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Published on: April 1, 2019
Molecular Analysis of Prothrombotic Gene Variants in Patients with Acute Ischemic Stroke and with Transient Ischemic
Gustavo Cernera1,2, Marika Comegna1,2, Monica Gelzo1,2
1Dipartimento di Medicina Molecolare e Biotecnologie Mediche, Università di Napoli Federico II, 80131 Naples, Italy.
Insights
Genetic variants in methylene-tetrahydrofolate reductase (MTHFR) and other thrombotic pathway genes are associated with ischemic stroke (IS). These findings may aid in developing targeted IS prevention strategies.
Area of Science:
- Genetics
- Neurology
- Cardiovascular Medicine
Background:
- Ischemic stroke (IS) is a leading global cause of mortality.
- Identifying predisposing factors for IS is crucial for risk stratification and treatment.
- Understanding genetic contributions to IS can enhance preventative measures.
Purpose of the Study:
- To investigate the association between thrombotic pathway gene variants and ischemic stroke.
- To compare genetic profiles of IS patients, transient ischemic attack (TIA) patients, and the general population.
- To explore potential differences in genetic risk factors across age groups.
Main Methods:
- Genotyping of nine variants in thrombotic pathway genes.
- Case-control study comparing 282 IS patients, 87 TIA patients, and 430 general population controls from southern Italy.
- Analysis included young and child IS cases.
Main Results:
- No significant genetic differences were found between TIA patients and the general population.
- Allele frequencies of MTHFR C677T, beta-fibrinogen -455G>A, and FXIII V34L were significantly higher in IS patients compared to controls.
- No significant gene-sex interactions were observed.
Conclusions:
- Certain gene variants within the thrombotic pathway appear to play a role in the pathogenesis of ischemic stroke.
- These genetic factors represent a potential avenue for developing specific IS prevention strategies.
- Further large-scale population studies are warranted to validate these findings and inform clinical practice.
Abstract:
Background and objectives: ischemic stroke (IS) is among the most frequent causes of death worldwide; thus, it is of paramount relevance to know predisposing factors that may help to identify and treat the high-risk subjects. Materials and Methods:we tested nine variants in genes involved in thrombotic pathway in 282 patients that experienced IS and 87 that had transient ischemic attacks (TIA) in comparison to 430 subjects from the general population (GP) of the same geographic area (southern Italy). We included cases of young and child IS to evaluate the eventual differences in the role of the analyzed variants. Results: we did not observe significant differences between TIA and the GP for any of the variants, while the allele frequencies of methylene-tetrahydrofolate reductase (MTHFR) C677T, beta-fibrinogen -455G>A and factor (FXIII) V34L were significantly higher in patients with IS than in the subjects from the GP. No significant interaction was observed with sex. Conclusions: the present data argue that some gene variants have a role in IS and this appears to be an interesting possibility to be pursued in large population studies to help design specific strategies for IS prevention.
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