Genetic Variants of <i>RAMP2</i> and <i>CLR</i> are Associated with Stroke

  • Koyama Teruhide
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Kuriyama Nagato
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Ozaki Etsuko
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Matsui Daisuke
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Watanabe Isao
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Takeshita Wakiko
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Iwai Komei
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Watanabe Yoshiyuki
    Department of Epidemiology for Community Health and Medicine, Kyoto Prefectural University of Medicine
  • Nakatochi Masahiro
    Center for Advanced Medicine and Clinical Research, Nagoya University Hospital
  • Shimanoe Chisato
    Department of Preventive Medicine, Faculty of Medicine, Saga University
  • Tanaka Keitaro
    Department of Preventive Medicine, Faculty of Medicine, Saga University
  • Oze Isao
    Division of Molecular and Clinical Epidemiology, Aichi Cancer Center Research Institute
  • Ito Hidemi
    Division of Molecular and Clinical Epidemiology, Aichi Cancer Center Research Institute
  • Uemura Hirokazu
    Department of Preventive Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Katsuura-Kamano Sakurako
    Department of Preventive Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Ibusuki Rie
    Department of International Islands and Community Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
  • Shimoshikiryo Ippei
    Department of International Islands and Community Medicine, Kagoshima University Graduate School of Medical and Dental Sciences
  • Takashima Naoyuki
    Department of Public Health, Shiga University of Medical Science
  • Kadota Aya
    Department of Public Health, Shiga University of Medical Science Center for Epidemiologic Research in Asia, Shiga University of Medical Science
  • Kawai Sayo
    Department of Preventive Medicine, Nagoya University Graduate School of Medicine
  • Sasakabe Tae
    Department of Preventive Medicine, Nagoya University Graduate School of Medicine
  • Okada Rieko
    Department of Preventive Medicine, Nagoya University Graduate School of Medicine
  • Hishida Asahi
    Department of Preventive Medicine, Nagoya University Graduate School of Medicine
  • Naito Mariko
    Department of Preventive Medicine, Nagoya University Graduate School of Medicine
  • Kuriki Kiyonori
    Laboratory of Public Health, School of Food and Nutritional Sciences, University of Shizuoka
  • Endoh Kaori
    Laboratory of Public Health, School of Food and Nutritional Sciences, University of Shizuoka
  • Furusyo Norihiro
    Department of Environmental Medicine and Infectious Disease, Kyushu University
  • Ikezaki Hiroaki
    Department of Environmental Medicine and Infectious Disease, Kyushu University
  • Suzuki Sadao
    Department of Public Health, Nagoya City University Graduate School of Medical Sciences
  • Hosono Akihiro
    Department of Public Health, Nagoya City University Graduate School of Medical Sciences
  • Mikami Haruo
    Cancer Prevention Center, Chiba Cancer Center Research Institute
  • Nakamura Yohko
    Cancer Prevention Center, Chiba Cancer Center Research Institute
  • Kubo Michiaki
    Laboratory for Genotyping Development, Center for Integrative Medical Sciences, RIKEN
  • Wakai Kenji
    Department of Preventive Medicine, Nagoya University Graduate School of Medicine

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Other Title
  • Genetic Variants of RAMP2 and CLR are Associated with Stroke

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Abstract

<p>Aim: Stroke is associated closely with vascular homeostasis, and several complex processes and interacting pathways, which involve various genetic and environmental factors, contribute to the risk of stroke. Although adrenomedullin (ADM) has a number of physiological and vasoprotective functions, there are few studies of the ADM receptor system in humans. The ADM receptor comprises a calcitonin-receptor-like receptor (CLR) and receptor activity-modifying proteins (RAMPs). We analyzed single nucleotide polymorphisms (SNPs) in the RAMP2 and CLR genes to determine their association with stroke in the light of gene-environment interactions.</p><p>Methods: Using cross-sectional data from the Japan Multi-Institutional Collaborative Cohort Study in the baseline surveys, 14,087 participants from 12 research areas were genotyped. We conducted a hypothesis-based association between stroke prevalence and SNPs in the RAMP2 and CLR genes based on data abstracted from two SNPs in RAMP2 and 369 SNPs in CLR. We selected five SNPs from among the CLR variants (rs77035639, rs3815524, rs75380157, rs574603859, and rs147565266) and one RAMP2 SNP (rs753152), which were associated with stroke, for analysis.</p><p>Results: Five of the SNPs (rs77035639, rs3815524, rs75380157, rs147565266, and rs753152) showed no significant association with obesity, ischemic heart disease, hypertension, dyslipidemia, and diabetes. In the logistic regression analysis, rs574603859 had a lower odds ratio (0.238; 95% confidence interval, 0.076–0.745, adjusted for age, sex, and research area) and the other SNPs had higher odds ratios for association with stroke.</p><p>Conclusions: This was the first study to investigate the relationships between ADM receptor genes (RAMP2 and CLR) and stroke in the light of gene-environment interactions in human.</p>

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