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Gene-environment interactions between methylenetetrahydrofolate reductase (MTHFR) 677C>T and metabolic syndrome for the prevalence of ischemic stroke in Koreans.

Abstract
Although metabolic syndrome (MS) is recognized as a risk factor for ischemic stroke, little is known about genetic variants that confer susceptibility to ischemic stroke among individuals with or without MS. This study was completed to investigate whether the methylenetetrahydrofolate reductase (MTHFR) 677C>T polymorphism is associated with MS as a risk factor for ischemic stroke in the Korean population. The prevalence of MS was significantly higher in ischemic stroke patients than controls (adjusted odds ratio [AOR]=1.420; 95% confidence interval [CI]=1.017-1.982, P=0.040). MS prevalence was also significantly different between patients with subtypes of small-artery occlusion (AOR=1.707; 95% CI=1.081-2.695, P=0.022) and large-artery occlusion (AOR=1.661; 95% CI=1.089-2.534, P=0.019) versus controls. The frequencies of the MTHFR 677 TT genotype (AOR=3.001; 95% CI=1.487-6.057, P=0.002) and CT genotype (AOR=1.772; 95% CI=1.053-2.983, P=0.031) of the MS group, and for the CC genotype in those without MS were significantly different between the ischemic stroke patients and controls. The MTHFR 677C>T polymorphism was associated with a higher risk of MS among ischemic stroke patients in the Korean population.
AuthorsOk Joon Kim, Seung Ho Hong, Young Joo Jeon, Seung Hun Oh, Hyun Sook Kim, Young Seok Park, Eo Jin Kim, Nam Keun Kim
JournalNeuroscience letters (Neurosci Lett) Vol. 533 Pg. 11-6 (Jan 15 2013) ISSN: 1872-7972 [Electronic] Ireland
PMID23201630 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Chemical References
  • Methylenetetrahydrofolate Dehydrogenase (NADP)
Topics
  • Asian People
  • Brain Ischemia (complications, ethnology, genetics)
  • Female
  • Gene-Environment Interaction
  • Genetic Predisposition to Disease
  • Humans
  • Male
  • Metabolic Syndrome (complications, ethnology, genetics)
  • Methylenetetrahydrofolate Dehydrogenase (NADP) (genetics)
  • Middle Aged
  • Polymorphism, Genetic
  • Prevalence
  • Republic of Korea (epidemiology)
  • Risk Factors
  • Stroke (ethnology, etiology, genetics)

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