Impact of Platelet Endothelial Aggregation Receptor-1 Genotypes on Long-Term Cerebrovascular Outcomes in Patients With Minor Stroke or Transient Ischemic Attack

Bibliographic Details
Title: Impact of Platelet Endothelial Aggregation Receptor-1 Genotypes on Long-Term Cerebrovascular Outcomes in Patients With Minor Stroke or Transient Ischemic Attack
Authors: Xiao-Guang Zhang, Jing-Yu Gu, Qiang-Qiang Fu, Shi-Wu Chen, Jie Xue, Shan-Shan Jiang, Yu-Ming Kong, You-Mei Li, Yun-Hua Yue
Source: Frontiers in Neurology, Vol 12 (2021)
Publisher Information: Frontiers Media S.A., 2021.
Publication Year: 2021
Collection: LCC:Neurology. Diseases of the nervous system
Subject Terms: acute minor ischemic stroke, transient ischemic attack, PEAR1, genetic polymorphism, cerebrovascular outcomes, Neurology. Diseases of the nervous system, RC346-429
More Details: Background: Platelet endothelial aggregation receptor-1 (PEAR1) rs12041331 has been reported to affect agonist-stimulated platelet aggregation, but it remains unclear whether this variant plays a role in recurrent stroke. Here we assess the clinical relevance of PEAR1 rs12041331 in acute minor ischemic stroke (AMIS) and transient ischemic attack (TIA) Chinese patients treated with dual antiplatelet therapy (DAPT).Methods: We recruited 273 consecutive minor stroke and TIA patients, and Cox proportional hazard regression was used to model the relationship between PEAR1 rs12041331 and thrombotic and bleeding events.Results: Genotyping for PEAR1 rs12041331 showed 49 (18.0%) AA homozygotes, 129 (47.3%) GA heterozygotes, and 95 (34.7%) GG homozygotes. No association was observed between PEAR1 rs12041331 genotype and stroke or composite clinical vascular event rates (ischemic stroke, hemorrhagic stroke, TIA, myocardial infarction, or vascular death) or bleeding events regardless if individuals carried one or two copies of the A allele. Our results suggested that rs12041331 genetic polymorphism was not an important contributor to clinical events in AMIS and TIA patients in the setting of secondary prevention.Conclusions: Our data do provide robust evidence that genetic variation in PEAR1 rs12041331 do not contribute to atherothrombotic or bleeding risk in minor stroke and TIA patients treated with DAPT.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1664-2295
Relation: https://www.frontiersin.org/articles/10.3389/fneur.2021.649056/full; https://doaj.org/toc/1664-2295
DOI: 10.3389/fneur.2021.649056
Access URL: https://doaj.org/article/3924a2c8425e4d3b836816a8bf42e52e
Accession Number: edsdoj.3924a2c8425e4d3b836816a8bf42e52e
Database: Directory of Open Access Journals
More Details
ISSN:16642295
DOI:10.3389/fneur.2021.649056
Published in:Frontiers in Neurology
Language:English