Abstract

Stroke is a devastating and potentially fatal complication to sickle cell Anemia. Strokes are difficult to explain on the basis of the central pathological process in SCA, namely the occlusion of small vessels by deformed sickled cells. We examined whether Single Nucleotide Polymorphism (SNP) variants in the MCP-1 or CCR2 genes independently or in combination are associated with occurrence of Cerebrovascular Accidents (AVC) in SCA Tunisian patients. Material and methods: 100 SCA patients among whom 19 have AVC were enrolled in this study. Clinical diagnosis of stroke was performed by the use of Transcranial Doppler ultrasonography (TCD). The genotyping of rs1026611 in the MCP-1 gene and V64I of CCR2 was performed using PCR/RFLP. Results: Our findings showed no association of the polymorphisms studied with occurrence of AVC in SCA Tunisian patients.

Highlights

  • Stroke remains one of the important complications of SCA and is especially critical in the care of children with this disorder

  • Our findings showed no association of the polymorphisms studied with occurrence of AVC in SCA Tunisian patients

  • Monocyte chemo attractant protein 1 (MCP-1) is a member of the C–C beta chemokine family that is produced by macrophages, fibroblasts, and endothelial cells to stimulate chemo taxis of monocyte/ macrophages and other inflammatory cells

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Summary

Introduction

Stroke remains one of the important complications of SCA and is especially critical in the care of children with this disorder. The hypothesis of modifier gene in SCA can help the researchers to understand this disease [2]. We focused on two chemokine’s namely Monocyte chemo attractant protein 1 (MCP-1), with its receptor chemokine receptor 2 (CCR2). MCP-1 is a member of the C–C beta chemokine family that is produced by macrophages, fibroblasts, and endothelial cells to stimulate chemo taxis of monocyte/ macrophages and other inflammatory cells. The human MCP-1 regulates the infiltration of monocytes, memory T cells and macrophages and other inflammatory cells by binding to the membrane CC chemokine receptor 2 (CCR2) [5,6,7,8]. MCP-1 protein may be regulated by a Single Nucleotide Polymorphism (SNP) occurring at position −2518 of the MCP-1 gene promoter. Numerous studies have been performed on the association of the -2518 A/G Polymorphisms in the MCP-1 gene with atherosclerosis susceptibility

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