Association of the gene polymorphisms of platelet glycoprotein Ia and IIb/IIIa with myocardial infarction and extent of coronary artery disease in the Korean population

Sungha Park, Hyun Young Park, Chanmi Park, Young Guk Ko, Eun Kyung Im, Inho Jo, Chol Shin, Jong Bok Lee, Won Heum Shim, Seung Yun Cho, Yangsoo Jang

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Abstract

Platelet membrane receptor glycoproteins (GP) are essential for the platelet activation process, and the genetic polymorphisms in the genes that encode platelet glycoproteins have been proposed to influence the risk of acute coronary syndrome and atherosclerosis. In this study, we investigated the role of GPIa, HPA-1 and HPA-3 polymorphisms as putative risk factors for myocardial infarction (MI) and the extent of coronary artery disease. We selected 1,073 subjects who underwent coronary angiography; 242 had normal or minimal coronary atherosclerosis, and 831 patients had significant coronary artery disease (CAD). The genotype was determined by the methods of single base extension for C807T/G873A polymorphisms of GPIa, and restriction fragment length polymorphism for HPA-1 and HPA-3. The C807T and G873A polymorphisms of GPIa showed complete linkage in the Korean population. For HPA-1 gene polymorphism, only the HPA-1a/a (PlAI/AI) genotype was observed in 192 selected subjects from our study population. The distribution of GPIa (C807T/G873A) and HPA-3 genotypes did not differ significantly between normal subjects and CAD subjects. No significant association between MI and both gene polymorphisms was present. However, for the subgroup analysis of young male patients whose age was less than 56 years, the genotype frequency of HPA-3b/b was significantly lower in patients with MI compared to patients without a history of MI (7.5% vs. 20.0%, p=0.04). The odds ratio for HPA-3 b homozygosity versus the HPA-3a carrier was 0.32 (95% CI, 0.10- 0.99, p=0.04). Conclusively, HPA-3 polymorphism was associated with MI in Korean individuals younger than 56 years of age, but other polymorphisms of GP, which we studied, were not associated with both the extent of coronary atherosclerosis or MI.

Original languageEnglish
Pages (from-to)428-434
Number of pages7
JournalYonsei Medical Journal
Volume45
Issue number3
Publication statusPublished - 2004 Jun 30

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Integrin alpha2
Platelet Glycoprotein GPIIb-IIIa Complex
Coronary Artery Disease
Myocardial Infarction
Genotype
Population
Genes
Platelet Membrane Glycoproteins
Platelet Activation
Genetic Polymorphisms
Acute Coronary Syndrome
Coronary Angiography
Restriction Fragment Length Polymorphisms
Coronary Artery Disease, Autosomal Dominant, 1
Glycoproteins
Odds Ratio
3-hydroxypropionaldehyde

Keywords

  • Coronary artery disease
  • Genetics
  • Koreans
  • Myocardial infarction
  • Platelet membrane glycoproteins
  • Polymorphism

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Association of the gene polymorphisms of platelet glycoprotein Ia and IIb/IIIa with myocardial infarction and extent of coronary artery disease in the Korean population. / Park, Sungha; Park, Hyun Young; Park, Chanmi; Ko, Young Guk; Im, Eun Kyung; Jo, Inho; Shin, Chol; Lee, Jong Bok; Shim, Won Heum; Cho, Seung Yun; Jang, Yangsoo.

In: Yonsei Medical Journal, Vol. 45, No. 3, 30.06.2004, p. 428-434.

Research output: Contribution to journalArticle

Park, Sungha ; Park, Hyun Young ; Park, Chanmi ; Ko, Young Guk ; Im, Eun Kyung ; Jo, Inho ; Shin, Chol ; Lee, Jong Bok ; Shim, Won Heum ; Cho, Seung Yun ; Jang, Yangsoo. / Association of the gene polymorphisms of platelet glycoprotein Ia and IIb/IIIa with myocardial infarction and extent of coronary artery disease in the Korean population. In: Yonsei Medical Journal. 2004 ; Vol. 45, No. 3. pp. 428-434.
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AU - Im, Eun Kyung

AU - Jo, Inho

AU - Shin, Chol

AU - Lee, Jong Bok

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AU - Jang, Yangsoo

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