Aspirin resistance-related P2Y1 gene polymorphic site and application
An aspirin and gene technology, applied in the field of medical disease treatment drug selection, can solve problems such as gene polymorphism uncertainty, and achieve the effect of reducing the recurrence rate of stroke
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Embodiment 1
[0028] Discovery of the P2Y1 gene polymorphism (A745G) associated with aspirin resistance:
[0029] The data of stroke patients from 2010 to 2014 were retrieved from the stroke database, and according to the diagnostic criteria of ischemic stroke, patients diagnosed with ischemic stroke were screened, and aspirin was further selected for secondary prevention (secondary prevention is for patients with cerebral palsy). For patients with stroke symptoms or after stroke, these people need to prevent reoccurrence of stroke) as the total sample (5033 people in total).
[0030] 1. Determine the number of people with stroke recurrence in the total sample, and explore the relationship between the polymorphism of the P2Y1(A745G) gene and stroke recurrence in the total sample (Table 2);
[0031] 2. In the total sample, patients who returned to the hospital for follow-up visits (including those who have relapsed and those who have not relapsed, a total of 3429 people), collected periphera...
Embodiment 2
[0047] Application of P2Y1 gene polymorphism (A745G) primers related to aspirin resistance in the preparation of screening kits for aspirin resistance patients:
[0048] All patients with ischemic stroke for the first time were given aspirin for secondary prevention, and the patients were followed up 3 months later to detect the ARU and stroke recurrence of each patient. At the same time, peripheral blood was collected from patients to detect the presence of P2Y1 (A745G) polymorphism by gene sequencing, and the incidence of aspirin resistance in mutant and wild-type patients was analyzed.
[0049] The study began in August 2013, and the deadline for case inclusion was August 2014. According to the diagnostic criteria for ischemic stroke, patients diagnosed with ischemic stroke were selected as the research objects, and the following tasks were completed:
[0050] 1. According to the guidelines for the secondary prevention of ischemic stroke, aspirin was given to all patients f...
Embodiment 3
[0060] Discovery of other genetic polymorphisms associated with aspirin resistance:
[0061] 1) Discovery of the COX-1 gene polymorphism (A842G) associated with aspirin resistance:
[0062] With the same stroke database, blood sample and method as in Example 1, the relationship between the polymorphism of the COX-1 (A842G) gene and stroke recurrence in the total sample (5033 people in total, the same as in Example 1) was detected (Table 6); And the relationship between the polymorphism of COX-1 (A842G) gene and ARU ≥ 550 in patients returning to the hospital for follow-up visits (including relapsed and non-relapsed patients, a total of 3429 people, the same as in Example 1) (Table 5).
[0063] The results showed that among ischemic stroke patients taking aspirin for secondary prevention, compared with wild-type patients, the COX-1(A842G) mutant group had a significantly higher aspirin response unit ARU value, and the number of patients with ARU≥550 was significantly higher th...
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