The Prognostic Value of Combinations of Genetic Polymorphisms in the ITGB3, ITGA2, and CYP2C19*2 Genes in Predicting Cardiovascular Outcomes After Coronary Bypass Grafting
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https://www.liebertpub.com/toc/gtmb/22/4https://elib.sfu-kras.ru/handle/2311/111534
Автор:
Гринштейн, Ю. И.
Косинова, А. А.
Гринштейн, И. Ю.
Субботина, Т. Н.
Савченко, А. А.
Коллективный автор:
Институт фундаментальной биологии и биотехнологии
Кафедра медицинской биологии
Дата:
2018-04Журнал:
GENETIC TESTING AND MOLECULAR BIOMARKERSКвартиль журнала в Scopus:
Q2Квартиль журнала в Web of Science:
Q4Библиографическое описание:
Гринштейн, Ю. И. The Prognostic Value of Combinations of Genetic Polymorphisms in the ITGB3, ITGA2, and CYP2C19*2 Genes in Predicting Cardiovascular Outcomes After Coronary Bypass Grafting [Текст] / Ю. И. Гринштейн, А. А. Косинова, И. Ю. Гринштейн, Т. Н. Субботина, А. А. Савченко // GENETIC TESTING AND MOLECULAR BIOMARKERS: Clinical Medicine Collection. — 2018. — Т. 22 (№ 4). — С. 259-265Аннотация:
Abstract
Aim: To determine if there are any associations between the single nucleotide polymorphisms (SNPs): rs2046934, rs1126643, rs5918, rs6065, rs4244285; rs4986893 and the occurrence of cardiovascular events (CVE) in patients following coronary artery bypass grafting (CABG) surgery.
Materials and Methods: The study included 130 CABG patients with stable angina grades II–IV. After CABG 69 of the patients were treated with acetylsalicylic acid (ASA) alone, and 61 received dual antiplatelet therapy (ASA+clopidogrel). Platelet function was assessed by light transmission aggregometry with adenosinediphosphate and arachidonic acid. The SNPs were identified by real-time polymerase chain reaction (PCR) with electrophoretic detection. The mean follow-up period was equal to 10.9 ± 5.2 months. The primary end point included the composite of all-cause mortality, myocardial infarction (MI), and ischemic stroke.
Results: During the follow-up period 12 CVE were registered: 3 deaths, 6 MI, 3 strokes. Patients with composite mutant alleles of ITGB3+CYP2C19*2 or CYP2C19*2 + ITGA2, and with the mutant allele (*2) of CYP2C19, met end points more often than patients with other gene combinations (wild-type homozygotes, presence of one mutant allele of ITGB3 or ITGA2, the composite of mutant alleles of ITGB3+ITGA2 or ITGB3+ITGA2+CYP2C19*2; hazard ratio = 4, 95% confidence interval: 2.19–7.29, p = 0.008).
Conclusion: Carriage of a combination of mutant alleles in multiple genes including ITGB3+CYP2C19*2 or CYP2C19*2 + ITGA2 or CYP2C19*2 are possible predictors of CVE in patients after CABG.