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Association between microRNA binding site polymorphisms in immunoinflammatory genes and recurrence risk of ischemic
Ruixia Zhu1, Yating Zhao1, Tongling Xiao1
1Department of Neurology, First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.
Abstract:
MicroRNA binding site polymorphisms in immunoinflammatory genes have been implicated as candidate biomarkers for prediction of complex human diseases. However, the roles of microRNA binding site polymorphisms in stroke onset and prognosis remain unclear. Thus, for the first time, five potential functional polymorphisms in immunoinflammatory genes (CXCR2 rs1126579, TLR4 rs11536889, ADIPOR2 rs12342, MMP-2 rs7201 and MMP-9 rs1056628) were genotyped in 657 patients with ischemic stroke. These five polymorphisms were not related with age onset of ischemic stroke. However, we found that ADIPOR2 rs12342 was significantly associated with a decreased recurrence risk, especially for the patients with small-vessel disease. Moreover, by using multivariate Cox regression, the variant genotype GG/GA of rs12342 was observed as an independent protective factor for stroke recurrence, even after Bonferroni correction. In addition, after the addition of rs12342 in the model with clinical factors, the new model showed the improved discriminatory ability to predict stroke recurrence. In short, our results suggested that ADIPOR2 rs12342 may be a novel genetic biomarker and therapeutic target for ischemic stroke recurrence. Further studies are required to replicate our findings and clarify the potential biological mechanism.
Insights
Genetic variations in immunoinflammatory genes, like ADIPOR2 rs12342, may predict ischemic stroke recurrence. This specific polymorphism shows promise as a biomarker for reduced stroke risk, particularly in small-vessel disease patients.
Area of Science:
- Genetics
- Immunology
- Neurology
Background:
- MicroRNA binding site polymorphisms in immunoinflammatory genes are potential biomarkers for complex diseases.
- The role of these polymorphisms in stroke onset and prognosis is not well understood.
Purpose of the Study:
- To investigate the association of five functional polymorphisms in immunoinflammatory genes with ischemic stroke onset and recurrence.
- To identify potential genetic biomarkers for predicting stroke recurrence risk.
Main Methods:
- Genotyping of five polymorphisms (CXCR2 rs1126579, TLR4 rs11536889, ADIPOR2 rs12342, MMP-2 rs7201, MMP-9 rs1056628) in 657 ischemic stroke patients.
- Statistical analysis including multivariate Cox regression to assess associations with stroke onset and recurrence.
- Evaluation of the predictive ability of ADIPOR2 rs12342 when added to clinical models.
Main Results:
- None of the five polymorphisms were associated with the age of ischemic stroke onset.
- The ADIPOR2 rs12342 polymorphism was significantly associated with a decreased risk of stroke recurrence, especially in patients with small-vessel disease.
- The variant genotype GG/GA of rs12342 was identified as an independent protective factor for stroke recurrence, improving prediction models.
Conclusions:
- ADIPOR2 rs12342 may serve as a novel genetic biomarker for predicting ischemic stroke recurrence.
- This polymorphism could also be a potential therapeutic target for reducing stroke recurrence.
- Further research is needed to validate these findings and elucidate the underlying biological mechanisms.
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