Title | Association of coagulation-related and inflammation-related genes and factor VIIc levels with stroke: the Cardiovascular Health Study. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Zakai, NA, Lange, L, Longstreth, WT, O'Meara, ES, Kelley, JL, Fornage, M, Nikerson, D, Cushman, M, Reiner, AP |
Journal | J Thromb Haemost |
Volume | 9 |
Issue | 2 |
Pagination | 267-74 |
Date Published | 2011 Feb |
ISSN | 1538-7836 |
Keywords | Blood Coagulation Factors, Cardiovascular Diseases, Cohort Studies, Factor VII, Female, Humans, Inflammation, Male, Polymorphism, Single Nucleotide, Prospective Studies, Risk Factors, Stroke |
Abstract | <p><b>BACKGROUND: </b>Thrombosis and inflammation are critical in stroke etiology, but associations of coagulation and inflammation gene variants with stroke, and particularly factor VII levels, are inconclusive.</p><p><b>OBJECTIVES: </b>To test the associations between 736 single-nucleotide polymorphisms (SNPs) between tagging haplotype patterns of 130 coagulation and inflammation genes, and stroke events, in the 5888 participants aged ≥ 65 years of the observational Cardiovascular Health Study cohort.</p><p><b>PATIENTS/METHODS: </b>With 16 years of follow-up, age-adjusted and sex-adjusted Cox models were used to estimate associations of SNPs and FVIIc levels with future stroke.</p><p><b>RESULTS: </b>Eight hundred and fifteen strokes occurred in 5255 genotyped participants without baseline stroke (748 ischemic strokes; 586 among whites). Among whites, six SNPs were associated with stroke, with a nominal P-value of < 0.01: rs6046 and rs3093261 (F7); rs4918851 and rs3781387 (HABP2); and rs3138055 (NFKB1A) and rs4648004 (NFKB1). Two of these SNPs were associated with FVIIc levels (units of percentage activity): rs6046 (β = -18.5, P = 2.38 × 10(-83)) and rs3093261 (β = 2.99, P = 3.93 × 10(-6)). After adjustment for age, sex, race, and cardiovascular risk factors, the association of FVIIc quintiles (Q) with stroke were as follows (hazard ratio; 95% confidence interval): Q1, reference; Q2, 1.4, 1.1-1.9); Q3, 1.1, 0.8-1.5); Q4, 1.5, 1.1-2.0); and Q5, 1.6, 1.2-2.2). Associations between SNPs and stroke were independent of FVIIc levels.</p><p><b>CONCLUSIONS: </b>Variations in FVII-related genes and FVIIc levels were associated with risk of incident ischemic stroke in this elderly cohort, suggesting a potential causal role for FVII in stroke etiology.</p> |
DOI | 10.1111/j.1538-7836.2010.04149.x |
Alternate Journal | J. Thromb. Haemost. |
PubMed ID | 21114618 |
PubMed Central ID | PMC3030667 |
Grant List | N01 HC085086 / HC / NHLBI NIH HHS / United States P30 AG024827 / AG / NIA NIH HHS / United States R01 AG020098-01 / AG / NIA NIH HHS / United States R01 HL059367-02 / HL / NHLBI NIH HHS / United States R01 AG-15928 / AG / NIA NIH HHS / United States P30 AG024827-05 / AG / NIA NIH HHS / United States R01 HL075366 / HL / NHLBI NIH HHS / United States R01 HL059367-05 / HL / NHLBI NIH HHS / United States R01 AG015928-02 / AG / NIA NIH HHS / United States P30 AG024827-02 / AG / NIA NIH HHS / United States P30 AG024827-01 / AG / NIA NIH HHS / United States U01 HL080295-04 / HL / NHLBI NIH HHS / United States N01-HC-85085 / HC / NHLBI NIH HHS / United States R01 HL059367-03 / HL / NHLBI NIH HHS / United States R01 AG015928 / AG / NIA NIH HHS / United States U01 HL080295 / HL / NHLBI NIH HHS / United States R01 AG023629-03 / AG / NIA NIH HHS / United States N01 HC075150 / HC / NHLBI NIH HHS / United States N01-HC-85081 / HC / NHLBI NIH HHS / United States R01 AG020098-02 / AG / NIA NIH HHS / United States R01 HL-075366 / HL / NHLBI NIH HHS / United States R01 HL059367 / HL / NHLBI NIH HHS / United States R01 HL071862-01A1 / HL / NHLBI NIH HHS / United States N01 HC015103 / HC / NHLBI NIH HHS / United States R01 HL059367-04 / HL / NHLBI NIH HHS / United States R01 AG027058-04 / AG / NIA NIH HHS / United States R01 HL59367 / HL / NHLBI NIH HHS / United States P30-AG-024827 / AG / NIA NIH HHS / United States U01 HL080295-01 / HL / NHLBI NIH HHS / United States R01 AG020098-03 / AG / NIA NIH HHS / United States R01 AG023629-02 / AG / NIA NIH HHS / United States R01 HL-071862 / HL / NHLBI NIH HHS / United States R01 HL059367-10 / HL / NHLBI NIH HHS / United States R01 AG027058-03 / AG / NIA NIH HHS / United States N01HC55222 / HL / NHLBI NIH HHS / United States U01 HL080295-03 / HL / NHLBI NIH HHS / United States N01-HC-85086 / HC / NHLBI NIH HHS / United States P30 AG024827-06 / AG / NIA NIH HHS / United States N01HC85086 / HL / NHLBI NIH HHS / United States AG-027058 / AG / NIA NIH HHS / United States N01-HC-85082 / HC / NHLBI NIH HHS / United States N01 HC-55222 / HC / NHLBI NIH HHS / United States P30 AG024827-08 / AG / NIA NIH HHS / United States R01 AG020098-04 / AG / NIA NIH HHS / United States P30 AG024827-03 / AG / NIA NIH HHS / United States R01 HL059367-08 / HL / NHLBI NIH HHS / United States N01 HC055222 / HC / NHLBI NIH HHS / United States R01 AG027058-01 / AG / NIA NIH HHS / United States R01 HL071862-03 / HL / NHLBI NIH HHS / United States P30 AG024827-06S2 / AG / NIA NIH HHS / United States U01 HL080295-02 / HL / NHLBI NIH HHS / United States N01-HC-85083 / HC / NHLBI NIH HHS / United States R01 HL071862-04 / HL / NHLBI NIH HHS / United States N01-HC-75150 / HC / NHLBI NIH HHS / United States N01-HC-85080 / HC / NHLBI NIH HHS / United States R01 HL071862 / HL / NHLBI NIH HHS / United States R01 AG-20098 / AG / NIA NIH HHS / United States R01 AG020098 / AG / NIA NIH HHS / United States R01 AG023629-01 / AG / NIA NIH HHS / United States N01HC75150 / HL / NHLBI NIH HHS / United States N01-HC-85079 / HC / NHLBI NIH HHS / United States R01 HL059367-09 / HL / NHLBI NIH HHS / United States R01 AG027058-02 / AG / NIA NIH HHS / United States P30 AG024827-04 / AG / NIA NIH HHS / United States P30 AG024827-07 / AG / NIA NIH HHS / United States R01 HL071862-02 / HL / NHLBI NIH HHS / United States AG-023629 / AG / NIA NIH HHS / United States N01HC85079 / HL / NHLBI NIH HHS / United States R01 AG023629 / AG / NIA NIH HHS / United States R01 HL059367-06 / HL / NHLBI NIH HHS / United States R01 AG027058 / AG / NIA NIH HHS / United States N01 HC045133 / HC / NHLBI NIH HHS / United States N01 HC035129 / HC / NHLBI NIH HHS / United States R56 AG023629 / AG / NIA NIH HHS / United States N01-HC-85084 / HC / NHLBI NIH HHS / United States R01 HL059367-07 / HL / NHLBI NIH HHS / United States R01 AG020098-05 / AG / NIA NIH HHS / United States R01 AG023629-04 / AG / NIA NIH HHS / United States |