Skip to main content

Advertisement

Log in

Endothelial nitric oxide synthase rs1799983 gene polymorphism is associated with the risk of developing intracranial aneurysm

  • Original Article
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Purpose

The intracranial aneurysm (IA) rupture is associated with a subarachnoid hemorrhage. One third of patients die, and one third remain depend for daily activities. Genetic factors are crucial in the formation and clinical evolution of IAs. Multiple loci have been associated with AIs, much of them implicating multiple pathways related to vascular endothelial maintenance and extracellular matrix integrity. Thus, the aim of our study was to characterize whether polymorphisms in genes implicated in the vascular endothelial maintenance could modify the risk of developing IAs.

Subjects and methods

We have studied 176 patients with IA recruited in the Service of Neurosurgery at the University Hospital of Valladolid (Spain) and a control group if 150 sex-matched healthy subjects. Clinical variables were collected from each patient. We have analyzed VEGFA rs833061, VEGFR2 rs2071559, endothelin rs5370, endoglin rs3739817, and eNOS rs1799983 polymorphisms.

Results

Our results showed that allele T of the eNOS rs1799983 polymorphism is correlated with decreased risk of developing the disease; thus, allele G of the eNOS rs1799983 polymorphism increased the risk of developing IA.

Conclusion

The association of eNOS rs1799983 polymorphism with the risk to suffer IA reinforces the hypothesis that genetic variants in eNOS gene could be crucial in the pathogenesis of IA.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ajiboye N, Chalouhi N, Starke RM, Zanaty M, Bell R (2015) Unruptured cerebral aneurysms: evaluation and management. Sci World J 2015:954954. https://doi.org/10.1155/2015/954954

    Article  Google Scholar 

  2. Alg VS, Sofat R, Houlden H, Werring DJ (2013) Genetic risk factors for intracranial aneurysms: a meta-analysis in more than 116,000 individuals. Neurology 80:2154–2165. https://doi.org/10.1212/WNL.0b013e318295d751

    Article  PubMed  PubMed Central  Google Scholar 

  3. Bakker MK, van der Spek RAA, van Rheenen W et al (2020) Genome-wide association study of intracranial aneurysms identifies 17 risk loci and genetic overlap with clinical risk factors. Nat Genet 52(12):1303–1313

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Broderick JP, Brown RD Jr, Sauerbeck L, Hornung R, Huston J 3rd, Woo D, Anderson C et al (2009) Greater rupture risk for familial as compared to sporadic unruptured intracranial aneurysms. Stroke 40:1952–1957. https://doi.org/10.1161/STROKEAHA.108.542571

    Article  PubMed  PubMed Central  Google Scholar 

  5. Bromberg JE, Rinkel GJ, Algra A, Greebe P, van Duyn CM, Hasan D et al (1995) Subarachnoid haemorrhage in first and second degree relatives of patients with subarachnoid haemorrhage. BMJ 311:288–289. https://doi.org/10.1136/bmj.311.7000.288

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Clarke M (2008) Systematic review of reviews of risk factors for intracranial aneurysms. Neuroradiology 50:653–664. https://doi.org/10.1007/s00234-008-0411-9

    Article  PubMed  Google Scholar 

  7. Feigin VL, Rinkel GJ, Lawes CM, Algra A, Bennett DA, van Gijn J, Anderson CS (2005) Risk factors for subarachnoid hemorrhage: an updated systematic review of epidemiological studies. Stroke 36:2773–2780. https://doi.org/10.1161/01.STR.0000190838.02954.e8

    Article  PubMed  Google Scholar 

  8. Fisher CM, Kistler JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9

    Article  CAS  PubMed  Google Scholar 

  9. González-Sarmiento R, Corral J, Mories MT, Corrales JJ, Miguel-Velado E, Miralles-Garcia JM (2001) Monoallelic deletion in the 5’ region of the thyroglobulin gene as a cause of sporadic nonendemic simple goiter. Thyroid 11:789–793. https://doi.org/10.1089/10507250152484655

    Article  PubMed  Google Scholar 

  10. Inagawa T (2022) Prevalence of cerebral aneurysms in autopsy studies: a review of the literature. Neurosurg Rev 45(4):2565–2582. https://doi.org/10.1007/s10143-022-01783-7

    Article  PubMed  Google Scholar 

  11. Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet 1:480–484

    Article  CAS  PubMed  Google Scholar 

  12. Knowles RG, Palacios M, Palmer RM, Moncada S (1989) Formation of nitric oxide from L-arginine in the central nervous system: a transduction mechanism for stimulation of the soluble guanylate cyclase. Proc Natl Acad Sci USA 86:5159–5162. https://doi.org/10.1073/pnas.86.13.5159

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Korja M, Silventoinen K, McCarron P, Zdravkovic S, Skytthe A, Haapanen A et al (2010) Genetic epidemiology of spontaneous subarachnoid hemorrhage: Nordic Twin Study. Stroke 41:2458–2462. https://doi.org/10.1161/STROKEAHA.110.586420

    Article  PubMed  Google Scholar 

  14. Krischek B, Inoue I (2006) The genetics of intracranial aneurysms. J Hum Genet 51:587–594. https://doi.org/10.1007/s10038-006-0407-4

    Article  PubMed  Google Scholar 

  15. Liang AS, Egladyous A, Jumah F, Raju B, Nagaraj A, Belykh E, Nanda A, Gupta G (2022) Tribute to William Edward Hunt and Robert McDonald Hess Jr.: pioneers in the clinical classification of ruptured intracranial aneurysms. World Neurosurg 164:93–96. https://doi.org/10.1016/j.wneu.2022.01.021

    Article  PubMed  Google Scholar 

  16. Lin Y, Yu H, Song W, Zhang Y, Zhang C, Zhu Y et al (2014) A variant in the endoglin gene is associated with the development of sporadic intracranial aneurysms. Curr Neurovasc Res 11:294–301. https://doi.org/10.2174/1567202611666140912114450

    Article  CAS  PubMed  Google Scholar 

  17. Maderna E, Corsini E, Franzini A, Giombini S, Pollo B, Broggi G et al (2010) Expression of vascular endothelial growth factor receptor-1/-2 and nitric oxide in unruptured intracranial aneurysms. Neurol Sci 31:617–623. https://doi.org/10.1007/s10072-010-0378-2

    Article  CAS  PubMed  Google Scholar 

  18. Nahed BV, Bydon M, Ozturk AK, Bilguvar K, Bayrakli F, Gunel M (2007) Genetics of intracranial aneurysms. Neurosurgery 60:213–225. https://doi.org/10.1227/01.NEU.0000249270.18698.BB

    Article  PubMed  Google Scholar 

  19. Napoli C, Paolisso G, Casamassimi A, Al-Omran M, Barbieri M, Sommese L et al (2013) Effects of nitric oxide on cell proliferation: novel insights. J Am Coll Cardiol 62:89–95. https://doi.org/10.1016/j.jacc.2013.03.070

    Article  CAS  PubMed  Google Scholar 

  20. Nieuwkamp DJ et al (2009) Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol 8:635–642

    Article  PubMed  Google Scholar 

  21. Nieuwkamp DJ, Setz LE, Algra A, Linn FH, de Rooij NK, Rinkel GJ (2009) Changes in case fatality of aneurysmal subarachnoid haemorrhage over time, according to age, sex, and region: a meta-analysis. Lancet Neurol 8:635–642. https://doi.org/10.1016/S1474-4422(09)70126-7

    Article  PubMed  Google Scholar 

  22. Oemar BS, Tschudi MR, Godoy N, Brovkovich V, Malinski T, Lüscher TF (1998) Reduced endothelial nitric oxide synthase expression and production in human atherosclerosis. Circulation 97:2494–2498. https://doi.org/10.1161/01.cir.97.25.2494

    Article  CAS  PubMed  Google Scholar 

  23. Palmer RM, Ferrige AG, Moncada S (1987) Nitric oxide release accounts for the biological activity of endothelium-derived relaxing factor. Nature 327:524–526. https://doi.org/10.1038/327524a0

    Article  CAS  PubMed  Google Scholar 

  24. Paschoal EHA, Yamaki VN, Teixeira RKC, Paschoal Junior FM, Jong-A-Liem GS, Teixeira MJ et al (2018) Relationship between endothelial nitric oxide synthase (eNOS) and natural history of intracranial aneurysms: meta-analysis. Neurosurg Rev 41:87–94. https://doi.org/10.1007/s10143-016-0761-4

    Article  PubMed  Google Scholar 

  25. Rinkel GJE, Algra A (2011) Long-term outcomes of patients with aneurysmal subarachnoid haemorrhage. Lancet Neurol 10:349–356. https://doi.org/10.1016/S1474-4422(11)70017-5

    Article  PubMed  Google Scholar 

  26. Rinkel GJ, Djibuti M, Algra A, van Gijn J (1998) Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke 29:251–256. https://doi.org/10.1161/01.str.29.1.251

    Article  CAS  PubMed  Google Scholar 

  27. Rudic RD, Shesely EG, Maeda N, Smithies O, Segal SS, Sessa WC (1998) Direct evidence for the importance of endothelium-derived nitric oxide in vascular remodeling. J Clin Invest 101:731–736. https://doi.org/10.1172/JCI1699

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Schleinitz D, Distefano JK, Kovacs P (2011) Targeted SNP genotyping using the TaqMan® assay. Methods Mol Biol 700:77–87. https://doi.org/10.1007/978-1-4939-0446-4_6

    Article  CAS  PubMed  Google Scholar 

  29. Tromp G, Weinsheimer S, Ronkainen A, Kuivaniemi H (2014) Molecular basis and genetic predisposition to intracranial aneurysm. Ann Med 46:597–606. https://doi.org/10.3109/07853890.2014.949299

    Article  CAS  PubMed  Google Scholar 

  30. Vlak MH, Algra A, Brandenburg R, Rinkel GJ (2011) Prevalence of unruptured intracranial aneurysms, with emphasis on sex, age, comorbidity, country, and time period: a systematic review and meta-analysis. Lancet Neurol 10:626–636

    Article  PubMed  Google Scholar 

  31. Wang XL, Wang J (2000) Endothelial nitric oxide synthase gene sequence variations and vascular disease. Mol Genet Metab 70:241–251. https://doi.org/10.1006/mgme.2000.3033

    Article  CAS  PubMed  Google Scholar 

  32. Wang XL, Sim AS, Wang MX, Murrell GA, Trudinger B, Wang J (2000) Genotype dependent and cigarette specific effects on endothelial nitric oxide synthase gene expression and enzyme activity. FEBS Lett 471:45–50. https://doi.org/10.1016/s0014-5793(00)01356-9

    Article  CAS  PubMed  Google Scholar 

  33. Wolf A, Zalpour C, Theilmeier G, Wang BY, Ma A, Anderson B et al (1997) Dietary L-arginine supplementation normalizes platelet aggregation in hypercholesterolemic humans. J Am Coll Cardiol 29:479–485. https://doi.org/10.1016/s0735-1097(97)00523-8

    Article  CAS  PubMed  Google Scholar 

  34. Yang C, Qi ZY, Shao C, Xing WK, Wang Z (2015) Association between three eNOS polymorphisms and intracranial aneurysms risk: a meta-analysis. Medicine (Baltimore) 94:e452. https://doi.org/10.1097/MD.0000000000000452

    Article  CAS  PubMed  Google Scholar 

  35. Yasuno K, Bilguvar K, Bijlenga P et al (2010) Genome-wide association study of intracranial aneurysm identifies three new risk loci. Nat Genet 42(5):420–427

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Yasuno K, Bakirciglu M, Low SK et al (2011) Common variant near the endothelin receptor type A (EDNRA) gene is associated with intracranial aneurysm risk. PNAS 6(108):19707–19712

    Article  Google Scholar 

Download references

Acknowledgements

We thank Ms. Nieves Mateos for technical help.

Funding

This work was supported by grants from Instituto de Salud Carlos III (Ministry of Economy and Competitiveness) (ISC IIII-FEDER: PI10/00219 and PI13/01741).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carlos A. Rodríguez-Arias.

Ethics declarations

Ethics approval

The experimental protocol was in accordance with the Declaration of Helsinki (2008) of the World Medical Association, approved by the University Hospital Clínico Hospital of Valladolid Ethics Committee (CINV 15–64) and in compliance with the Spanish data protection law (LO 15/1999) and specifications (RD 1720/2007). All who accepted to participate in the study signed a written consent.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Usategui-Martín, R., Jiménez-Arribas, P., Sakas-Gandullo, C. et al. Endothelial nitric oxide synthase rs1799983 gene polymorphism is associated with the risk of developing intracranial aneurysm. Acta Neurochir 165, 1261–1267 (2023). https://doi.org/10.1007/s00701-023-05552-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00701-023-05552-3

Keywords

Navigation