目的:探讨急性脑梗死患者血浆高敏C反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)及低密度脂蛋白(LDL)水平与急性卒中治疗Org10172试验分型(Trial of org 10172 in acute stroke treatment classification,TOAST)的关系,为脑梗死临床预防和治疗...目的:探讨急性脑梗死患者血浆高敏C反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)及低密度脂蛋白(LDL)水平与急性卒中治疗Org10172试验分型(Trial of org 10172 in acute stroke treatment classification,TOAST)的关系,为脑梗死临床预防和治疗提供依据。方法:检测218例急性脑梗死患者血浆hs-CRP、Hcy及LDL水平,应用NIHSS量表对患者评分,分析TOAST各亚型与上述指标的关系。对照组60例为同期科室住院的其他非脑血管疾病患者。结果:TOAST分型中LAA型患者Hcy水平显著高于其他4个亚组(P<0.01);LAA型和CE型患者hs-CRP水平及NIHSS评分与其他组比较差异有统计学意义(P<0.05);LAA型与SAO型患者与对照组比较LDL水平差异有统计学意义(P<0.05),各亚型之间比较LDL水平无显著性差异。结论:急性脑梗死患者血浆hs-CRP、Hcy及LDL水平在TOAST各亚型中具有差异,可以为脑梗死患者病因学分型及个体化治疗提供依据。展开更多
BACKGROUND：5-1ipoxygenase protein （ALOX5AP） has been recognized as a susceptibility gene for stroke and coronary artery diseases. The present study was to explore the role of this gene in the eastern Chinese patien...BACKGROUND：5-1ipoxygenase protein （ALOX5AP） has been recognized as a susceptibility gene for stroke and coronary artery diseases. The present study was to explore the role of this gene in the eastern Chinese patients with ischemic stroke.METHODS： Using a case-control design, we studied 658 patients with ischemic stroke and 704 unrelated population-based controls who were age- and sex-matched. The 658 patients were classified by the Trial of Org 10172 in Acute Stroke Treatment （TOAST）. Two single-nucleotide polymorphisms （SNPs） covering ALOX5AP were genotyped. RESULTS： The genotype frequencies of TG of the SNPs rs17222919 located in the promoter of the ALOX5AP gene were significantly higher in patients with ischemic stroke than in controls （OR＊=1.34, 95%C1＊=1.02-1.75）, especially in patients with ischemic stroke caused by small-artery occlusion （SAO） （OR＊=1.40, 95%C1＊=1.02-1.93）. Meanwhile, the genotype frequencies of TG and TG/ GG were higher in female patients than in the controls. After specification, the genotype frequencies of TG and TG/GG were higher in the patients than in controls with hypertension. The genotype frequencies of AG and AG/GG of the SNPs rs9579646 located in the intron of the ALOX5AP gene were higher in the controls than in the patients. After specification, the genotype frequencies of TG were higher in the controls than patients without hypertension. CONCLUSIONS： The present study suggests that sequence variants in the ALOX5AP gene are significantly associated with ischemic stroke.展开更多
文摘目的:探讨急性脑梗死患者血浆高敏C反应蛋白(hs-CRP)、同型半胱氨酸(Hcy)及低密度脂蛋白(LDL)水平与急性卒中治疗Org10172试验分型(Trial of org 10172 in acute stroke treatment classification,TOAST)的关系,为脑梗死临床预防和治疗提供依据。方法:检测218例急性脑梗死患者血浆hs-CRP、Hcy及LDL水平,应用NIHSS量表对患者评分,分析TOAST各亚型与上述指标的关系。对照组60例为同期科室住院的其他非脑血管疾病患者。结果:TOAST分型中LAA型患者Hcy水平显著高于其他4个亚组(P<0.01);LAA型和CE型患者hs-CRP水平及NIHSS评分与其他组比较差异有统计学意义(P<0.05);LAA型与SAO型患者与对照组比较LDL水平差异有统计学意义(P<0.05),各亚型之间比较LDL水平无显著性差异。结论:急性脑梗死患者血浆hs-CRP、Hcy及LDL水平在TOAST各亚型中具有差异,可以为脑梗死患者病因学分型及个体化治疗提供依据。
基金supported by Research Foundation of Jiangsu Province Hygiene Committee(H201005)
文摘BACKGROUND：5-1ipoxygenase protein （ALOX5AP） has been recognized as a susceptibility gene for stroke and coronary artery diseases. The present study was to explore the role of this gene in the eastern Chinese patients with ischemic stroke.METHODS： Using a case-control design, we studied 658 patients with ischemic stroke and 704 unrelated population-based controls who were age- and sex-matched. The 658 patients were classified by the Trial of Org 10172 in Acute Stroke Treatment （TOAST）. Two single-nucleotide polymorphisms （SNPs） covering ALOX5AP were genotyped. RESULTS： The genotype frequencies of TG of the SNPs rs17222919 located in the promoter of the ALOX5AP gene were significantly higher in patients with ischemic stroke than in controls （OR＊=1.34, 95%C1＊=1.02-1.75）, especially in patients with ischemic stroke caused by small-artery occlusion （SAO） （OR＊=1.40, 95%C1＊=1.02-1.93）. Meanwhile, the genotype frequencies of TG and TG/ GG were higher in female patients than in the controls. After specification, the genotype frequencies of TG and TG/GG were higher in the patients than in controls with hypertension. The genotype frequencies of AG and AG/GG of the SNPs rs9579646 located in the intron of the ALOX5AP gene were higher in the controls than in the patients. After specification, the genotype frequencies of TG were higher in the controls than patients without hypertension. CONCLUSIONS： The present study suggests that sequence variants in the ALOX5AP gene are significantly associated with ischemic stroke.
