PMID- 25470006 OWN - NLM STAT- MEDLINE DCOM- 20151214 LR - 20220410 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 12 DP - 2014 TI - Genetic variation at the BDNF locus: evidence for association with long-term outcome after ischemic stroke. PG - e114156 LID - 10.1371/journal.pone.0114156 [doi] LID - e114156 AB - BACKGROUND AND PURPOSE: Rates and extent of recovery after stroke vary considerably between individuals and genetic factors are thought to contribute to post-stroke outcome. Brain-derived neurotrophic factor (BDNF) plays important roles in brain plasticity and repair and has been shown to be involved in stroke severity, recovery, and outcome in animal models. Few clinical studies on BDNF genotypes in relation to ischemic stroke have been performed. The aims of the present study are therefore to investigate whether genetic variation at the BDNF locus is associated with initial stroke severity, recovery and/or short-term and long-term functional outcome after ischemic stroke. METHODS: Four BDNF tagSNPs were analyzed in the Sahlgrenska Academy Study on Ischemic Stroke (SAHLSIS; 600 patients and 600 controls, all aged 18-70 years). Stroke severity was assessed using the NIH Stroke Scale (NIHSS). Stroke recovery was defined as the change in NIHSS over a 3-month period. Short- and long-term functional outcome post-stroke was assessed using the modified Rankin Scale at 3 months and at 2 and 7 years after stroke, respectively. RESULTS: No SNP was associated with stroke severity or recovery at 3 months and no SNP had an impact on short-term outcome. However, rs11030119 was independently associated with poor functional outcome 7-years after stroke (OR 0.66, 95% CI 0.46-0.92; P = 0.006). CONCLUSIONS: BDNF gene variants were not major contributors to ischemic stroke severity, recovery, or short-term functional outcome. However, this study suggests that variants in the BDNF gene may contribute to poor long-term functional outcome after ischemic stroke. FAU - Stanne, Tara M AU - Stanne TM AD - Institute of Biomedicine, Section for Clinical Genetics, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. FAU - Tjarnlund-Wolf, Anna AU - Tjarnlund-Wolf A AD - Institute of Neuroscience and Physiology, Section for Clinical Neuroscience and Rehabilitation, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. FAU - Olsson, Sandra AU - Olsson S AD - Institute of Neuroscience and Physiology, Section for Clinical Neuroscience and Rehabilitation, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. FAU - Jood, Katarina AU - Jood K AD - Institute of Neuroscience and Physiology, Section for Clinical Neuroscience and Rehabilitation, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. FAU - Blomstrand, Christian AU - Blomstrand C AD - Institute of Neuroscience and Physiology, Section for Clinical Neuroscience and Rehabilitation, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. FAU - Jern, Christina AU - Jern C AD - Institute of Biomedicine, Section for Clinical Genetics, the Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141203 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Alleles MH - Brain Ischemia/complications MH - Brain-Derived Neurotrophic Factor/*genetics MH - Case-Control Studies MH - Female MH - Gene Frequency MH - Genotype MH - Humans MH - Linkage Disequilibrium MH - Male MH - Middle Aged MH - Odds Ratio MH - Polymorphism, Single Nucleotide MH - Risk Factors MH - Severity of Illness Index MH - Stroke/etiology/*genetics/pathology MH - Treatment Outcome MH - Young Adult PMC - PMC4254920 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/12/04 06:00 MHDA- 2015/12/15 06:00 PMCR- 2014/12/03 CRDT- 2014/12/04 06:00 PHST- 2014/06/26 00:00 [received] PHST- 2014/11/04 00:00 [accepted] PHST- 2014/12/04 06:00 [entrez] PHST- 2014/12/04 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2014/12/03 00:00 [pmc-release] AID - PONE-D-14-28537 [pii] AID - 10.1371/journal.pone.0114156 [doi] PST - epublish SO - PLoS One. 2014 Dec 3;9(12):e114156. doi: 10.1371/journal.pone.0114156. eCollection 2014.