypes associated with increased CI susceptibility.

Area of Science:

  • Genetics
  • Neurology
  • Cardiovascular Disease Genetics

Background:

  • The association between chromosome 9p21.3 variants and coronary artery disease is well-established.
  • However, the link between 9p21.3 and cerebral infarction (CI) has been inconsistent in previous studies.
  • Understanding this genetic association is crucial for identifying populations at higher risk for stroke.

Purpose of the Study:

  • To investigate and confirm the association between chromosome 9p21.3 genetic variants and cerebral infarction (CI) in a Chinese Han population.
  • To identify specific single-nucleotide polymorphisms (SNPs) and haplotypes within 9p21.3 that confer risk or protection against CI.
  • To evaluate the independent contribution of these genetic factors to CI risk, considering traditional cerebrovascular risk factors.

Main Methods:

  • A hospital-based case-control study involving 769 CI patients and 682 healthy controls from the Chinese Han population.
  • Genotyping of eight single-nucleotide polymorphisms (SNPs) previously associated with cerebral infarction.
  • Association analyses were conducted at both the SNP and haplotype levels, including allelic, recessive, and additive models, and adjusted for traditional risk factors.

Main Results:

  • Three SNPs (rs2383207, rs1537378, and rs3731245) showed significant association with cerebral infarction.
  • Allelic analyses revealed significant associations for rs2383207, rs3731245, and rs1537378 with CI.
  • Haplotype analysis identified a protective effect for the AATAA haplotype (OR=0.87, P=2.99×10⁻³).
  • rs1537378 remained significantly associated with CI independently of traditional risk factors in recessive and additive models.
  • rs2383207 and rs3731245 were significantly associated with CI in a recessive model.

Conclusions:

  • Chromosome 9p21.3 is confirmed as an important susceptibility locus for cerebral infarction in the Chinese population.
  • Specific SNPs and haplotypes within 9p21.3 play a significant role in modulating CI risk.
  • These findings contribute to a better understanding of the genetic underpinnings of stroke and may inform future risk prediction strategies.

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