Polymorphism of the complement 5 gene is associated with large artery atherosclerosis stroke in Chinese patients
Hui Wu1, Yingfeng Weng1, Lan Zheng1
1Minhang District Central Hospital, Department of Neurology, Shanghai, China.
Insights
The C5 rs17611 genetic variant is linked to an increased risk of large artery atherosclerosis (LAA) ischemic stroke (IS). This genetic factor may independently contribute to LAA-IS incidence.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Research
Background:
- Ischemic stroke (IS) is a leading cause of disability and death.
- Identifying genetic risk factors for IS subtypes is crucial for targeted prevention.
- The role of specific genetic polymorphisms, such as C5 rs17611, in IS remains under investigation.
Purpose of the Study:
- To investigate the association between C5 rs17611 genetic variants and the risk of ischemic stroke.
- To determine if C5 rs17611 influences the incidence of specific IS subtypes, particularly large artery atherosclerosis (LAA).
- To evaluate the relationship between C5 rs17611 genotypes and stroke severity or outcome.
Main Methods:
- A case-control study involving 494 IS patients and 330 healthy controls.
- Genotyping for C5 rs17611 variants was performed.
- Ischemic stroke was classified into subtypes, and patients were assessed using the modified Rankin Scale (mRS) for stroke outcome.
Main Results:
- The C5 rs17611 polymorphism was significantly associated with the incidence of the LAA-subtype IS (p = 0.031).
- This association remained significant after adjusting for potential confounding factors (OR = 1.518, p = 0.013).
- No significant association was found between C5 rs17611 genotypes and stroke severity or 90-day outcome (p > 0.29).
Conclusions:
- The C5 rs17611 polymorphism may be an independent risk factor for developing large artery atherosclerosis ischemic stroke.
- Further research is warranted to elucidate the precise mechanisms by which C5 rs17611 influences LAA-IS.
- These findings contribute to understanding the genetic underpinnings of ischemic stroke subtypes.
Methods:
C5 rs17611 genetic variants were investigated in 494 IS patients and 330 control individuals .Ischemic stroke was classified into subtypes and patients were assessed 90 days post-stroke with the modified Rankin Scale to determine stroke outcome.
Results:
The presence of C5 polymorphism was associated with the incidence of large artery atherosclerosis (LAA)-subtype IS (n =2 00; p = 0.031), which even persisted after adjustment for covariates (OR = 1.518; 95%CI = 1.093-2.018; p = 0.013). However, no association was found between genotypes and the severity and outcome of stroke (p = 0.978; p = 0.296).
Conclusions:
The C5 polymorphism might contribute to the risk of LAA-subtype IS independently of other known risk predictors.
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