Are certain forms of the P2Y2 gene associated with the risk of stroke in northern Han Chinese people?

ISRCTN ISRCTN11439124
DOI https://doi.org/10.1186/ISRCTN11439124
Secondary identifying numbers 1.0
Submission date
15/10/2018
Registration date
24/10/2018
Last edited
13/12/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
People in northern China are at an increased risk of ischemic stroke (damage to the brain caused by narrowing of blood vessels in the brain). This study aimed to investigate if gene forms linked to increased risk of stroke are more common in Han Chinese people in this region.

Who can participate?
People aged 45-80 years who had had an ischemic stroke and healthy volunteers matched in terms of age, gender, ethnic group and area of residence with the stroke group.

What does the study involve?
One sample of blood was taken from a vein (usually in the arm).

What are the possible benefits and risks of participating?
There was the potential for discomfort when the blood was taken. There are no potential benefits of taking part.

Where is the study run from?
The First Affiliated Hospital of China Medical University.

When is the study starting and how long is it expected to run for?
The samples were collected from September 2010 to May 2011 and the data analysed from March 2012 to April 2012.

Who is funding the study?
This study was supported by a grant from the National Natural Science Foundation of China, No. 81070913.

Who is the main contact?
Zhi-yi He
Hezhiyi0301@sina.com

Contact information

Dr Li-Ying Yuan
Public

No.155, Nanjing North Street, Heping District
Shenyang
110000
China

Phone 13998250891
Email cmu_jane@sina.com

Study information

Study designObservational case-control study
Primary study designObservational
Secondary study designCase-control study
Study setting(s)Hospital
Study typeScreening
Participant information sheet No participant information sheet available
Scientific titleG-Protein Coupled Purinergic Receptor P2Y2 (P2RY2) gene rs4944832 polymorphism increases the risk of ischemic stroke in the northern Han Chinese population
Study objectivesThe G-C-G haplotype of P2RY2 is a susceptibility haplotype for ischemic stroke. In addition, the GG genotype of rs4944832 may be associated with the development of small-artery occlusion in the northern Han Chinese population.
Ethics approval(s)1. Ethics Committee of the First Affiliated Hospital of China Medical University, 20/02/2012, 2012-38-1
2. Ethics Committee of the First Affiliated Hospital of Liaoning Medical University, 01/03/2013, 2013-03-1
Health condition(s) or problem(s) studiedIschemic stroke
InterventionIn this study, clinical data and peripheral blood specimens were collected from ischemic stroke patients and controls. The ischemic stroke participants were recruited from the First Affiliated Hospital of China Medical University and the First Affiliated Hospital of Liaoning Medical University. The controls were recruited from the Health Check Center at the First Affiliated Hospital of China Medical University. Ischemic stroke patients were divided into two subgroups according to the Trial of ORG 10172 in Acute Stroke Treatment (TOAST) classification: large-artery atherosclerosis (n = 178) and small-artery occlusion (n = 200) strokes. All subjects were genotyped using SNaPshot® Multiplex (Thermo Fisher Scientific) for three single-nucleotide polymorphisms in the P2RY2 gene (rs4944831, rs1783596 and rs4944832) in peripheral venous blood.
Intervention typeGenetic
Primary outcome measureThe genotype frequencies of the three P2RY2 SNPs (rs4944831, rs1783596, and rs4944832) in ischemic stroke patients and controls.
Secondary outcome measures1. Allele frequencies of the three P2RY2 SNPs (rs4944831, rs1783596, and rs4944832) in ischemic stroke patients and controls.
2. Inferred haplotypes of these three P2RY2 SNPs (rs4944831, rs1783596, and rs4944832).
Overall study start date01/05/2010
Completion date30/04/2012

Eligibility

Participant type(s)Mixed
Age groupAdult
SexBoth
Target number of participants722
Key inclusion criteriaInclusion criteria for the ischemic stroke group:
1. According to the TOAST classification, patients in the ischemic stroke group were diagnosed depending on clinical features and neuroimaging criteria that included the sudden onset of a global or focal neurological deficit, with corresponding brain infarction as seen on computed tomography (CT) imaging or magnetic resonance imaging (MRI) (Adams et al., 1993). Examinations of cerebral blood vessels, such as computed tomography angiography and magnetic resonance angiography, were performed when necessary.

Inclusion criteria for the control group:
1. Unrelated healthy controls with no clinical or radiological evidence of stroke or cerebrovascular diseases.
2. Some healthy controls had vascular risk factors such as hypertension, diabetes, smoking, drinking, and hypercholesterolemia.
Key exclusion criteriaExclusion criteria for the ischemic stroke group:
1. Cancer
2. Hemorrhagic stroke
3. Transient ischemic attack
4. Severe cardiac, hepatic, or renal diseases

Exclusion criteria for control subjects:
1. Cancer
2. Autoimmune disease
3. Chronic inflammation
4. Renal insufficiency
5. Liver insufficiency
6. Hematopathy
Date of first enrolment01/09/2010
Date of final enrolment30/05/2011

Locations

Countries of recruitment

  • China

Study participating centres

The First Hospital of China Medical University
No.155, Nanjing North Street, Heping District
Shenyang
110000
China
The First Affiliated Hospital of Liaoning Medical University
No.2, Section 5, Renmin Street, Guta District
Jinzhou
121000
China

Sponsor information

the First Hospital of China Medical University
Hospital/treatment centre

No.155, Nanjing North Street, Heping District
Shenyang
110000
China

Phone 86-024-961200
Email ydyyyzxx@126.com
ROR logo "ROR" https://ror.org/04wjghj95

Funders

Funder type

Government

National Natural Science Foundation of China
Government organisation / National government
Alternative name(s)
Chinese National Science Foundation, Natural Science Foundation of China, National Science Foundation of China, NNSF of China, NSF of China, 国家自然科学基金委员会, National Nature Science Foundation of China, Guójiā Zìrán Kēxué Jījīn Wěiyuánhuì, NSFC, NNSF, NNSFC
Location
China

Results and Publications

Intention to publish date17/04/2019
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination plan
IPD sharing planThe data sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2019 Yes No

Editorial Notes

DK 13/12/2018: Publication reference added.