PMID- 19069167 OWN - NLM STAT- MEDLINE DCOM- 20090128 LR - 20131121 IS - 1881-6096 (Print) IS - 1881-6096 (Linking) VI - 60 IP - 11 DP - 2008 Nov TI - [Beta2-glycoprotein I polymorphism]. PG - 1333-8 AB - Antiphopholipid syndrome (APS) is a major cause of ischemic stroke in young adults. In our study, stroke patients with antiphospholipid antibodies (APL) were significantly younger and were more likely to be women than stroke patients without APL. Valvular heart disease, neurological complications, and hematological disorders were more frequent in the APL-positive group. The mean value of thrombin-antithrombin III complex was significantly lower in the APL-positive group. beta2-Glyoprotein I (beta2-GPI) is the antigen primarily responsible for APL. At the DNA level, 4 different types of allelic polymorphisms have been detected in beta2-GPI. The allele at position 247 has codes for either valine (V) or leucine (L), which results in genotypic expression of VV, VL, or LL. In our study, the V and VL genotypes were more frequent in patients with cerebral infarction than in normal controls. The VL genotype was more frequent among patients aged less than 60 years than in those aged more than 60 years. The mean values of beta-thromboglobulin and platelet factor 4 in patients with the VL genotype were significantly higher than those with the LL genotype. The results suggested that V247 beta2-GPI allele is one of the genetic risk factors for the development of cerebral infarction through platelet activation. FAU - Terashi, Hiromi AU - Terashi H AD - Department of Neurology, Tokyo Wemens University, School of Medicine, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan. FAU - Hashimoto, Shiori AU - Hashimoto S FAU - Uchiyama, Shinichiro AU - Uchiyama S LA - jpn PT - English Abstract PT - Journal Article PT - Review PL - Japan TA - Brain Nerve JT - Brain and nerve = Shinkei kenkyu no shinpo JID - 101299709 RN - 0 (Antibodies, Antiphospholipid) RN - 0 (beta 2-Glycoprotein I) RN - 0 (beta-Thromboglobulin) RN - 37270-94-3 (Platelet Factor 4) RN - GMW67QNF9C (Leucine) RN - HG18B9YRS7 (Valine) SB - IM MH - Adult MH - Alleles MH - Antibodies, Antiphospholipid/genetics MH - Antiphospholipid Syndrome/genetics MH - Female MH - Genotype MH - Humans MH - Leucine/genetics MH - Male MH - Middle Aged MH - Platelet Factor 4 MH - *Polymorphism, Genetic MH - Risk Factors MH - Stroke/*genetics MH - Valine/genetics MH - beta 2-Glycoprotein I/*genetics MH - beta-Thromboglobulin RF - 22 EDAT- 2008/12/17 09:00 MHDA- 2009/01/29 09:00 CRDT- 2008/12/17 09:00 PHST- 2008/12/17 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/01/29 09:00 [medline] PST - ppublish SO - Brain Nerve. 2008 Nov;60(11):1333-8.