Research Article

Genetic Variants Associated with High Susceptibility of Premature Ischemic Stroke

Table 4

Candidate genes associated to the development of premature IS.

ProteinFunctionGeneVariation typeTranscript changeOther namesConsequence

AGTInteracts with renin to form angiotensin IAGTSNVT803CM235THigher plasma AGT levels, which result in higher blood pressure
SNVC620TT174M
ACEConversion of inactive angiotensin I to active angiotensin IIACEI/D of an Alu repeated sequence in an intronN/AIncrease the serum concentration of ACE
FIIAn inactive zymogen vitamin K-dependent glycoprotein, activated by FXa in the presence of phospholipids, calcium, and FVa, to form thrombinF2SNV in 3 prime UTR variantNAG20210AIncrease the concentration of thrombin. Thrombin converts fibrinogen to fibrin
FVPlasma glycoprotein, when activated, acts as a cofactor for the conversion of prothrombin to thrombin by FXaF5SNVG1601ALeiden mutation
R506G
G1691A
Affects the APC cleavage site of FV, and in consequence, FVa is not properly inactivated by APC
FVIIAn inactive zymogen, vitamin K-dependent glycoprotein, activated by tissue factor upon vascular injury. This complex turns on factors IX and XF7SNVG1238AR353Q
AGTR1It has vasopressor effects and regulates aldosterone secretion and controls blood pressure and volume in the cardiovascular systemAGTR1SNVA1166CHigh blood pressure
TSP-1TSP-1 promote smooth muscle cell proliferation and migration to promote platelet activation and aggregationTSP-1SNVN700SIncreasing smooth muscle cell proliferation and migration and platelet activation and aggregation and atherosclerosis

AGT: angiotensinogen; ACE: angiotensin-converting enzyme; FII: coagulation factor II; FV: coagulation factor V or Leiden; FVII: coagulation factor VII; FXa: activated coagulation factor X; FvW: von Willebrand factor; SNV: single nucleotide variant; I/D: insertion/deletion; APC: activated protein C; TSP: thrombospondin; AGTR1: angiotensin II type 1 receptor.