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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Association of IL6ST (gp130) Polymorphism with Functional Outcome Following Spontaneous Intracerebral Hemorrhage
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Association of IL6ST (gp130) Polymorphism with Functional Outcome Following Spontaneous Intracerebral Hemorrhage

机译:IL6ST(GP130)多态性与自发脑出血后功能结果的关联

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Background and Purpose: Genes associated with the inflammatory response and cytostructural integrity may influence recovery following a brain injury. To examine this in the setting of spontaneous intracerebral hemorrhage (ICH), selected single nucleotide polymorphisms (SNPs) were assessed for associations with patient outcome. Methods: A cohort of 54 patients with supratentorial ICH were enrolled. Based on known involvement with neuroinflammation and cytostructural integrity, 10 preselected SNPs from 6 candidate genes were tested for associations with 6-month functional outcome (modified Rankin Scale [mRS] = 3), mortality, and in-hospital deterioration (Glasgow Coma Scale decrease by 2 within 7 days of admission) following ICH. Fisher's exact test and logistic regression with adjustment for race and ICH score were performed. Results: SNP rs10940495 (gp130 G/A) within the gp130 gene was the only SNP significantly associated with lower odds of an unfavorable 6-month functional outcome (odds ratio = .16 for mRS = 3; 95% confidence interval,.03-.87, P =.03). Compared with major allele (A) homozygotes, minor allele (G) carriers in the IL6 signal transducer gene (gp130) locus were 84% less likely to have a poor outcome (mRS = 3) at 6 months following spontaneous ICH. The SNP rs10940495 (gp130 G/A) and SNP rs3219119 (PARP-1 A/T) were associated with 6-month mortality (P = .02 and .04, respectively) only on univariate analysis. None of the SNPs examined were associated with in-hospital deterioration. Conclusion: In this exploratory study, SNP rs10940495 in the gp130 locus was associated with functional outcome at 6 months following spontaneous ICH. These findings, which should be validated through a larger study, suggest that inflammation plays an important role in mediating outcomes after ICH.
机译:背景和目的:与炎症反应和细胞结构完整相关的基因可能在脑损伤后影响恢复。为了在自发脑出血(ICH)的设定中来检查这一点,评估选定的单核苷酸多态性(SNP)与患者结果的关联。方法:注册了54例Supratental Ich患者的群组。基于已知的患有神经炎炎症和细胞结构完整性的参与,测试了来自6个候选基因的预选的SNP,用于6个月的功能结果(改进的Rankin Scale [Mrs] = 3),死亡率和院内康复(Glasgow Coma)在入院后7天内的缩放减少)在ICH之后。进行Fisher对种族和ICH评分进行调整的确切测试和逻辑回归。结果:GP130基因内的SNP RS10940495(GP130 G / A)是唯一与不利的6个月功能结果的少数显着相关的SNP(MRS&GT的赔率比率= .16; = 3; 95%的置信区间,。 03-.87,p = .03)。与主要等位基因(A)纯合子相比,IL6信号传感器基因(GP130)轨迹中的次要等位基因(G)载体在自发ICH后6个月在6个月内具有较差的结果(MRS&GT. = 3)的可能性较差84%。 SNP RS10940495(GP130 G / A)和SNP RS3219119(PARP-1 A / T)只与单变量分析仅在6个月死亡率(P = .02和.04)相关。检查的SNP没有与住院内的恶化有关。结论:在该探索性研究中,GP130基因座中的SNP RS10940495与自发ICH后6个月的功能结果相关。这些发现应该通过较大的研究验证,表明炎症在ICH之后介导的结果发挥着重要作用。

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