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Glycoprotein Ib? Kozak polymorphism in patients presenting with early-onset acute coronary syndrome

Title: Glycoprotein Ib? Kozak polymorphism in patients presenting with early-onset acute coronary syndrome
Authors: Gölcük, Ebru; Yalın, Kıvanç; Akdeniz, Cansu Selcan; Teker, Erhan; Teker, Başak Akadam; Hançer, Veysel Sabri; Altun, Ibrahim
Publisher Information: Termedia Publishing House Ltd. Kleeberqa St.2 Poznan 61-615
Publication Year: 2018
Subject Terms: Acute coronary syndrome; Glycoprotein Ib? Kozak polymorphism; Turkish population
Description: Introduction: Glycoprotein Ib? (GPIb?) receptor is the chief molecule responsible for initial platelet adhesion to the subendothelium. A thymidine to cytosine single nucleotide substitution at position –5 from the ATG start codon characterizes the Kozak sequence polymorphism. The Kozak sequence polymorphism may increase the surface expression of GPIb? and contribute to thrombogenesis. We evaluated the allele frequencies of GPIb? Kozak sequence polymorphism in the Turkish population and examined the relationship between GPIb? Kozak sequence polymorphism and early-onset acute coronary syndrome (ACS). Material and methods: This study enrolled 200 patients (122 male, 78 female, mean age: 39 ±5 years) and 200 healthy control subjects (110 male, 90 female, 41 ±4 years). The patient group was composed of patients admitted to our coronary care unit with early-onset ACS and patients who attended to our cardiology outpatient clinic after hospital discharge with a diagnosis of early-onset ACS. Results: Kozak polymorphism frequencies in patients and control subjects did not differ significantly (23% versus 22.5%, p = 0.812, respectively). In patients who presented with non-ST elevation myocardial infarction (NSTEMI), the frequency of GPIb? Kozak polymorphism was borderline significantly higher when compared with patients who presented with ST elevation myocardial infarction (STEMI) (35% vs. 20%, p = 0.05, respectively). Allele frequencies of T and C were calculated to be 0.873 and 0.128. Conclusions: Although the frequency of GPIb? Kozak polymorphism did not differ significantly in early-onset ACS patients versus control subjects, Kozak polymorphism frequency was borderline significantly higher in patients who presented with NSTEMI when compared to patients with STEMI. © 2016 Termedia & Banach.
Document Type: article in journal/newspaper
Language: English
Relation: Archives of Medical Science; Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı; https://doi.org/10.5114/aoms.2016.63278; https://hdl.handle.net/20.500.12831/34709; 14; 788; 793; Q1
DOI: 10.5114/aoms.2016.63278
Availability: https://doi.org/10.5114/aoms.2016.63278; https://hdl.handle.net/20.500.12831/34709
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.BCCA4600
Database: BASE