Skip to main content
Log in

Chromosome 4q25 Variants and Age at Onset of Ischemic Stroke

  • Published:
Molecular Neurobiology Aims and scope Submit manuscript

Abstract

Recent genome-wide association studies have identified two variants rs10033464 and rs2200733 on chromosome 4q25, significantly associated with ischemic stroke risk. We conducted this study to investigate whether these two variants were associated with age at onset and prognosis of ischemic stroke in a Chinese population. Genotyping of rs10033464 and rs2200733 was performed by improved multiple ligase detection reaction. One-way ANOVA was used to compare the mean age of ischemic stroke onset for each variant. Combined effects of these two variants on age at ischemic stroke onset were then estimated. Kaplan-Meier method, log-rank test, and the Cox proportional hazards regression models were used to assess the effect of the two variants on ischemic stroke prognosis. A total of 914 ischemic stroke patients were included in the study. Rs10033464 and rs2200733 were not associated with ischemic stroke recurrence (P > 0.05). However, rs10033464 TT genotype was significantly correlated with early age of ischemic stroke onset (60.76 for GG, 61.74 for GT, 55.47 for TT, TT vs. GT: P = 0.043). Combined effects analysis revealed that mean age at ischemic stroke onset decreased with increasing genetic risk score (P = 0.038). The findings indicated that the chromosome 4q25 variants might associate with early age at onset of ischemic stroke. Further larger studies in other populations are warranted to validate our results.

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.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Lozano R, Naghavi M, Foreman K et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2095–2128

    Article  PubMed  Google Scholar 

  2. Strong K, Mathers C, Bonita R (2007) Preventing stroke: saving lives around the world. Lancet Neurol 6(2):182–187

    Article  PubMed  Google Scholar 

  3. Hassan A, Markus HS (2000) Genetics and ischaemic stroke. Brain J Neurol 123(Pt 9):1784–1812

    Article  Google Scholar 

  4. Markus H (2004) Genes for stroke. J Neurol Neurosurg Psychiatry 75(9):1229–1231

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Dichgans M (2007) Genetics of ischaemic stroke. Lancet Neurol 6(2):149–161

    Article  CAS  PubMed  Google Scholar 

  6. Jerrard-Dunne P, Cloud G, Hassan A, Markus HS (2003) Evaluating the genetic component of ischemic stroke subtypes: a family history study. Stroke J Cereb Circ 34(6):1364–1369

    Article  Google Scholar 

  7. Luengo-Fernandez R, Gray AM, Rothwell PM, Oxford Vascular S (2012) A population-based study of hospital care costs during 5 years after transient ischemic attack and stroke. Stroke J Cereb Circ 43(12):3343–3351

    Article  Google Scholar 

  8. Hankey GJ (2014) Secondary stroke prevention. Lancet Neurol 13(2):178–194

    Article  PubMed  Google Scholar 

  9. Lotta LA, Giusti B, Saracini C et al (2010) No association between chromosome 12p13 single nucleotide polymorphisms and early-onset ischemic stroke. J Thromb Haemost 8(8):1858–1860

    Article  CAS  PubMed  Google Scholar 

  10. Majumdar V, Nagaraja D, Karthik N, Christopher R (2010) Association of endothelial nitric oxide synthase gene polymorphisms with early-onset ischemic stroke in South Indians. J Atheroscler Thromb 17(1):45–53

    Article  CAS  PubMed  Google Scholar 

  11. Rubattu S, Giusti B, Lotta LA et al (2013) Association of a single nucleotide polymorphism of the NPR3 gene promoter with early onset ischemic stroke in an Italian cohort. Eur J Intern Med 24(1):80–82

    Article  CAS  PubMed  Google Scholar 

  12. Gretarsdottir S, Thorleifsson G, Manolescu A et al (2008) Risk variants for atrial fibrillation on chromosome 4q25 associate with ischemic stroke. Ann Neurol 64(4):402–409

    Article  PubMed  Google Scholar 

  13. International Stroke Genetics C, Wellcome Trust Case Control C, Bellenguez C et al (2012) Genome-wide association study identifies a variant in HDAC9 associated with large vessel ischemic stroke. Nat Genet 44(3):328–333

    Article  Google Scholar 

  14. Liu X, Xu G, Wu W et al (2006) Subtypes and one-year survival of first-ever stroke in Chinese patients: the Nanjing Stroke Registry. Cerebrovasc Dis 22(2–3):130–136

    Article  PubMed  Google Scholar 

  15. Adams HP Jr, Bendixen BH, Kappelle LJ et al (1993) Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke J Cereb Circ 24(1):35–41

    Article  Google Scholar 

  16. Coull AJ, Rothwell PM (2004) Underestimation of the early risk of recurrent stroke: evidence of the need for a standard definition. Stroke J Cereb Circ 35(8):1925–1929

    Article  Google Scholar 

  17. Zhang Z, Xu G, Zhu W et al (2014) Chromosome 12p13 variants predict recurrence of ischaemic stroke in a Chinese population. Eur J Neurol Off J Eur Fed Neurol Soc 21(11):1400–1405

    CAS  Google Scholar 

  18. Thomas G, Sinville R, Sutton S et al (2004) Capillary and microelectrophoretic separations of ligase detection reaction products produced from low-abundant point mutations in genomic DNA. Electrophoresis 25(10–11):1668–1677

    Article  CAS  PubMed  Google Scholar 

  19. Shi L, Li C, Wang C et al (2009) Assessment of association of rs2200733 on chromosome 4q25 with atrial fibrillation and ischemic stroke in a Chinese Han population. Hum Genet 126(6):843–849

    Article  PubMed  Google Scholar 

  20. Lemmens R, Buysschaert I, Geelen V et al (2010) The association of the 4q25 susceptibility variant for atrial fibrillation with stroke is limited to stroke of cardioembolic etiology. Stroke J Cereb Circ 41(9):1850–1857

    Article  Google Scholar 

  21. Wnuk M, Pera J, Jagiella J et al (2011) The rs2200733 variant on chromosome 4q25 is a risk factor for cardioembolic stroke related to atrial fibrillation in Polish patients. Neurol Neurochir Pol 45(2):148–152

    PubMed  Google Scholar 

  22. Carty CL, Buzkova P, Fornage M et al (2012) Associations between incident ischemic stroke events and stroke and cardiovascular disease-related genome-wide association studies single nucleotide polymorphisms in the population architecture using genomics and epidemiology study. Circ Cardiovasc Genet 5(2):210–216

    Article  PubMed  PubMed Central  Google Scholar 

  23. Cao YY, Ma F, Wang Y, Wang DW, Ding H (2013) Rs2200733 and rs10033464 on chromosome 4q25 confer risk of cardioembolic stroke: an updated meta-analysis. Mol Biol Rep 40(10):5977–5985

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Sun L, Zhang Z, Xu J, Xu G, Liu X (2015) Chromosome 4q25 variants rs2200733, rs10033464, and rs1906591 contribute to ischemic stroke risk. Mol Neurobiol

  25. Faucourt M, Houliston E, Besnardeau L, Kimelman D, Lepage T (2001) The pitx2 homeobox protein is required early for endoderm formation and nodal signaling. Dev Biol 229(2):287–306

    Article  CAS  PubMed  Google Scholar 

  26. Mommersteeg MT, Hoogaars WM, Prall OW et al (2007) Molecular pathway for the localized formation of the sinoatrial node. Circ Res 100(3):354–362

    Article  CAS  PubMed  Google Scholar 

  27. Chinchilla A, Daimi H, Lozano-Velasco E et al (2011) PITX2 insufficiency leads to atrial electrical and structural remodeling linked to arrhythmogenesis. Circ Cardiovasc Genet 4(3):269–279

    Article  CAS  PubMed  Google Scholar 

  28. Martin RI, Babaei MS, Choy MK et al (2015) Genetic variants associated with risk of atrial fibrillation regulate expression of PITX2, CAV1, MYOZ1, C9orf3 and FANCC. J Mol Cell Cardiol 85:207–214

    Article  CAS  PubMed  Google Scholar 

  29. Gore-Panter SR, Hsu J, Hanna P et al (2014) Atrial fibrillation associated chromosome 4q25 variants are not associated with PITX2c expression in human adult left atrial appendages. PLoS One 9(1):e86245

    Article  PubMed  PubMed Central  Google Scholar 

  30. Aguirre LA, Alonso ME, Badia-Careaga C et al (2015) Long-range regulatory interactions at the 4q25 atrial fibrillation risk locus involve PITX2c and ENPEP. BMC Biol 13:26

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

This work was supported by the National Natural Science Foundation of China (31200938, 81571148, 81501019, 81220108008). We thank Benjamin L. Kidder (Systems Biology Center, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892, USA) for language editing of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Zhizhong Zhang or Xinfeng Liu.

Ethics declarations

Written informed consent was obtained from all participates, and the study was approved by the Institutional Review Board of Jinling Hospital (Nanjing, China).

Conflict of Interest

The authors declare no conflict of interest.

Additional information

Xinfeng Liu is the first corresponding author and Zhizhong Zhang is the second corresponding author.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sun, L., Tian, L., Xu, J. et al. Chromosome 4q25 Variants and Age at Onset of Ischemic Stroke. Mol Neurobiol 54, 3388–3394 (2017). https://doi.org/10.1007/s12035-016-9903-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12035-016-9903-5

Keywords

Navigation