Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.

The MGP single nucleotide polymorphism (SNP) rs1800801 has previously been associated with recurrent ischemic stroke in a Spanish cohort. Here, we tested for association of this SNP with ischemic stroke recurrence in a North American Caucasian cohort. Acute ischemic stroke patients admitted between...

Full description

Bibliographic Details
Main Authors: Philipp Hendrix, Nelson Sofoluke, Matthew Adams, Saran Kunaprayoon, Ramin Zand, Amy N Kolinovsky, Thomas N Person, Mudit Gupta, Oded Goren, H Lester Kirchner, Clemens M Schirmer, Natalia S Rost, James E Faber, Christoph J Griessenauer
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0235122
_version_ 1818587517444685824
author Philipp Hendrix
Nelson Sofoluke
Matthew Adams
Saran Kunaprayoon
Ramin Zand
Amy N Kolinovsky
Thomas N Person
Mudit Gupta
Oded Goren
H Lester Kirchner
Clemens M Schirmer
Natalia S Rost
James E Faber
Christoph J Griessenauer
author_facet Philipp Hendrix
Nelson Sofoluke
Matthew Adams
Saran Kunaprayoon
Ramin Zand
Amy N Kolinovsky
Thomas N Person
Mudit Gupta
Oded Goren
H Lester Kirchner
Clemens M Schirmer
Natalia S Rost
James E Faber
Christoph J Griessenauer
author_sort Philipp Hendrix
collection DOAJ
description The MGP single nucleotide polymorphism (SNP) rs1800801 has previously been associated with recurrent ischemic stroke in a Spanish cohort. Here, we tested for association of this SNP with ischemic stroke recurrence in a North American Caucasian cohort. Acute ischemic stroke patients admitted between 10/2009 and 12/2016 at three hospitals within a large healthcare system in the northeastern United States that were enrolled in a healthcare system-wide exome sequencing program were retrospectively reviewed. Patients with recurrent stroke within 1 year after index event were compared to those without recurrence. Of 9,348 suspected acute ischemic strokes admitted between 10/2009 and 12/2016, 1,727 (18.5%) enrolled in the exome-sequencing program. Among those, 1,068 patients had exome sequencing completed and were eligible for inclusion. Recurrent stroke within the first year of stroke was observed in 79 patients (7.4%). In multivariable analysis, stroke prior to the index stroke (OR 9.694, 95% CI 5.793-16.224, p ≤ 0.001), pro-coagulant status (OR = 3.563, 95% CI 1.504-8.443, p = 0.004) and the AA genotype of SNP rs1800801 (OR = 2.408, 95% CI 1.079-4.389, p = 0.004) were independently associated with recurrent stroke within the first year. The AA genotype of the MGP SNP rs1800801 is associated with recurrence within the first year after ischemic stroke in North American Caucasians. Study of stroke subtypes and additional populations will be required to determine if incorporation of allelic status at this SNP into current risk scores improves prediction of recurrent ischemic stroke.
first_indexed 2024-12-16T09:10:07Z
format Article
id doaj.art-31fd421dad4d4b4e89dd48bc4b708f99
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-16T09:10:07Z
publishDate 2020-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-31fd421dad4d4b4e89dd48bc4b708f992022-12-21T22:37:00ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01156e023512210.1371/journal.pone.0235122Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.Philipp HendrixNelson SofolukeMatthew AdamsSaran KunaprayoonRamin ZandAmy N KolinovskyThomas N PersonMudit GuptaOded GorenH Lester KirchnerClemens M SchirmerNatalia S RostJames E FaberChristoph J GriessenauerThe MGP single nucleotide polymorphism (SNP) rs1800801 has previously been associated with recurrent ischemic stroke in a Spanish cohort. Here, we tested for association of this SNP with ischemic stroke recurrence in a North American Caucasian cohort. Acute ischemic stroke patients admitted between 10/2009 and 12/2016 at three hospitals within a large healthcare system in the northeastern United States that were enrolled in a healthcare system-wide exome sequencing program were retrospectively reviewed. Patients with recurrent stroke within 1 year after index event were compared to those without recurrence. Of 9,348 suspected acute ischemic strokes admitted between 10/2009 and 12/2016, 1,727 (18.5%) enrolled in the exome-sequencing program. Among those, 1,068 patients had exome sequencing completed and were eligible for inclusion. Recurrent stroke within the first year of stroke was observed in 79 patients (7.4%). In multivariable analysis, stroke prior to the index stroke (OR 9.694, 95% CI 5.793-16.224, p ≤ 0.001), pro-coagulant status (OR = 3.563, 95% CI 1.504-8.443, p = 0.004) and the AA genotype of SNP rs1800801 (OR = 2.408, 95% CI 1.079-4.389, p = 0.004) were independently associated with recurrent stroke within the first year. The AA genotype of the MGP SNP rs1800801 is associated with recurrence within the first year after ischemic stroke in North American Caucasians. Study of stroke subtypes and additional populations will be required to determine if incorporation of allelic status at this SNP into current risk scores improves prediction of recurrent ischemic stroke.https://doi.org/10.1371/journal.pone.0235122
spellingShingle Philipp Hendrix
Nelson Sofoluke
Matthew Adams
Saran Kunaprayoon
Ramin Zand
Amy N Kolinovsky
Thomas N Person
Mudit Gupta
Oded Goren
H Lester Kirchner
Clemens M Schirmer
Natalia S Rost
James E Faber
Christoph J Griessenauer
Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.
PLoS ONE
title Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.
title_full Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.
title_fullStr Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.
title_full_unstemmed Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.
title_short Matrix Gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke.
title_sort matrix gla protein polymorphism rs1800801 associates with recurrence of ischemic stroke
url https://doi.org/10.1371/journal.pone.0235122
work_keys_str_mv AT philipphendrix matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT nelsonsofoluke matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT matthewadams matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT sarankunaprayoon matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT raminzand matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT amynkolinovsky matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT thomasnperson matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT muditgupta matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT odedgoren matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT hlesterkirchner matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT clemensmschirmer matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT nataliasrost matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT jamesefaber matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke
AT christophjgriessenauer matrixglaproteinpolymorphismrs1800801associateswithrecurrenceofischemicstroke