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The 4G/5G genetic polymorphism in the promoter of the plasminogen activator inhibitor-1 (PAI-1) gene is associated with differences in plasma PAI-1 activity but not with risk of myocardial infarction in the ECTIM study. Etude CasTemoins de I'nfarctus du Mycocarde.
Thromb Haemost. 1995 Sep; 74(3):837-41.TH

Abstract

We have investigated the interrelationships of plasma PAI-1 activity, the PAI-1 4G/5G polymorphism and risk of myocardial infarction (MI) in the ECTIM study, a case-control study of MI based in Belfast, Lille, Strasbourg and Toulouse. Mean PAI-1 levels in cases were similar across all centres but in controls, levels in the French centres were significantly higher. Only in Belfast were PAIl1 levels higher in cases (11.7 AU/ml) than controls (10.5 AU/ml). The PAI-1 4G allele frequency was similar in cases and controls (0.55 and 0.54). In all groups, 4G homozygotes had the highest mean plasma PAI-1 level (4G4G vs 5G5G; cases overall: 14.2 vs 12.1AU/ml; controls overall: 15.0 vs 12.6AU/ml), with the heterozygotes generally intermediate. The data from Belfast are consistent with the literature implicating PAI-1 level as an MI risk factor. In ECTIM, the PAI-1 4G/5G polymorphism is not a genetic risk factor for MI but is associated with PAI-1 activity. Thus homozygosity for the 4G allele may predispose to elevated PAI-1 and impaired fibrinolysis, perhaps requiring interaction with other genetic or environmental factors to influence MI risk.

Authors+Show Affiliations

Department of Medicine, University College London Medical School, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8571307

Citation

Ye, S, et al. "The 4G/5G Genetic Polymorphism in the Promoter of the Plasminogen Activator Inhibitor-1 (PAI-1) Gene Is Associated With Differences in Plasma PAI-1 Activity but Not With Risk of Myocardial Infarction in the ECTIM Study. Etude CasTemoins De I'nfarctus Du Mycocarde." Thrombosis and Haemostasis, vol. 74, no. 3, 1995, pp. 837-41.
Ye S, Green FR, Scarabin PY, et al. The 4G/5G genetic polymorphism in the promoter of the plasminogen activator inhibitor-1 (PAI-1) gene is associated with differences in plasma PAI-1 activity but not with risk of myocardial infarction in the ECTIM study. Etude CasTemoins de I'nfarctus du Mycocarde. Thromb Haemost. 1995;74(3):837-41.
Ye, S., Green, F. R., Scarabin, P. Y., Nicaud, V., Bara, L., Dawson, S. J., Humphries, S. E., Evans, A., Luc, G., & Cambou, J. P. (1995). The 4G/5G genetic polymorphism in the promoter of the plasminogen activator inhibitor-1 (PAI-1) gene is associated with differences in plasma PAI-1 activity but not with risk of myocardial infarction in the ECTIM study. Etude CasTemoins de I'nfarctus du Mycocarde. Thrombosis and Haemostasis, 74(3), 837-41.
Ye S, et al. The 4G/5G Genetic Polymorphism in the Promoter of the Plasminogen Activator Inhibitor-1 (PAI-1) Gene Is Associated With Differences in Plasma PAI-1 Activity but Not With Risk of Myocardial Infarction in the ECTIM Study. Etude CasTemoins De I'nfarctus Du Mycocarde. Thromb Haemost. 1995;74(3):837-41. PubMed PMID: 8571307.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The 4G/5G genetic polymorphism in the promoter of the plasminogen activator inhibitor-1 (PAI-1) gene is associated with differences in plasma PAI-1 activity but not with risk of myocardial infarction in the ECTIM study. Etude CasTemoins de I'nfarctus du Mycocarde. A1 - Ye,S, AU - Green,F R, AU - Scarabin,P Y, AU - Nicaud,V, AU - Bara,L, AU - Dawson,S J, AU - Humphries,S E, AU - Evans,A, AU - Luc,G, AU - Cambou,J P, PY - 1995/9/1/pubmed PY - 1995/9/1/medline PY - 1995/9/1/entrez SP - 837 EP - 41 JF - Thrombosis and haemostasis JO - Thromb Haemost VL - 74 IS - 3 N2 - We have investigated the interrelationships of plasma PAI-1 activity, the PAI-1 4G/5G polymorphism and risk of myocardial infarction (MI) in the ECTIM study, a case-control study of MI based in Belfast, Lille, Strasbourg and Toulouse. Mean PAI-1 levels in cases were similar across all centres but in controls, levels in the French centres were significantly higher. Only in Belfast were PAIl1 levels higher in cases (11.7 AU/ml) than controls (10.5 AU/ml). The PAI-1 4G allele frequency was similar in cases and controls (0.55 and 0.54). In all groups, 4G homozygotes had the highest mean plasma PAI-1 level (4G4G vs 5G5G; cases overall: 14.2 vs 12.1AU/ml; controls overall: 15.0 vs 12.6AU/ml), with the heterozygotes generally intermediate. The data from Belfast are consistent with the literature implicating PAI-1 level as an MI risk factor. In ECTIM, the PAI-1 4G/5G polymorphism is not a genetic risk factor for MI but is associated with PAI-1 activity. Thus homozygosity for the 4G allele may predispose to elevated PAI-1 and impaired fibrinolysis, perhaps requiring interaction with other genetic or environmental factors to influence MI risk. SN - 0340-6245 UR - https://www.unboundmedicine.com/medline/citation/8571307/The_4G/5G_genetic_polymorphism_in_the_promoter_of_the_plasminogen_activator_inhibitor_1__PAI_1__gene_is_associated_with_differences_in_plasma_PAI_1_activity_but_not_with_risk_of_myocardial_infarction_in_the_ECTIM_study__Etude_CasTemoins_de_I'nfarctus_du_Mycocarde_ L2 - http://www.diseaseinfosearch.org/result/8938 DB - PRIME DP - Unbound Medicine ER -