EPHB4 Gene Polymorphisms and Risk of Intracranial Hemorrhage in Patients With Brain Arteriovenous Malformations
- 1 October 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Circulation: Cardiovascular Genetics
- Vol. 2 (5), 476-482
- https://doi.org/10.1161/circgenetics.109.883595
Abstract
Background— Brain arteriovenous malformations (BAVMs) are a tangle of abnormal vessels directly shunting blood from the arterial to venous circulation and an important cause of intracranial hemorrhage (ICH). EphB4 is involved in arterial-venous determination during embryogenesis; altered signaling could lead to vascular instability resulting in ICH. We investigated the association of single-nucleotide polymorphisms (SNPs) and haplotypes in EPHB4 with risk of ICH at clinical presentation in patients with BAVM. Methods and Results— Eight haplotype-tagging SNPs spanning ≈29 kb were tested for association with ICH presentation in 146 white patients with BAVM (phase I: 56 ICH, 90 non-ICH) using allelic, haplotypic, and principal components analysis. Associated SNPs were then genotyped in 102 additional cases (phase II: 37 ICH, 65 non-ICH), and data were combined for multivariable logistic regression. Minor alleles of 2 SNPs were associated with reduced risk of ICH presentation (rs314313_C, P =0.005; rs314308_T, P =0.0004). Overall, haplotypes were also significantly associated with ICH presentation (χ 2 =17.24, 6 df , P =0.008); 2 haplotypes containing the rs314308 T allele (GCC T GGGT, P =0.003; GTC T GGGC, P =0.036) were associated with reduced risk. In principal components analysis, 2 components explained 91% of the variance and complemented haplotype results by implicating 4 SNPs at the 5′ end, including rs314308 and rs314313. These 2 SNPs were replicated in the phase II cohort, and combined data resulted in greater significance (rs314313, P =0.0007; rs314308, P =0.00008). SNP association with ICH presentation persisted after adjusting for age, sex, BAVM size, and deep venous drainage. Conclusions— EPHB4 polymorphisms are associated with risk of ICH presentation in patients with BAVM, warranting further study.Keywords
This publication has 44 references indexed in Scilit:
- Common Variants in Interleukin-1-Beta Gene Are Associated with Intracranial Hemorrhage and Susceptibility to Brain Arteriovenous MalformationCerebrovascular Diseases, 2008
- Familial occurrence of brain arteriovenous malformations: a systematic reviewJournal of Neurology, Neurosurgery & Psychiatry, 2007
- PLINK: A Tool Set for Whole-Genome Association and Population-Based Linkage AnalysesAmerican Journal of Human Genetics, 2007
- Whole genome expression profiling reveals a significant role for immune function in human abdominal aortic aneurysmsBMC Genomics, 2007
- Effect of Genetic Variation in the Organic Cation Transporter 1, OCT1, on Metformin PharmacokineticsClinical Pharmacology & Therapeutics, 2007
- In vivo enhancer analysis of human conserved non-coding sequencesNature, 2006
- Intracranial aneurysms: links among inflammation, hemodynamics and vascular remodelingNeurological Research, 2006
- Efficiency and power in genetic association studiesNature Genetics, 2005
- Haploview: analysis and visualization of LD and haplotype mapsBioinformatics, 2004
- The ephrin-A1 ligand and its receptor, EphA2, are expressed during tumor neovascularizationOncogene, 2000