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Cholesterol associated genetic risk score and acute coronary syndrome in Czech males
JA. Hubacek, V. Adamkova, V. Lanska, V. Staněk, J. Mrázková, M. Gebauerová, J. Kettner, J. Kautzner, J. Pitha
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články
Grantová podpora
00023001
Ministerstvo Zdravotnictví Ceské Republiky
LX22NPO5104
next generation EU
NLK
ProQuest Central
od 1997-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2011-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 1997-01-01 do Před 1 rokem
- MeSH
- akutní koronární syndrom * genetika MeSH
- cholesterol MeSH
- genetické rizikové skóre * MeSH
- jednonukleotidový polymorfismus genetika MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND: Despite a general decline in mean levels across populations, LDL-cholesterol levels remain a major risk factor for acute coronary syndrome (ACS). The APOB, LDL-R, CILP, and SORT-1 genes have been shown to contain variants that have significant effects on plasma cholesterol levels. METHODS AND RESULTS: We examined polymorphisms within these genes in 1191 controls and 929 patients with ACS. Only rs646776 within SORT-1 was significantly associated with a risk of ACS (P < 0.05, AA vs. + G comparison; OR 1.21; 95% CI 1.01-1.45). With regard to genetic risk score (GRS), the presence of at least 7 alleles associated with elevated cholesterol levels was connected with increased risk (P < 0.01) of ACS (OR 1.26; 95% CI 1.06-1.52). Neither total mortality nor CVD mortality in ACS subjects (follow up-9.84 ± 3.82 years) was associated with the SNPs analysed or cholesterol-associated GRS. CONCLUSIONS: We conclude that, based on only a few potent SNPs known to affect plasma cholesterol, GRS has the potential to predict ACS risk, but not ACS associated mortality.
3rd Department of Internal Medicine 1st Faculty of Medicine Charles University Prague Czech Republic
Cardiac Centre Institute for Clinical and Experimental Medicine Prague Czech Republic
Preventive Cardiology Centre Institute for Clinical and Experimental Medicine Prague Czech Republic
Citace poskytuje Crossref.org
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