Gene polymorphisms in association with self-reported stroke in US adults

Amy Z Fan1, Jing Fang1, Ajay Yesupriya2, Man-huei Chang2, Greta Kilmer1, Meaghan House3, Donald Hayes1, Renée M Ned2, Nicole F Dowling2, Ali H Mokdad1 1National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2O...

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Main Authors: Amy Z Fan, Jing Fang, Ajay Yesupriya, et al
Format: Article
Language:English
Published: Dove Medical Press 2010-03-01
Series:The Application of Clinical Genetics
Online Access:http://www.dovepress.com/gene-polymorphisms-in-association-with-self-reported-stroke-in-us-adul-a4072
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author Amy Z Fan
Jing Fang
Ajay Yesupriya
et al
author_facet Amy Z Fan
Jing Fang
Ajay Yesupriya
et al
author_sort Amy Z Fan
collection DOAJ
description Amy Z Fan1, Jing Fang1, Ajay Yesupriya2, Man-huei Chang2, Greta Kilmer1, Meaghan House3, Donald Hayes1, Renée M Ned2, Nicole F Dowling2, Ali H Mokdad1 1National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2Office of Public Health Genomics, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA; 3School of Public Health, Emory University, Atlanta, GA, USAPurpose: Epidemiologic studies suggest that several gene variants increase the risk of stroke, and population-based studies help provide further evidence. We identified polymorphisms associated with the prevalence of self-reported stroke in US populations using a representative sample.Methods: Our sample comprised US adults in the Third National Health and Nutrition Examination (NHANES III) DNA bank. We examined nine candidate gene variants within ACE, F2, F5, ITGA2, MTHFR, and NOS3 for associations with self-reported stroke. We used multivariate regression and Cox proportional hazards models to test the association between these variants and history of stroke.Results: In regression models, the rs4646994 variant of ACE (I/I and I/D genotypes) was associated with higher prevalence adjusted prevalence odds ratio [APOR] = 2.66 [1.28, 5.55] and 2.23 [1.30, 3.85], respectively) compared with the D/D genotype. The heterozygous genotype of MTHFR rs1801131 (A/C) was associated with lower prevalence of stroke (APOR = 0.48 [0.25, 0.92]) compared with A/A and C/C genotypes. For rs2070744 of NOS3, both the C/T genotype (APOR = 1.91 [1.12, 3.27]) and C/C genotype (APOR = 3.31 [1.66, 6.60]) were associated with higher prevalence of stroke compared with the T/T genotype.Conclusion: Our findings suggest an association between the prevalence of self-reported stroke and polymorphisms in ACE, MTHFR, and NOS3 in a population-based sample. Keywords: stroke, gene, polymorphisms, NHANES III, gene association analysis
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spelling doaj.art-3e8d2b3f23b4472c86cab3dee320cc752022-12-22T03:07:30ZengDove Medical PressThe Application of Clinical Genetics1178-704X2010-03-012010default2328Gene polymorphisms in association with self-reported stroke in US adultsAmy Z FanJing FangAjay Yesupriyaet alAmy Z Fan1, Jing Fang1, Ajay Yesupriya2, Man-huei Chang2, Greta Kilmer1, Meaghan House3, Donald Hayes1, Renée M Ned2, Nicole F Dowling2, Ali H Mokdad1 1National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA; 2Office of Public Health Genomics, Coordinating Center for Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA; 3School of Public Health, Emory University, Atlanta, GA, USAPurpose: Epidemiologic studies suggest that several gene variants increase the risk of stroke, and population-based studies help provide further evidence. We identified polymorphisms associated with the prevalence of self-reported stroke in US populations using a representative sample.Methods: Our sample comprised US adults in the Third National Health and Nutrition Examination (NHANES III) DNA bank. We examined nine candidate gene variants within ACE, F2, F5, ITGA2, MTHFR, and NOS3 for associations with self-reported stroke. We used multivariate regression and Cox proportional hazards models to test the association between these variants and history of stroke.Results: In regression models, the rs4646994 variant of ACE (I/I and I/D genotypes) was associated with higher prevalence adjusted prevalence odds ratio [APOR] = 2.66 [1.28, 5.55] and 2.23 [1.30, 3.85], respectively) compared with the D/D genotype. The heterozygous genotype of MTHFR rs1801131 (A/C) was associated with lower prevalence of stroke (APOR = 0.48 [0.25, 0.92]) compared with A/A and C/C genotypes. For rs2070744 of NOS3, both the C/T genotype (APOR = 1.91 [1.12, 3.27]) and C/C genotype (APOR = 3.31 [1.66, 6.60]) were associated with higher prevalence of stroke compared with the T/T genotype.Conclusion: Our findings suggest an association between the prevalence of self-reported stroke and polymorphisms in ACE, MTHFR, and NOS3 in a population-based sample. Keywords: stroke, gene, polymorphisms, NHANES III, gene association analysishttp://www.dovepress.com/gene-polymorphisms-in-association-with-self-reported-stroke-in-us-adul-a4072
spellingShingle Amy Z Fan
Jing Fang
Ajay Yesupriya
et al
Gene polymorphisms in association with self-reported stroke in US adults
The Application of Clinical Genetics
title Gene polymorphisms in association with self-reported stroke in US adults
title_full Gene polymorphisms in association with self-reported stroke in US adults
title_fullStr Gene polymorphisms in association with self-reported stroke in US adults
title_full_unstemmed Gene polymorphisms in association with self-reported stroke in US adults
title_short Gene polymorphisms in association with self-reported stroke in US adults
title_sort gene polymorphisms in association with self reported stroke in us adults
url http://www.dovepress.com/gene-polymorphisms-in-association-with-self-reported-stroke-in-us-adul-a4072
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AT etal genepolymorphismsinassociationwithselfreportedstrokeinusadults