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A Meta-Analysis of the Association between Polymorphisms in MicroRNAs and Risk of Ischemic Stroke
Yan Xiao1,2, Mei-Hua Bao3, Huai-Qing Luo4
1Department of Anatomy, Histology and Embryology, Institute of Neuroscience, Changsha Medical University, Changsha 410219, China. y_xiao@sscta.cn.
Abstract:
Ischemic stroke (IS) is responsible for a high death rate and for adult disability worldwide. MiR-146a (rs2910164), miR-149 (rs2292832), miR-196a2 (rs11614913) and miR-499 (rs3746444) are found to be associated with ischemic stroke. However, the results were inconsistent and inconclusive. The present study performed a meta-analysis to get a more precise and comprehensive estimation of the association between the four polymorphisms and IS risk. The databases Pubmed, Embase, Cochrane Central Register of Controlled Trials, Chinese National Knowledge Infrastructure, and Chinese Biomedical Literature Database were searched for related studies. A total of five studies including 2230 cases and 2229 controls were identified for the meta-analysis. The results indicate that TT genotype and T allele of miR-149 (rs2292832) are associated with significantly lower risks of IS in a homozygous model (OR = 0.70) and an allelic model (OR = 0.86). No significant associations were found between miR-146a (rs2910164), miR-196a2 (rs11614913), miR-499 (3746444) and IS susceptibility in any of the studies. However, subgroup analysis by sample size indicates a significant decrease in risks of IS for CC genotype and C allele of miR-146a (rs2910164) in the large sample size group. Therefore, miR-149 (rs2292832) might be recommended as a predictor for IS risk, while miR-146a (rs2910164), miR-196a2 (rs11614913), miR-499 (3746444) are not.
Insights
MicroRNA-149 (rs2292832) genetic variations, specifically the TT genotype and T allele, are linked to reduced ischemic stroke risk. Other microRNAs showed no consistent association, though miR-146a warrants further investigation in larger studies.
Area of Science:
- Genetics
- Cardiovascular Disease Epidemiology
- Molecular Biology
Background:
- Ischemic stroke (IS) is a leading cause of death and disability globally.
- Genetic polymorphisms in microRNAs (miRNAs) have been implicated in IS risk, but findings are often inconsistent.
- miR-146a (rs2910164), miR-149 (rs2292832), miR-196a2 (rs11614913), and miR-499 (rs3746444) are among those studied.
Purpose of the Study:
- To conduct a meta-analysis to precisely estimate the association between four specific miRNA polymorphisms and the risk of ischemic stroke.
- To clarify inconsistent previous findings regarding the role of these miRNA genetic variations in IS susceptibility.
Main Methods:
- A systematic literature search was performed across major databases (PubMed, Embase, Cochrane, CNKI, CBM).
- A meta-analysis was conducted on five selected studies, comprising 2230 IS cases and 2229 controls.
- Statistical models (homozygous, allelic) were used to assess the association between miRNA genotypes/alleles and IS risk.
Main Results:
- The TT genotype and T allele of miR-149 (rs2292832) were significantly associated with a lower risk of IS (OR=0.70 and OR=0.86, respectively).
- No significant associations were found for miR-146a (rs2910164), miR-196a2 (rs11614913), or miR-499 (rs3746444) with IS risk in the overall analysis.
- Subgroup analysis by sample size revealed a potential protective effect of the CC genotype and C allele of miR-146a (rs2910164) in large sample size groups.
Conclusions:
- miR-149 (rs2292832) polymorphism may serve as a potential predictor for ischemic stroke risk.
- miR-146a, miR-196a2, and miR-499 polymorphisms, based on current evidence, are not reliable indicators of IS susceptibility.
- Further research, particularly larger sample size studies for miR-146a, is needed to confirm these findings.
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