Abstract
BackgroundAfter coronary stenting, the risk of developing restenosis is from 20 to 35 %. The aim of the present study is to investigate the association of genetic variation in candidate genes in patients diagnosed with restenosis in the Kazakh population.MethodsFour hundred fifty-nine patients were recruited to the study; 91 patients were also diagnosed with diabetes and were excluded from the sampling. DNA was extracted with the salting-out method. The patients were genotyped for 53 single-nucleotide polymorphisms. Genotyping was performed on the QuantStudio 12K Flex (Life Technologies). Differences in distribution of BMI score among different genotype groups were compared by analysis of variance (ANOVA). Also, statistical analysis was performed using R and PLINK v.1.07. Haplotype frequencies and LD measures were estimated by using the software Haploview 4.2.ResultsA logistic regression analysis found a significant difference in restenosis rates for different genotypes. FGB (rs1800790) is significantly associated with restenosis after stenting (OR = 2.924, P = 2.3E−06, additive model) in the Kazakh population. CD14 (rs2569190) showed a significant association in the additive (OR = 0.08033, P = 2.11E−09) and dominant models (OR = 0.05359, P = 4.15E−11). NOS3 (rs1799983) was also highly associated with development of restenosis after stenting in additive (OR = 20.05, P = 2.74 E−12) and recessive models (OR = 22.24, P = 6.811E−10).ConclusionsOur results indicate that FGB (rs1800790), CD14 (rs2569190), and NOS3 (rs1799983) SNPs could be genetic markers for development of restenosis in Kazakh population. Adjustment for potential confounder factor BMI gave almost the same results.
Highlights
After coronary stenting, the risk of developing restenosis is from 20 to 35 %
Anthropometrical and measured biochemical characteristics for potential confounders were evaluated before performing a test for association between genotype distribution and restenosis status
Our results showed that Body mass index (BMI) is a single confounding factor that may affect the association between genotype and restenosis status
Summary
The risk of developing restenosis is from 20 to 35 %. Coronary heart disease (CHD) is a disease characterized by reduced blood supply to the heart muscle. Coronary heart disease has the highest rate of death and serious complications among all forms of cardiovascular disease. The first use of coronary stenting in clinical practice was in 1986 [4]. There is a possibility that during the first 6 months to 1 year after successful coronary stenting, a symptomatic relapse of angina may occur due to the development of restenosis. The use of second generation drug-eluting stents has reduced this rate, but the development of restenosis after implantation remains a serious clinical problem [7]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
