A polymorphism in the human serotonin 5-HT2A receptor gene may protect against systemic sclerosis by reducing platelet aggregation
2008

Serotonin Gene Variant and Systemic Sclerosis

Sample size: 255 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lorenzo Beretta, Marta Cossu, Maurizio Marchini, Francesca Cappiello, Andrea Artoni, Giovanna Motta, Raffaella Scorza

Primary Institution: University of Milan & Fondazione IRCCS Ospedale Maggiore Policlinico

Hypothesis

The C+1354T polymorphism in the serotonin 5-HT2A receptor gene may influence susceptibility to systemic sclerosis by affecting platelet aggregation.

Conclusion

The His452Tyr substitution may influence susceptibility to systemic sclerosis by altering platelet aggregation in response to serotonin.

Supporting Evidence

  • The T allele of the C+1354T polymorphism was underrepresented in scleroderma patients compared to controls.
  • Carriage of the T allele reduced the risk for systemic sclerosis with an odds ratio of 0.39.
  • Platelets from individuals with the His452Tyr substitution showed reduced aggregation in response to serotonin.

Takeaway

A specific change in a gene related to serotonin might help protect people from a disease called systemic sclerosis by making their platelets less sticky.

Methodology

Genotyping of 115 systemic sclerosis patients and 140 healthy controls for the His452Tyr substitution, followed by platelet aggregation assessment.

Potential Biases

Potential for false-positive results due to the exploratory nature of the study.

Limitations

The study had a relatively small sample size and lacked a replicate population.

Participant Demographics

115 systemic sclerosis patients (93.9% female, mean age 43.4 years) and 140 healthy controls.

Statistical Information

P-Value

P < 0.001

Confidence Interval

0.19 to 0.85

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/ar2495

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