Novel CD137 Gene Polymorphisms and Susceptibility to Ischemic Stroke in the Northern Chinese Han Population
Shuang Zhang1, Zongmin Li2, Ruyou Zhang3
1Department of Ultrasound, The 2nd Affiliated Hospital of Harbin Medical University, NO.246, Xuefu Road, Nangang District, Harbin, 150081, Heilongjiang, People's Republic of China.
Insights
This study investigated CD137 gene single nucleotide polymorphisms (SNPs) and their link to ischemic stroke risk in a Chinese population. Specific CD137 SNPs were associated with increased ischemic stroke risk, particularly in patients with diabetes.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Disease
Background:
- Ischemic stroke is a major global health concern, with atherosclerosis as a key risk factor.
- Emerging research highlights the role of CD137 in human atherosclerosis.
Purpose of the Study:
- To analyze the association between CD137 gene single nucleotide polymorphisms (SNPs) and ischemic stroke risk.
- To investigate these associations in a northern Chinese Han population, considering subgroups with diabetes and hypertension.
Main Methods:
- Genotyping of three CD137 SNPs (rs161827, rs161818, rs161810) in 496 ischemic stroke patients and 486 controls.
- Utilizing multivariable logistic regression and permutation analysis to assess allele, genotype, and haplotype associations.
- Stratifying analysis by diabetes, hypertension, and ischemic stroke subtypes.
Main Results:
- Significant associations were found between rs161827 and ischemic stroke, particularly in patients with diabetes.
- SNPs rs161818 and rs161810 showed significant differences in patients without diabetes compared to controls.
- All three studied SNPs (rs161827, rs161818, rs161810) were statistically significant in the combination stroke subgroup.
Conclusions:
- The CD137 gene is associated with ischemic stroke risk in the northern Han Chinese population.
- CD137 gene polymorphisms may mediate the link between diabetes and ischemic stroke.
Abstract:
Ischemic stroke is a leading cause of mortality and morbidity worldwide, and atherosclerosis is one of the major risk factors for this neurologic deficit. Recent studies have revealed the important role of CD137 in human atherosclerosis. Here, we analyzed the association of CD137 single nucleotide polymorphisms (SNPs) with ischemic stroke. We assessed three SNPs (rs161827, rs161818, and rs161810) of the CD137 gene and their association with ischemic stroke in a northern Chinese Han population. A total of 496 ischemic stroke patients and 486 gender-matched control subjects were genotyped. We classified these patients according to complications with diabetes and hypertension and also by ischemic stroke subtypes. Allele, genotype, and haplotype association studies were tested in all patients and subgroups. We used multivariable logistic regression analysis combined with 10,000 permutations to analyze the association of CD137 polymorphisms with ischemic stroke. After adjusting for relevant factors, rs161827 was significantly different between patients with and without diabetes and the control group (p = 0.0001, p = 0.014, and p = 0.0001, respectively). In addition, rs161818 and rs161810 differed significantly between patients without diabetes and the control subjects (p = 0.0001 and p = 0.004, respectively). rs161827, rs161818, and rs161810 were all statistically significant among the combination stroke subgroup compared with the controls. These results indicate that the CD137 gene is associated with risk of ischemic stroke in the northern Han Chinese. Moreover, CD137 gene polymorphism may be one mediating factor between diabetes and ischemic stroke.
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