Genetic imbalance is associated with functional outcome after ischemic stroke

Background and Purpose—We sought to explore the effect of genetic imbalance on functional outcome after ischemic stroke (IS).Methods—Copy number variation was identified in high-density single-nucleotide polymorphism microarray data of IS patients from the CADISP (Cervical Artery Dissection and Isch...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Pfeiffer, Dorothea (VerfasserIn) , Brandt, Tobias (VerfasserIn) , Kloss, Manja (VerfasserIn) , Grond-Ginsbach, Caspar (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 21 Jan 2019
In: Stroke
Year: 2019, Jahrgang: 50, Heft: 2, Pages: 298-304
ISSN:1524-4628
DOI:10.1161/STROKEAHA.118.021856
Online-Zugang:Verlag, Volltext: https://doi.org/10.1161/STROKEAHA.118.021856
Verlag: https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.021856
Volltext
Verfasserangaben:Dorothea Pfeiffer, Bowang Chen, Kristina Schlicht, Philip Ginsbach, Sherine Abboud, Anna Bersano, Steve Bevan, Tobias Brandt, Valeria Caso, Stéphanie Debette, Philipp Erhart, Sandra Freitag-Wolf, Giacomo Giacalone, Armin J. Grau, Eyad Hayani, Christina Jern, Jordi Jiménez-Conde, Manja Kloss, Michael Krawczak, Jin-Moo Lee, Robin Lemmens, Didier Leys, Christoph Lichy, Jane M. Maguire, Juan J. Martin, Antti J. Metso, Tiina M. Metso, Braxton D. Mitchell, Alessandro Pezzini, Jonathan Rosand, Natalia S. Rost, Martin Stenman, Turgut Tatlisumak, Vincent Thijs, Emmanuel Touzé, Christopher Traenka, Inge Werner, Daniel Woo, Elisabetta Del Zotto, Stefan T. Engelter, Steven J. Kittner, John W. Cole, Caspar Grond-Ginsbach, Philippe A. Lyrer, Arne Lindgren, and on behalf of CADISP; GISCOME; SiGN studies; and ISGC

MARC

LEADER 00000caa a22000002c 4500
001 1684204909
003 DE-627
005 20220817174522.0
007 cr uuu---uuuuu
008 191204s2019 xx |||||o 00| ||eng c
024 7 |a 10.1161/STROKEAHA.118.021856  |2 doi 
035 |a (DE-627)1684204909 
035 |a (DE-599)KXP1684204909 
035 |a (OCoLC)1341280510 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Pfeiffer, Dorothea  |d 1992-  |e VerfasserIn  |0 (DE-588)1190581388  |0 (DE-627)1669135519  |4 aut 
245 1 0 |a Genetic imbalance is associated with functional outcome after ischemic stroke  |c Dorothea Pfeiffer, Bowang Chen, Kristina Schlicht, Philip Ginsbach, Sherine Abboud, Anna Bersano, Steve Bevan, Tobias Brandt, Valeria Caso, Stéphanie Debette, Philipp Erhart, Sandra Freitag-Wolf, Giacomo Giacalone, Armin J. Grau, Eyad Hayani, Christina Jern, Jordi Jiménez-Conde, Manja Kloss, Michael Krawczak, Jin-Moo Lee, Robin Lemmens, Didier Leys, Christoph Lichy, Jane M. Maguire, Juan J. Martin, Antti J. Metso, Tiina M. Metso, Braxton D. Mitchell, Alessandro Pezzini, Jonathan Rosand, Natalia S. Rost, Martin Stenman, Turgut Tatlisumak, Vincent Thijs, Emmanuel Touzé, Christopher Traenka, Inge Werner, Daniel Woo, Elisabetta Del Zotto, Stefan T. Engelter, Steven J. Kittner, John W. Cole, Caspar Grond-Ginsbach, Philippe A. Lyrer, Arne Lindgren, and on behalf of CADISP; GISCOME; SiGN studies; and ISGC 
264 1 |c 21 Jan 2019 
300 |a 7 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Gesehen am 04.12.2019 
520 |a Background and Purpose—We sought to explore the effect of genetic imbalance on functional outcome after ischemic stroke (IS).Methods—Copy number variation was identified in high-density single-nucleotide polymorphism microarray data of IS patients from the CADISP (Cervical Artery Dissection and Ischemic Stroke Patients) and SiGN (Stroke Genetics Network)/GISCOME (Genetics of Ischaemic Stroke Functional Outcome) networks. Genetic imbalance, defined as total number of protein-coding genes affected by copy number variations in an individual, was compared between patients with favorable (modified Rankin Scale score of 0-2) and unfavorable (modified Rankin Scale score of ≥3) outcome after 3 months. Subgroup analyses were confined to patients with imbalance affecting ohnologs—a class of dose-sensitive genes, or to those with imbalance not affecting ohnologs. The association of imbalance with outcome was analyzed by logistic regression analysis, adjusted for age, sex, stroke subtype, stroke severity, and ancestry.Results—The study sample comprised 816 CADISP patients (age 44.2±10.3 years) and 2498 SiGN/GISCOME patients (age 67.7±14.2 years). Outcome was unfavorable in 122 CADISP and 889 SiGN/GISCOME patients. Multivariate logistic regression analysis revealed that increased genetic imbalance was associated with less favorable outcome in both samples (CADISP: P=0.0007; odds ratio=0.89; 95% CI, 0.82-0.95 and SiGN/GISCOME: P=0.0036; odds ratio=0.94; 95% CI, 0.91-0.98). The association was independent of age, sex, stroke severity on admission, stroke subtype, and ancestry. On subgroup analysis, imbalance affecting ohnologs was associated with outcome (CADISP: odds ratio=0.88; 95% CI, 0.80-0.95 and SiGN/GISCOME: odds ratio=0.93; 95% CI, 0.89-0.98) whereas imbalance without ohnologs lacked such an association.Conclusions—Increased genetic imbalance was associated with poorer functional outcome after IS in both study populations. Subgroup analysis revealed that this association was driven by presence of ohnologs in the respective copy number variations, suggesting a causal role of the deleterious effects of genetic imbalance. 
700 1 |a Brandt, Tobias  |e VerfasserIn  |0 (DE-588)1064032869  |0 (DE-627)812888227  |0 (DE-576)423579487  |4 aut 
700 1 |a Kloss, Manja  |d 1972-  |e VerfasserIn  |0 (DE-588)136117945  |0 (DE-627)694095788  |0 (DE-576)300842112  |4 aut 
700 1 |a Grond-Ginsbach, Caspar  |e VerfasserIn  |0 (DE-588)1050235622  |0 (DE-627)783682522  |0 (DE-576)182813088  |4 aut 
773 0 8 |i Enthalten in  |t Stroke  |d New York, NY : Association, 1970  |g 50(2019), 2, Seite 298-304  |h Online-Ressource  |w (DE-627)266879985  |w (DE-600)1467823-8  |w (DE-576)075145731  |x 1524-4628  |7 nnas  |a Genetic imbalance is associated with functional outcome after ischemic stroke 
773 1 8 |g volume:50  |g year:2019  |g number:2  |g pages:298-304  |g extent:7  |a Genetic imbalance is associated with functional outcome after ischemic stroke 
856 4 0 |u https://doi.org/10.1161/STROKEAHA.118.021856  |x Verlag  |x Resolving-System  |3 Volltext 
856 4 0 |u https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.021856  |x Verlag 
951 |a AR 
992 |a 20191204 
993 |a Article 
994 |a 2019 
998 |g 1050235622  |a Grond-Ginsbach, Caspar  |m 1050235622:Grond-Ginsbach, Caspar  |d 50000  |e 50000PG1050235622  |k 0/50000/  |p 43 
998 |g 136117945  |a Kloss, Manja  |m 136117945:Kloss, Manja  |d 910000  |d 911100  |e 910000PK136117945  |e 911100PK136117945  |k 0/910000/  |k 1/910000/911100/  |p 18 
998 |g 1064032869  |a Brandt, Tobias  |m 1064032869:Brandt, Tobias  |d 50000  |e 50000PB1064032869  |k 0/50000/  |p 8 
999 |a KXP-PPN1684204909  |e 3556522020 
BIB |a Y 
SER |a journal 
JSO |a {"person":[{"roleDisplay":"VerfasserIn","display":"Pfeiffer, Dorothea","role":"aut","given":"Dorothea","family":"Pfeiffer"},{"role":"aut","display":"Brandt, Tobias","roleDisplay":"VerfasserIn","given":"Tobias","family":"Brandt"},{"roleDisplay":"VerfasserIn","display":"Kloss, Manja","role":"aut","given":"Manja","family":"Kloss"},{"family":"Grond-Ginsbach","given":"Caspar","display":"Grond-Ginsbach, Caspar","role":"aut","roleDisplay":"VerfasserIn"}],"name":{"displayForm":["Dorothea Pfeiffer, Bowang Chen, Kristina Schlicht, Philip Ginsbach, Sherine Abboud, Anna Bersano, Steve Bevan, Tobias Brandt, Valeria Caso, Stéphanie Debette, Philipp Erhart, Sandra Freitag-Wolf, Giacomo Giacalone, Armin J. Grau, Eyad Hayani, Christina Jern, Jordi Jiménez-Conde, Manja Kloss, Michael Krawczak, Jin-Moo Lee, Robin Lemmens, Didier Leys, Christoph Lichy, Jane M. Maguire, Juan J. Martin, Antti J. Metso, Tiina M. Metso, Braxton D. Mitchell, Alessandro Pezzini, Jonathan Rosand, Natalia S. Rost, Martin Stenman, Turgut Tatlisumak, Vincent Thijs, Emmanuel Touzé, Christopher Traenka, Inge Werner, Daniel Woo, Elisabetta Del Zotto, Stefan T. Engelter, Steven J. Kittner, John W. Cole, Caspar Grond-Ginsbach, Philippe A. Lyrer, Arne Lindgren, and on behalf of CADISP; GISCOME; SiGN studies; and ISGC"]},"physDesc":[{"extent":"7 S."}],"note":["Gesehen am 04.12.2019"],"id":{"eki":["1684204909"],"doi":["10.1161/STROKEAHA.118.021856"]},"recId":"1684204909","type":{"media":"Online-Ressource","bibl":"article-journal"},"language":["eng"],"title":[{"title_sort":"Genetic imbalance is associated with functional outcome after ischemic stroke","title":"Genetic imbalance is associated with functional outcome after ischemic stroke"}],"relHost":[{"id":{"zdb":["1467823-8"],"issn":["1524-4628"],"eki":["266879985"]},"recId":"266879985","physDesc":[{"extent":"Online-Ressource"}],"note":["Gesehen am 29.06.04"],"pubHistory":["1.1970 -"],"title":[{"title_sort":"Stroke","title":"Stroke","subtitle":"journal of the American Heart Association"}],"origin":[{"publisher":"Association ; Lippincott Williams & Wilkins","dateIssuedDisp":"1970-","publisherPlace":"New York, NY ; Philadelphia, Pa.","dateIssuedKey":"1970"}],"disp":"Genetic imbalance is associated with functional outcome after ischemic strokeStroke","part":{"extent":"7","volume":"50","pages":"298-304","text":"50(2019), 2, Seite 298-304","issue":"2","year":"2019"},"language":["eng"],"corporate":[{"role":"isb","display":"American Heart Association","roleDisplay":"Herausgebendes Organ"}],"type":{"media":"Online-Ressource","bibl":"periodical"}}],"origin":[{"dateIssuedDisp":"21 Jan 2019","dateIssuedKey":"2019"}]} 
SRT |a PFEIFFERDOGENETICIMB2120