J Korean Med Sci.  2009 Apr;24(2):307-310. 10.3346/jkms.2009.24.2.307.

Phosphodiesterase 4D Gene and Risk of Noncardiogenic Ischemic Stroke in a Korean Population

Affiliations
  • 1Department of Neurology, Chonnam National University Medical School and Research Institute of Medical Science, Gwangju, Korea. mkkim@chonnam.ac.kr

Abstract

Recently published studies from different populations provide apparently conflicting evidence on the association between the phosphodiesterase 4D (PDE4D) gene and ischemic stroke. The relationship between a representative PDE4D genotype and ischemic stroke was explored in a case-control study of 205 consecutive Korean patients with noncardiogenic ischemic stroke and 103 healthy controls who were neurologically and radiologically proven to be stroke-free. We selected and genotyped a PDE4D single nucleotide polymorphism (SNP 41, rs152312) as a candidate marker for susceptibility to ischemic stroke because SNP 41 has shown the most significant association with stroke in both a meta-analysis and the original Icelandic study of the PDE4D gene. No significant difference was observed between the cases and controls in the distribution of the PDE4D SNP 41 genotypes. The results from the adjusted conditional logistic regression analysis (adjusted for age, hypertension, diabetes and smoking status) showed no significant association between PDE4D SNP 41 genotypes and an increased risk of noncardiogenic ischemic stroke. The PDE4D gene is not a major risk factor for noncardiogenic ischemic stroke in a Korean population, which supports the recent evidence suggesting that the causative genetic variants of ischemic stroke may differ across populations.

Keyword

Phosphodiesterases 4D; Stroke; Case-Control Study; Genetics

MeSH Terms

Aged
Asian Continental Ancestry Group/*genetics
Brain Ischemia/diagnosis/*genetics
Case-Control Studies
Cyclic Nucleotide Phosphodiesterases, Type 3/*genetics
Cyclic Nucleotide Phosphodiesterases, Type 4/*genetics
Female
Genetic Predisposition to Disease
Genotype
Humans
Korea
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Middle Aged
Odds Ratio
Polymorphism, Single Nucleotide
Regression Analysis
Risk
Stroke/diagnosis/*genetics

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