GP6 polymorphisms and venous thromboembolism: a Chinese case-control study with cross-population assessment
摘要
While genome-wide association studies having implicated the GP6 rs1613662 polymorphism as a risk factor for venous thrombosis, subsequent studies have reported inconsistent findings regarding this association.
ObjectivesHere, we performed a case-control study in a Chinese cohort to evaluate the association between rs1613662 and venous thromboembolism (VTE) risk. We further conducted a comprehensive cross-population assessment by integrating multi-ethnic data to assess this association.
MethodsWe recruited 225 patients with VTE and 203 healthy controls for the Chinese case-control study, with rs1613662 genotyped using the Sequenom assay. Additionally, we systematically integrated genotyping data from nine cohorts (with a total of 5,669 VTE cases and 8,976 controls) for the cross-population analysis.
ResultsAnalysis of the Chinese cohort revealed no statistically significant association between rs1613662 and VTE susceptibility. However, the multi-ethnic meta-analysis revealed significant VTE risk associations for rs1613662 in both the additive (odds ratio [OR] = 1.14, 95% confidence interval [CI]:1.07–1.22, P = 0.00014) and dominant models (OR = 1.16, 95% CI:1.07–1.25, P = 0.00019), but not in the recessive model (OR = 1.22, 95% CI:0.96–1.52, P = 0.082). Sensitivity analysis via the sequential exclusion of individual studies demonstrated remarkable stability.
ConclusionsOur findings demonstrate that rs1613662 is associated with a modest but statistically significant increase in VTE susceptibility on average, with heterogeneous effect sizes across different populations. The observed ethnic heterogeneity suggests the necessity of additional investigation into population-specific genetic architectures. Integrated polygenic risk scores could be used to optimize risk stratification and develop preventive strategies against VTE.