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Association of IL-6 − 174G > C and − 572C > G polymorphisms with risk of young ischemic stroke patients
Authors:Xuan Yang  Lei Feng  Changjiang Li  Yu Li
Affiliation:1. Department of Cardiology, Qingdao Municipal Hospital, Qingdao 266000, China;2. Diagnostic Imaging Division, Qingdao Municipal Hospital, Qingdao 266000, China;3. Intensive Care Unit, Qingdao Central Hospital, Qingdao 266000, China;4. Zibo Municipal Hospital Authorities Internal Medicine, Zibo 255000, China
Abstract:

Aim

To investigate the association between interleukin-6 (IL-6) − 174G > C and − 572C > G polymorphisms and risk for ischemic stroke (IS) in young patients.

Methods

We genotyped IL-6  − 174G > C and − 572C > G in a case–control study of 430 young IS patients and 461 control subjects. An unconditional multiple logistical regression model was used to calculate the effects of IL-6 − 174G > C and − 572C > G polymorphisms on IS risk.

Results

Higher body mass index, diabetes, hypertension, obesity, and smoking were associated with risk of ischemic stroke. Multivariate regression analyses showed that subjects carrying the − 174CC genotype (OR = 1.69, 95% CI = 1.16–2.57) and C allele (OR = 1.37, 95% CI = 1.09–1.67) had a small but significant increased risk of IS. Similarly, those carrying the − 572GG genotype (OR = 2.12, 95% CI = 1.18–3.82) and G allele (OR = 1.43, 95% CI = 1.14–1.83) had a moderate increased risk of IS. We found the − 174G > C and − 572C > G polymorphisms interact with hypertension and obesity.

Conclusion

Our results suggest that polymorphisms in IL-6 − 174G > C and − 572C > G are associated with IS risk in young patients, and that these polymorphisms interact with hypertension, obesity and etiologic subtypes. These findings could be helpful in identifying individuals at increased risk for developing IS.
Keywords:IL-6, interleukin-6   IS, ischemic stroke   EDTA, ethylenediaminetetra-acetic acid   DNA, deoxyribonucleic acid   PCR, polymerase chain reaction   CI, confidence interval   95% OR, odds ratio   SD, standard deviation   HWE, Hardy&ndash  Weinberg equilibrium   BMI, body mass index   TC, total cholesterol   TG, triglycerides   HDL-C, high density lipoprotein cholesterol   LDL-C, low density lipoprotein cholesterol   SPSS, Statistical Package for Social Science   TOAST classification, Acute Stroke Treatment classification
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