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The Influence of OLR1 and PCSK9 Gene Polymorphisms on Ischemic Stroke: Evidence from a Meta-Analysis
Anthony Au1, Lyn R Griffiths2, Kian-Kai Cheng1,3
1Institute of Bioproduct Development and Department of Bioprocess Engineering, Faculty of Chemical Engineering, Universiti Teknologi Malaysia, 81300 Johor, Malaysia.
Insights
Genetic variants in OLR1 and PCSK9 genes are linked to ischemic stroke risk. This meta-analysis found that OLR1 rs11053646 and PCSK9 rs505151 polymorphisms may increase susceptibility to ischemic stroke.
Area of Science:
- Cardiovascular Genetics
- Neurology
- Molecular Biology
Background:
- Atherosclerosis, cardiovascular disease, and ischemic stroke are linked to OLR1 and PCSK9 genes.
- The association between OLR1 rs11053646 and PCSK9 rs505151 polymorphisms and ischemic stroke remains unclear.
- Previous studies have yielded inconclusive results regarding these genetic associations.
Purpose of the Study:
- To conduct the first meta-analysis clarifying the influence of OLR1 rs11053646 and PCSK9 rs505151 polymorphisms on ischemic stroke risk.
- To pool data from existing studies to provide a more definitive conclusion.
- To evaluate the contribution of these specific genetic variants to ischemic stroke susceptibility.
Main Methods:
- Systematic retrieval of eligible case-control and cohort studies from multiple databases.
- Extraction of demographic and genotyping data from selected studies.
- Meta-analysis performed using RevMan 5.3 and Metafor R 3.2.1, calculating pooled odds ratios (ORs) and 95% confidence intervals (CIs) using fixed- and random-effect models.
Main Results:
- Seven case-control studies involving 1897 cases and 2119 controls were analyzed.
- The OLR1 rs11053646 polymorphism showed a significant association with ischemic stroke in dominant (OR=1.33, 95% CI: 1.11-1.58) and co-dominant models (OR=1.24, 95% CI: 1.02-1.51).
- The PCSK9 rs505151 polymorphism exhibited an increased OR in the co-dominant model (OR=1.36, 95% CI: 1.01-1.58) among ischemic stroke patients.
Conclusions:
- The variant allele of OLR1 rs11053646 (G>C) is associated with an increased risk of ischemic stroke.
- The variant allele of PCSK9 rs505151 (A>G) may also contribute to the susceptibility of ischemic stroke.
- These findings highlight the potential role of OLR1 and PCSK9 genetic variants in ischemic stroke pathogenesis.
Abstract:
Both OLR1 and PCSK9 genes are associated with atherosclerosis, cardiovascular disease and ischemic stroke. The overall prevalence of PCSK9 rs505151 and OLR1 rs11053646 variants in ischemic stroke were 0.005 and 0.116, respectively. However, to date, association between these polymorphisms and ischemic stroke remains inconclusive. Therefore, this first meta-analysis was carried out to clarify the presumed influence of these polymorphisms on ischemic stroke. All eligible case-control and cohort studies that met the search terms were retrieved in multiple databases. Demographic and genotyping data were extracted from each study, and the meta-analysis was performed using RevMan 5.3 and Metafor R 3.2.1. The pooled odd ratios (ORs) and 95% confidence intervals (CIs) were calculated using both fixed- and random-effect models. Seven case-control studies encompassing 1897 cases and 2119 controls were critically evaluated. Pooled results from the genetic models indicated that OLR1 rs11053646 dominant (OR = 1.33, 95% CI:1.11-1.58) and co-dominant models (OR = 1.24, 95% CI:1.02-1.51) were significantly associated with ischemic stroke. For the PCSK9 rs505151 polymorphism, the OR of co-dominant model (OR = 1.36, 95% CI:1.01-1.58) was found to be higher among ischemic stroke patients. In conclusion, the current meta-analysis highlighted that variant allele of OLR1 rs11053646 G > C and PCSK9 rs505151 A > G may contribute to the susceptibility risk of ischemic stroke.
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