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Genetic Variants of RAMP2 and CLR are Associated with Stroke
Teruhide Koyama1, Nagato Kuriyama1, Etsuko Ozaki1
1Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine.
Insights
This study explored the link between adrenomedullin (ADM) receptor genes, RAMP2 and CLR, and stroke risk. One CLR gene variant (rs574603859) showed a protective association with stroke, suggesting a role in vascular homeostasis.
Area of Science:
- Genetics and cardiovascular disease research.
- Investigating the genetic underpinnings of stroke risk.
Background:
- Stroke is closely linked to vascular homeostasis, influenced by genetic and environmental factors.
- Adrenomedullin (ADM) has vasoprotective functions, but its receptor system in humans is understudied.
- The ADM receptor consists of calcitonin-receptor-like receptor (CLR) and receptor activity-modifying proteins (RAMPs).
Purpose of the Study:
- To analyze single nucleotide polymorphisms (SNPs) in RAMP2 and CLR genes for association with stroke.
- To investigate potential gene-environment interactions influencing stroke risk.
- To explore the role of the ADM receptor system in human stroke pathogenesis.
Main Methods:
- Utilized cross-sectional data from 14,087 participants in the Japan Multi-Institutional Collaborative Cohort Study.
- Genotyped participants for SNPs in RAMP2 and CLR genes.
- Performed hypothesis-based association analysis between stroke prevalence and selected SNPs in RAMP2 and CLR.
Main Results:
- Five SNPs (rs77035639, rs3815524, rs75380157, rs147565266, and rs753152) showed no significant association with common comorbidities.
- One CLR SNP (rs574603859) demonstrated a significantly lower odds ratio for stroke (0.238), suggesting a protective effect.
- Other analyzed SNPs exhibited higher odds ratios for stroke association.
Conclusions:
- This is the first study to examine the association between ADM receptor genes (RAMP2, CLR) and stroke in humans, considering gene-environment interactions.
- The findings highlight a potential protective role of a specific CLR gene variant in stroke.
- Further research is warranted to elucidate the precise mechanisms underlying the ADM receptor's influence on stroke risk.
Aim:
Stroke is associated closely with vascular homeostasis, and several complex processes and interacting pathways, which involve various genetic and environmental factors, contribute to the risk of stroke. Although adrenomedullin (ADM) has a number of physiological and vasoprotective functions, there are few studies of the ADM receptor system in humans. The ADM receptor comprises a calcitonin-receptor-like receptor (CLR) and receptor activity-modifying proteins (RAMPs). We analyzed single nucleotide polymorphisms (SNPs) in the RAMP2 and CLR genes to determine their association with stroke in the light of gene-environment interactions.
Methods:
Using cross-sectional data from the Japan Multi-Institutional Collaborative Cohort Study in the baseline surveys, 14,087 participants from 12 research areas were genotyped. We conducted a hypothesis-based association between stroke prevalence and SNPs in the RAMP2 and CLR genes based on data abstracted from two SNPs in RAMP2 and 369 SNPs in CLR. We selected five SNPs from among the CLR variants (rs77035639, rs3815524, rs75380157, rs574603859, and rs147565266) and one RAMP2 SNP (rs753152), which were associated with stroke, for analysis.
Results:
Five of the SNPs (rs77035639, rs3815524, rs75380157, rs147565266, and rs753152) showed no significant association with obesity, ischemic heart disease, hypertension, dyslipidemia, and diabetes. In the logistic regression analysis, rs574603859 had a lower odds ratio (0.238; 95% confidence interval, 0.076-0.745, adjusted for age, sex, and research area) and the other SNPs had higher odds ratios for association with stroke.
Conclusions:
This was the first study to investigate the relationships between ADM receptor genes (RAMP2 and CLR) and stroke in the light of gene-environment interactions in human.
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