PMID- 19758193 OWN - NLM STAT- MEDLINE DCOM- 20091029 LR - 20090917 IS - 1749-6632 (Electronic) IS - 0077-8923 (Linking) VI - 1173 DP - 2009 Sep TI - Val/Leu247 polymorphism of beta2-glycoprotein I in Brazilian patients with antiphospholipid syndrome--a genetic risk factor? PG - 509-14 LID - 10.1111/j.1749-6632.2009.04655.x [doi] AB - A genetic polymorphism of the beta2-glycoprotein I (beta2-GPI) is recognized by antiphospholipid antibodies (aPL) and may even play a role in the development of antiphospholipid syndrome (APS). The objectives of this study were to determine a Val/Leu SNP at position 247 of the beta2-GPI gene in Brazilian patients with APS and to compare these data with clinical and laboratory manifestations. Polymorphism assignment was performed by PCR followed by Rsa I restriction endonuclease. The titration of anti-beta2-GPI antibodies was detected by ELISA. The results showed significantly higher frequencies of the V-encoding allele and the homozygous VV genotype in patients with APS than in control subjects (OR = 1.781, P = 0.0068; and OR = 6.413, P < 0.0001, respectively). The frequency of this genotype was also significantly higher in patients with arterial and venous thrombosis than in the control group (52% and 44%, respectively, versus 13%). Anti-beta2-GPI-positive patients had significantly higher frequencies of the VV genotype than the controls subjects (OR = 8.179, P < 0.0001). These results suggest that the V-encoding allele and the homozygous VV genotype at position 247 of the beta2-GPI gene may play a role in the generation of anomalous beta2-GPI, with consequent auto-antibody production, and in phenotype expression of arterial and venous thrombosis in APS patients. FAU - Pernambuco-Climaco, Juliana M AU - Pernambuco-Climaco JM AD - Department of Clinical Medicine, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Sao Paulo, Brazil. FAU - Brochado, Maria Jose F AU - Brochado MJ FAU - Freitas, Max Victor C AU - Freitas MV FAU - Roselino, Ana Maria F AU - Roselino AM FAU - Louzada-Junior, Paulo AU - Louzada-Junior P LA - eng PT - Journal Article PL - United States TA - Ann N Y Acad Sci JT - Annals of the New York Academy of Sciences JID - 7506858 RN - 0 (Autoantibodies) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Alleles MH - Amino Acid Substitution MH - Antiphospholipid Syndrome/complications/*genetics/immunology MH - Autoantibodies/blood MH - Brazil MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Male MH - Middle Aged MH - Odds Ratio MH - *Polymorphism, Single Nucleotide MH - Risk Factors MH - Thrombosis/complications MH - Young Adult MH - beta 2-Glycoprotein I/*genetics/immunology EDAT- 2009/09/18 06:00 MHDA- 2009/10/30 06:00 CRDT- 2009/09/18 06:00 PHST- 2009/09/18 06:00 [entrez] PHST- 2009/09/18 06:00 [pubmed] PHST- 2009/10/30 06:00 [medline] AID - NYAS4655 [pii] AID - 10.1111/j.1749-6632.2009.04655.x [doi] PST - ppublish SO - Ann N Y Acad Sci. 2009 Sep;1173:509-14. doi: 10.1111/j.1749-6632.2009.04655.x.