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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2009-2-16
pubmed:abstractText
A relationship between apolipoprotein E (Apo E) genotype and angiotensin-converting enzyme (ACE) insertion-deletion (Ins-Del) mutation and stroke was suggested. We investigated the association of Apo E4 and ACE Ins/Del genotypes with stroke risk and changes in serum lipids in 228 consecutive Tunisian stroke patients, and 323 age-and gender-matched controls. Comparable frequencies of ACE Ins/Del alleles were seen between patients and controls. The prevalence of Apo epsilon3 allele and Apo E3/E3 were lower (P < 0.001), while the frequency of Apo epsilon4 allele and epsilon4-containing genotypes (E3/E4 and E4/E4) were elevated (P < 0.001) among patients. Higher proportion of Apo E4-carrying + ACE Del/Del positive cases were seen in young (<50 years) patients (P = 0.012), and was associated with large vessel stroke (P = 0.035). Mean serum cholesterol, LDL, HDL, and triglycerides were comparable between E4-containing and no E4-containing and ACE Del/Del-positive patients. Apo E4 and ACE Del/Del genotype combination substantially increase stroke risk, supporting the notion that interactions of multiple gene variants influence stroke pathogenesis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0929-5305
pubmed:author
pubmed:issnType
Print
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
68-74
pubmed:meshHeading
pubmed-meshheading:18027070-Age Factors, pubmed-meshheading:18027070-Aged, pubmed-meshheading:18027070-Alleles, pubmed-meshheading:18027070-Apolipoprotein E3, pubmed-meshheading:18027070-Apolipoprotein E4, pubmed-meshheading:18027070-Brain Ischemia, pubmed-meshheading:18027070-Case-Control Studies, pubmed-meshheading:18027070-Comorbidity, pubmed-meshheading:18027070-Epigenesis, Genetic, pubmed-meshheading:18027070-Female, pubmed-meshheading:18027070-Gene Frequency, pubmed-meshheading:18027070-Genotype, pubmed-meshheading:18027070-Humans, pubmed-meshheading:18027070-Intracranial Arteriosclerosis, pubmed-meshheading:18027070-Lipids, pubmed-meshheading:18027070-Male, pubmed-meshheading:18027070-Middle Aged, pubmed-meshheading:18027070-Peptidyl-Dipeptidase A, pubmed-meshheading:18027070-Polymorphism, Genetic, pubmed-meshheading:18027070-Risk Factors, pubmed-meshheading:18027070-Sequence Deletion, pubmed-meshheading:18027070-Tunisia
pubmed:year
2009
pubmed:articleTitle
Interaction of angiotensin-converting enzyme and apolipoprotein E gene polymorphisms in ischemic stroke involving large-vessel disease.
pubmed:affiliation
Research Unit of Hematological and Autoimmune Diseases, Faculty of Pharmacy, University of Monastir, Monastir, Tunisia.
pubmed:publicationType
Journal Article