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Published on: May 24, 2021
Association study of CACNA1C polymorphisms with large artery atherosclerotic stroke in Chinese Han population
Chen Peng1, Ying Ding1, Xin Yi2
1a Department of Neurology , Shanghai Eighth People's Hospital Affiliated to Jiangsu University , Shanghai , PR China.
Insights
Genetic variations in the CACNA1C gene are linked to large-artery atherosclerotic stroke risk in the Chinese Han population. Specific single-nucleotide polymorphisms (SNPs) and haplotypes show significant associations with this common neurological disease.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Disease
Background:
- Ischemic stroke (IS) is a leading cause of death and disability in China.
- The CACNA1C gene's role in atherosclerosis and its association with IS risk, particularly large-artery atherosclerotic (LAA) stroke, requires further elucidation.
- Understanding genetic predispositions is crucial for IS prevention and management.
Purpose of the Study:
- To investigate the association between four single-nucleotide polymorphisms (SNPs) in the CACNA1C gene and the risk of large-artery atherosclerotic (LAA) stroke.
- To identify specific CACNA1C variants or haplotypes that may influence LAA stroke susceptibility in the Chinese Han population.
Main Methods:
- A case-control study involving 192 LAA stroke patients and 192 healthy controls.
- Genotyping of four CACNA1C SNPs (rs229961, rs215976, rs216008, rs10848683) using multiplex tagged-amplicon deep sequencing (TAm-Seq).
- Statistical analyses including chi-squared tests and binary logistic regression, with adjustments for gender and age.
Main Results:
- The SNP rs10848683 showed a significant association with LAA stroke risk in allele models (p=0.036) and recessive models (p=0.027).
- Specific haplotypes of CACNA1C, including C-T-C-C (p=0.017), G-C-C-C (p=0.046), and C-T-C-T (p=0.001), were significantly associated with LAA stroke risk.
- Odds ratios (OR) and 95% confidence intervals (CI) indicated both increased and decreased risks associated with these variants and haplotypes.
Conclusions:
- The CACNA1C gene, specifically certain SNPs and haplotypes, may play a role in the risk of large-artery atherosclerotic stroke in the Chinese Han population.
- These findings contribute to understanding the genetic basis of ischemic stroke and may inform future risk prediction strategies.
- Further research is warranted to validate these associations and explore the underlying biological mechanisms.
Abstract:
Aims Ischemic stroke (IS) is one of the most common diseases of neurology and the main cause of death and disability in Chinese population. CACNA1C was considered to be involved in the process of atherosclerosis, but there was little information about the association between genotypic polymorphisms of CACNA1C and ischemic stroke. Our study was designed to elucidate the relationship between four single-nucleotide polymorphisms (SNPs) variants in CACNA1C gene and the risk of large-artery atherosclerotic (LAA) stroke patients. Methods A total of 384 subjects were enrolled in this study, including 192 LAA stroke cases and 192 healthy controls. And four SNPs variants in CNCNA1C gene were genotyped using in-house developed multiplex tagged-amplicon deep sequencing (TAm-Seq). Statistical analysis were conducted using χ2 test and binary logistic regression analysis. Results We found one variant was significantly associated with LAA stroke in the allele models (rs10848683, p = 0.036, OR = 1.371, 95%CI: 1.021-1.841). And rs10848683 was also found to associate with LAA stroke under recessive model (p = 0.027, OR = 0.618, 95% CI: 0.403-0.947) after adjustment for gender and age. We also found that significant difference existed between haplotypes (rs229961-rs215976-rs216008-rs10848683) and LAA stroke (C-T-C-C, p = 0.017, OR = 2.265, 95%CI: 1.136-4.518; G-C-C-C, p = 0.046, OR = 1.891, 95% CI: 1.003-3.565; C-T-C-T, p = 0.001, OR = 0.256, 95%CI: 0.101-0.645). Conclusion The results suggested that there was a potential association between CNCNA1C gene and the risk factor of LAA stroke in Chinese Han population.
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