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ABSTRACT: Background
Acute coronary syndrome (ACS) has an important impact in public health with high morbidity and mortality. Prothrombotic and proinflammatory states are involved in the pathogenesis of the disease. Plasminogen activator inhibitor-1 (PAI-1) is the major inhibitor of the fibrinolysis and also is part of immune response. The -844 G>A gene polymorphism is related to increased PAI-1 protein levels. The aim of the study is to evaluate the association of -844 G>A PAI-1 polymorphism with ACS.Methods
A total of 646 individuals were recruited from Western Mexico: 350 unrelated healthy subjects and 296 patients with diagnosis of ACS.Results
The most important risk factor in our population was hypertension, followed by smoking. The genetic distribution showed an association of the A allele (OR = 1.27, P = 0.04) and AA genotype (OR = 1.86, P = 0.02) with ACS. The recessive model displayed similar results (OR = 1.76, P = 0.02). As additional finding, we observed significant differences in the genetic distribution of ACS dyslipidemic patients (OR = 1.99, P = 0.04). The A allele and AA genotype of -844 polymorphism of PAI-1 gene are risk factors for ACS. The AA genotype might be associated with the development of dyslipidemia in ACS patients.
SUBMITTER: Garcia-Gonzalez IJ
PROVIDER: S-EPMC4350946 | biostudies-literature | 2015
REPOSITORIES: biostudies-literature
García-González Ilian Janet IJ Valle Yeminia Y Sandoval-Pinto Elena E Valdés-Alvarado Emmanuel E Valdez-Haro Angélica A Muñoz-Valle José Francisco JF Flores-Salinas Héctor Enrique HE Figuera-Villanueva Luis Eduardo LE Dávalos-Rodríguez Nory Omayra NO Padilla-Gutiérrez Jorge Ramón JR
Disease markers 20150219
<h4>Background</h4>Acute coronary syndrome (ACS) has an important impact in public health with high morbidity and mortality. Prothrombotic and proinflammatory states are involved in the pathogenesis of the disease. Plasminogen activator inhibitor-1 (PAI-1) is the major inhibitor of the fibrinolysis and also is part of immune response. The -844 G>A gene polymorphism is related to increased PAI-1 protein levels. The aim of the study is to evaluate the association of -844 G>A PAI-1 polymorphism wit ...[more]