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Stroke is an important manifestation of Fabry disease, and recent epidemiological studies have indicated that up to 4.9% of young male cryptogenic stroke patients have GLA mutations. To determine the importance of GLA mutations in the general stroke population, the frequency of GLA mutations in Japanese male ischaemic stroke (IS) patients with various risk factors and ages was measured. MethodsA total of 475 male IS patients (mean age 69.712.5years), were enrolled in this study. A blood sample was obtained to produce blood spots for measurement of -GAL activity. Blood samples with decreased enzymatic activity were reassayed and the entire GLA gene was analyzed by direct DNA sequencing if -Gal A activity was consistently low. Results-Gal A activity was decreased in 10 men, five of whom (1.1%) had the GLA gene mutation, p.E66Q. All IS patients with p.E66Q mutation had substantial residual -Gal A activity, in contrast to patients with classic-type Fabry disease. Clinically, all patients with p.E66Q mutation were \u003e50years old and had multiple small-vessel occlusions (lacunar infarctions). Statistical analysis using Fisher\u0027s exact test showed the allele frequency of GLA p.E66Q in patients with small-vessel occlusion to be significantly higher than that in the general Japanese population [odds ratio (OR)=3.34, P=0.025). 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Stroke is an important manifestation of Fabry disease, and recent epidemiological studies have indicated that up to 4.9% of young male cryptogenic stroke patients have GLA mutations. To determine the importance of GLA mutations in the general stroke population, the frequency of GLA mutations in Japanese male ischaemic stroke (IS) patients with various risk factors and ages was measured. MethodsA total of 475 male IS patients (mean age 69.712.5years), were enrolled in this study. A blood sample was obtained to produce blood spots for measurement of -GAL activity. Blood samples with decreased enzymatic activity were reassayed and the entire GLA gene was analyzed by direct DNA sequencing if -Gal A activity was consistently low. Results-Gal A activity was decreased in 10 men, five of whom (1.1%) had the GLA gene mutation, p.E66Q. All IS patients with p.E66Q mutation had substantial residual -Gal A activity, in contrast to patients with classic-type Fabry disease. Clinically, all patients with p.E66Q mutation were \u003e50years old and had multiple small-vessel occlusions (lacunar infarctions). Statistical analysis using Fisher\u0027s exact test showed the allele frequency of GLA p.E66Q in patients with small-vessel occlusion to be significantly higher than that in the general Japanese population [odds ratio (OR)=3.34, P=0.025). 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  1. 050 医学部, 大学院医学系研究科
  2. 0501 学術論文

p.E66Q mutation in the GLA gene is associated with a high risk of cerebral small-vessel occlusion in elderly Japanese males

http://hdl.handle.net/10091/17575
http://hdl.handle.net/10091/17575
1e219bf7-89b3-4ae5-8b81-27459e7fbffc
名前 / ファイル ライセンス アクション
pE66Q_Mutation_GLA_ pE66Q_Mutation_GLA_ Gene_Associated_High_Risk.pdf (1.3 MB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2014-06-09
タイトル
言語 en
タイトル p.E66Q mutation in the GLA gene is associated with a high risk of cerebral small-vessel occlusion in elderly Japanese males
言語
言語 eng
キーワード
主題Scheme Other
主題 cerebral hemorrhage
キーワード
主題Scheme Other
主題 cerebral infarction
キーワード
主題Scheme Other
主題 cerebral small-vessel occlusion
キーワード
主題Scheme Other
主題 Fabry disease
キーワード
主題Scheme Other
主題 GLA
キーワード
主題Scheme Other
主題 lacunar infarction
キーワード
主題Scheme Other
主題 risk factors
キーワード
主題Scheme Other
主題 alpha-galactosidase A
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ journal article
著者 Nakamura, K

× Nakamura, K

WEKO 6779

en Nakamura, K

Search repository
Sekijima, Y

× Sekijima, Y

WEKO 6780

en Sekijima, Y

Search repository
Nakamura, K

× Nakamura, K

WEKO 6781

en Nakamura, K

Search repository
Hattori, K

× Hattori, K

WEKO 6782

en Hattori, K

Search repository
Nagamatsu, K

× Nagamatsu, K

WEKO 6783

en Nagamatsu, K

Search repository
Shimizu, Y

× Shimizu, Y

WEKO 6784

en Shimizu, Y

Search repository
Yazaki, M

× Yazaki, M

WEKO 6785

en Yazaki, M

Search repository
Sakurai, A

× Sakurai, A

WEKO 6786

en Sakurai, A

Search repository
Endo, F

× Endo, F

WEKO 6787

en Endo, F

Search repository
Fukushima, Y

× Fukushima, Y

WEKO 6788

en Fukushima, Y

Search repository
Ikeda, S. -I

× Ikeda, S. -I

WEKO 6789

en Ikeda, S. -I

Search repository
信州大学研究者総覧へのリンク
氏名 Nakamura, K
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.jFSVbVym.html
信州大学研究者総覧へのリンク
氏名 Sekijima, Y
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.WhLNuakh.html
信州大学研究者総覧へのリンク
氏名 Yazaki, M
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.gpTauakh.html
信州大学研究者総覧へのリンク
氏名 Fukushima, Y
URL http://soar-rd.shinshu-u.ac.jp/profile/ja.OUnVuUkh.html
出版者
出版者 WILEY-BLACKWELL
引用
内容記述タイプ Other
内容記述 EUROPEAN JOURNAL OF NEUROLOGY. 21(1):49-56 (2014)
書誌情報 EUROPEAN JOURNAL OF NEUROLOGY

巻 21, 号 1, p. 49-56, 発行日 2014-01
抄録
内容記述タイプ Abstract
内容記述 Background and purposeGLA is the causative gene of Fabry disease, an X-linked lysosomal storage disorder resulting from -galactosidase A (-GAL) deficiency. Stroke is an important manifestation of Fabry disease, and recent epidemiological studies have indicated that up to 4.9% of young male cryptogenic stroke patients have GLA mutations. To determine the importance of GLA mutations in the general stroke population, the frequency of GLA mutations in Japanese male ischaemic stroke (IS) patients with various risk factors and ages was measured. MethodsA total of 475 male IS patients (mean age 69.712.5years), were enrolled in this study. A blood sample was obtained to produce blood spots for measurement of -GAL activity. Blood samples with decreased enzymatic activity were reassayed and the entire GLA gene was analyzed by direct DNA sequencing if -Gal A activity was consistently low. Results-Gal A activity was decreased in 10 men, five of whom (1.1%) had the GLA gene mutation, p.E66Q. All IS patients with p.E66Q mutation had substantial residual -Gal A activity, in contrast to patients with classic-type Fabry disease. Clinically, all patients with p.E66Q mutation were >50years old and had multiple small-vessel occlusions (lacunar infarctions). Statistical analysis using Fisher's exact test showed the allele frequency of GLA p.E66Q in patients with small-vessel occlusion to be significantly higher than that in the general Japanese population [odds ratio (OR)=3.34, P=0.025). ConclusionsGLA p.E66Q mutation is a genetic risk factor for cerebral small-vessel occlusion in elderly Japanese males.
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ PISSN
収録物識別子 1351-5101
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA11015934
PubMed
識別子タイプ PMID
関連識別子 https://pubmed.ncbi.nlm.nih.gov/23724928
関連名称 23724928
DOI
識別子タイプ DOI
関連識別子 https://doi.org/10.1111/ene.12214
関連名称 10.1111/ene.12214
権利
権利情報 The definitive version is available at wileyonlinelibrary.com
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
WoS
表示名 Web of Science
URL http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000327943000013
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