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Blood, Vol. 93 No. 11 (June 1), 1999:
pp. 3583-3586
The 2 Gene Coding Sequence
T807/A873 of the Platelet Collagen
Receptor Integrin 2 1 Might Be a
Genetic Risk Factor for the Development of Stroke in Younger
Patients
Lena E. Carlsson,
Sentot Santoso,
Carsten Spitzer,
Christof Kessler, and
Andreas Greinacher
From the Departments of Immunology and Transfusion Medicine and of
Neurology, Ernst-Moritz-Arndt-University, Greifswald, Germany; and the
Department of Clinical Immunology and Transfusion Medicine,
Justus-Liebig-University, Giessen, Germany.
The polymorphisms C807T and G873A of the
platelet integrin 2 1 (collagen receptor
glycoprotein [GP] Ia-IIa) are linked to the expression density of
this receptor. The GPIa T807/A873 allele causes
a higher receptor expression, enhancing platelet binding to collagen.
This might present a genetic predisposition for the development of
thromboembolic complications. In this case-control study, the genotypes
of the GPIa C807T polymorphism and presence of conventional
risk factors (hypertension, diabetes mellitus, and smoking) were
compared in stroke patients and patients without cerebrovascular
disease (non-CVD patients) 50 years of age (n = 45 and 41, respectively) and in stroke patients and non-CVD patients more than 50 years of age (n = 182 and 129, respectively. In patients 50 years
of age, the T807 allele was the only overrepresented variable (P = .023; odds ratio, 3.02; 95% confidence
interval, 1.20 to 7.61) and an independent risk factor, whereas the
presence of conventional risk factors was similar between stroke
patients 50 years of age and non-CVD patients 50 years of age.
Large epidemiological studies should prove whether the platelet
collagen receptor GPIa-IIa T807 allele is an independent
risk factor for the development of stroke in younger patients.

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