Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting

Aim.To give comparative characteristics of the prevalence of polymorphic alleles in the genes of the hemostatic system PAI-1 (-675 5G/4G) and FGB (-455 G/A) in patients with sudden cardiac death and those with acute coronary syndrome undergoing coronary artery stenting.Material and methods.Genetic t...

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Main Authors: Dmitriy P. Berezovskiy, Irina A. Kolomoets, Stanislav S. Bachurin, Vladimir N. Egorov, Tatiana V. Tayutina
Format: Article
Language:English
Published: Eco-vector 2020-10-01
Series:Судебная Медицина
Subjects:
Online Access:https://for-medex.ru/jour/article/viewFile/319/303
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author Dmitriy P. Berezovskiy
Irina A. Kolomoets
Stanislav S. Bachurin
Vladimir N. Egorov
Tatiana V. Tayutina
author_facet Dmitriy P. Berezovskiy
Irina A. Kolomoets
Stanislav S. Bachurin
Vladimir N. Egorov
Tatiana V. Tayutina
author_sort Dmitriy P. Berezovskiy
collection DOAJ
description Aim.To give comparative characteristics of the prevalence of polymorphic alleles in the genes of the hemostatic system PAI-1 (-675 5G/4G) and FGB (-455 G/A) in patients with sudden cardiac death and those with acute coronary syndrome undergoing coronary artery stenting.Material and methods.Genetic typing of biological material (BM) was performed for the prevalence of polymorphic alleles in two genes of the hemostasis system. BM was selected from people with a diagnosis of coronary artery disease, divided into three comparison groups: I-suddenly deceased citizens with a diagnosis of coronary artery disease, II-patients with ACS who underwent urgent coronary artery stenting, and III-patients with a chronic form of coronary artery disease in whom endovascular surgery was performed as planned.Results.The calculated criterion 2of the prevalence of polymorphisms in the FGB (-455 G/A) and PAI-1 (-675 5G/4G) genes turned out to be more than the critical (tabular) value, which indicates an existing relationship between the presence of IHD and the carriage of one of the polymorphic alleles. Based on the same data, the 2criterion was calculated without taking into account data for a group of healthy citizens. For carriers of the polymorphic allele of the FGB gene (-455 G/A), no statistically significant differences were found. For carriers of the PAI-1 gene polymorphic allele (-675 5G/4G), statistically significant differences were found.Conclusions.ACS with a favorable outcome (subject to emergency surgical intervention) occurs at an earlier age than in patients diagnosed with coronary artery disease who die suddenly. The presence of a mutant allele in the PAI-1 gene (-675 5G/4G) requires further studies in order to expertly assess the death rate in patients after surgery with coronary stenting.
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spelling doaj.art-0512b5ee261c449bbd20a4155dd630a62023-09-02T07:42:21ZengEco-vectorСудебная Медицина2411-87292409-41612020-10-0163202610.19048/fm319290Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stentingDmitriy P. Berezovskiy0https://orcid.org/0000-0002-8502-1331Irina A. Kolomoets1https://orcid.org/0000-0001-7736-1400Stanislav S. Bachurin2https://orcid.org/0000-0002-4349-5897Vladimir N. Egorov3https://orcid.org/0000-0002-0661-9985Tatiana V. Tayutina4https://orcid.org/0000-0002-5421-4202I.M. Sechenov First Moscow State University (Sechenov University)Rostov State Medical UniversityRostov State Medical UniversityRostov State Medical UniversityRostov State Medical UniversityAim.To give comparative characteristics of the prevalence of polymorphic alleles in the genes of the hemostatic system PAI-1 (-675 5G/4G) and FGB (-455 G/A) in patients with sudden cardiac death and those with acute coronary syndrome undergoing coronary artery stenting.Material and methods.Genetic typing of biological material (BM) was performed for the prevalence of polymorphic alleles in two genes of the hemostasis system. BM was selected from people with a diagnosis of coronary artery disease, divided into three comparison groups: I-suddenly deceased citizens with a diagnosis of coronary artery disease, II-patients with ACS who underwent urgent coronary artery stenting, and III-patients with a chronic form of coronary artery disease in whom endovascular surgery was performed as planned.Results.The calculated criterion 2of the prevalence of polymorphisms in the FGB (-455 G/A) and PAI-1 (-675 5G/4G) genes turned out to be more than the critical (tabular) value, which indicates an existing relationship between the presence of IHD and the carriage of one of the polymorphic alleles. Based on the same data, the 2criterion was calculated without taking into account data for a group of healthy citizens. For carriers of the polymorphic allele of the FGB gene (-455 G/A), no statistically significant differences were found. For carriers of the PAI-1 gene polymorphic allele (-675 5G/4G), statistically significant differences were found.Conclusions.ACS with a favorable outcome (subject to emergency surgical intervention) occurs at an earlier age than in patients diagnosed with coronary artery disease who die suddenly. The presence of a mutant allele in the PAI-1 gene (-675 5G/4G) requires further studies in order to expertly assess the death rate in patients after surgery with coronary stenting.https://for-medex.ru/jour/article/viewFile/319/303coronary heart diseasesudden cardiac deathpolymorphismfibrinogenplasminogen activator inhibitor
spellingShingle Dmitriy P. Berezovskiy
Irina A. Kolomoets
Stanislav S. Bachurin
Vladimir N. Egorov
Tatiana V. Tayutina
Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
Судебная Медицина
coronary heart disease
sudden cardiac death
polymorphism
fibrinogen
plasminogen activator inhibitor
title Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
title_full Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
title_fullStr Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
title_full_unstemmed Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
title_short Comparative characteristics of polymorphic allele propagation in the hemostasis system genes PAI-1 (-675 5G/4G) and FGB (-455 G/A) in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
title_sort comparative characteristics of polymorphic allele propagation in the hemostasis system genes pai 1 675 5g 4g and fgb 455 g a in sudden cardiac death and acute coronary syndrome in patients undergoing coronary artery stenting
topic coronary heart disease
sudden cardiac death
polymorphism
fibrinogen
plasminogen activator inhibitor
url https://for-medex.ru/jour/article/viewFile/319/303
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