The Genetics of Primary Haemorrhagic Stroke, Subarachnoid Haemorrhage and Ruptured Intracranial Aneurysms in Adults
2008

Genetics of Haemorrhagic Stroke

Sample size: 19964 publication 10 minutes Evidence: moderate

Author Information

Author(s): Peck George, Smeeth Liam, Whittaker John, Casas Juan Pablo, Hingorani Aroon, Sharma Pankaj

Primary Institution: Imperial College London

Hypothesis

What is the genetic basis of haemorrhagic stroke?

Conclusion

The study suggests a genetic contribution to some types of haemorrhagic stroke, supporting a polygenic aetiology.

Supporting Evidence

  • 6,359 cases and 13,805 controls were included in the meta-analysis.
  • Statistically significant associations were found for the ACE/I allele and SERPINE1 4G/5G polymorphism.
  • APOE ε2 and ε4 alleles were significantly associated with lobar haemorrhage.

Takeaway

Some genes can make people more likely to have a type of stroke called haemorrhagic stroke, but it's not just one gene; many genes work together.

Methodology

A systematic review and meta-analysis of genetic studies in haemorrhagic stroke was conducted, analyzing odds ratios and confidence intervals for gene-disease associations.

Potential Biases

Concerns about spurious associations and inadequate statistical power due to small sample sizes in some studies.

Limitations

The evidence base is smaller compared to ischaemic stroke, and the study's findings are limited by the available data and variability in study methodologies.

Participant Demographics

The study included adults with a focus on Caucasian populations, with some studies from various ethnic backgrounds.

Statistical Information

P-Value

0.0003

Confidence Interval

1.20–1.83

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0003691

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