Significant synergistic effect of peroxisome proliferator-activated receptor gamma C-2821T and diabetes on the risk of ischemic stroke.

Abstract:

OBJECTIVE:To explore the relationship between the genetic polymorphisms of PPARgamma (Pro12Ala, C1431T, and C-2821T) and the risk of ischemic stroke and to investigate whether these genetic polymorphisms of PPARgamma would modify the risk of ischemic stroke among patients with hypertension or diabetes. RESEARCH DESIGN AND METHODS:The case-control study was conducted with 537 ischemic stroke patients and 537 control subjects. A structured questionnaire was used to collect information on conventional cardiovascular risk factors and laboratory results. The genetic polymorphisms of PPARgamma were determined by PCR-restriction fragment-length polymorphism. RESULTS:A significant interaction was seen between the -2821C allele and diabetes but not between this allele and hypertension. A markedly elevated risk of ischemic stroke (odds ratio 9.7) was found in the subjects with diabetes and the -2821C allele compared with that in those without these two risk factors. CONCLUSIONS:The -2821C allele of PPARgamma was a strong predictor of ischemic stroke for diabetic patients.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Hsieh FI,Lo WC,Lin HJ,Hsieh YC,Lien LM,Bai CH,Tseng HP,Chiou HY

doi

10.2337/dc09-0717

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

2033-5

issue

11

eissn

0149-5992

issn

1935-5548

pii

dc09-0717

journal_volume

32

pub_type

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