4.5 Article

Leukotriene C4 synthase and ischemic cardiovascular disease and obstructive pulmonary disease in 13,000 individuals

期刊

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.yjmcc.2009.01.002

关键词

5-Lipoxygenase pathway; Ischemic cerebrovascular disease; Transient ischemic attack; Ischemic stroke; Ischemic heart disease; Asthma; Chronic obstructive pulmonary disease; Cysteinyl leukotrienes; Leukotriene C4 synthase

资金

  1. University of Copenhagen
  2. Danish Heart Foundation
  3. Danish Medical Research Council
  4. Copenhagen County Foundation
  5. Research Fund at Rigshospitalet
  6. Copenhagen University Hospital

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Ischemic cardiovascular disease and obstructive pulmonary disease involve inflammation. Leukotrienes may be important pro-inflammatory mediators. We tested the hypothesis that the (-1072)G>A and (-444) A>C promoter polymorphisms of leukotriene C-4 synthase confer risk of transient ischemic attack (TIA), ischemic stroke, ischemic heart disease (IHD), asthma, and chronic obstructive pulmonary disease (COPD). We genotyped individuals from the Danish general population, the Copenhagen City Heart Study, and Danish patients with IHD/coronary atherosclerosis, the Copenhagen Ischemic Heart Disease Study. We used prospective (n=10,386), cross-sectional (n=10,386), and case-control (n=2392+5012) designs. Allele frequency was 0.07 for (-1072)A and 0.29 for (-444)C. Cumulative incidence for TIA was higher for (-1072)AA versus GG genotype (log-rank: p<0.001), and lower for (-444)CC versus AA genotype (log-rank: p=0.03). Cumulative incidence for ischemic stroke was also lower for (-444)CC versus AA genotype (log-rank: p=0.04). Multifactorially adjusted hazard ratios for TIA were 5.2(95% CI:1.9-14) for (-1072)AA versus GG genotype, and 0.4(0.2-1.0) for (-444)CC versus AA genotype. Corresponding values were 1.9 (0.7-5.2) and 0.7 (0.5-1.0) for ischemic stroke, and 0.8 (0.4-1.6) and 1.0 (0.9-1.2) for IHD. In the case-control study, corresponding multifactorially adjusted odds ratios for IHD/coronary atherosclerosis were 0.5 (0.2-1.3) and 1.2 (1.0-1.5). These genotypes were not associated with risk of asthma or CCPD. Leukotriene C4 synthase promoter genotypes influence risk of TIA and ischemic stroke, but not risk of IHD/coronary atherosclerosis, asthma, or COPD. (C) 2009 Elsevier Inc. All rights reserved.

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