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Functional polymorphism rs710218 in the gene coding GLUT1 protein is associated with in-stent restenosis
Tadeusz Osadnik1, Joanna Strzelczyk2, Kamil Bujak1
1Medical University of Silesia, School of Medicine with the Division of Dentistry, 3rd Department of Cardiology, Silesian Centre for Heart Diseases, Marii Skłodowskiej Curie Street 9, 41-800 Zabrze, Poland.
Aim:
To analyze the association between in-stent restenosis (ISR) and polymorphisms in genes coding IGF-1, IGFBP3, ITGB3 and GLUT1, which play an important role in the smooth muscle cell proliferation and extracellular matrix synthesis - the main components of neointima.
Materials & Methods:
We analyzed 265 patients who underwent bare metal stent implantation.
Results:
The differences in the occurrence of ISR between genotypes of the analyzed polymorphisms in the IGF-1, IGFBP3 and ITGB3 were not statistically significant. The T/T genotype of the rs710218 polymorphism in the GLUT1 (SLC2A1) gene was more common in the ISR group compared with non-ISR patients (81.1 vs 64.8%; p = 0.02). In a multivariable model the A/A and A/T genotype remained correlated with lower occurrence of ISR (odds ratio: 0.45; 95% CI: 0.21-0.97; p = 0.03).
Conclusion:
The rs710218 polymorphism in the gene coding GLUT1 protein is a novel risk factor for ISR.
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