Evidence map›Paper›PMID 24423050›Full record

ArticleBMC nephrology2014

Associations of GSTM1*0 and GSTA1*A genotypes with the risk of cardiovascular death among hemodialyses patients.

Sonja Suvakov, Tatjana Damjanovic, Tatjana Pekmezovic, Jovana Jakovljevic, Ana Savic-Radojevic, Marija Pljesa-Ercegovac, Slavica Radovanovic, Dragan V Simic, Steva Pljesa, Milos Zarkovic and 3 more

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Article in BMC nephrology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Sonja Suvakov
Tatjana Damjanovic
Tatjana Pekmezovic
Jovana Jakovljevic
Ana Savic-Radojevic
Marija Pljesa-Ercegovac
Slavica Radovanovic
Dragan V Simic
Steva Pljesa
Milos Zarkovic
Jasmina Mimic-Oka
Nada Dimkovic
Tatjana SimicInstitute of Medical and Clinical Biochemistry, Faculty of Medicine, University of Belgrade, Pasterova 2, 11000, Belgrade, Serbia. tatjanasimic@med.bg.ac.rs.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of glutathione transferase (GST) M1 null genotype (GSTM1-null) in end-stage renal disease (ESRD) patients is associated with lower overall survival rate in comparison to those with GSTM1-active variants. We examined association between GSTM1 and GSTT1 deletion polymorphisms as well as SNPs in GSTA1/rs3957357 and GSTP1/rs1695 genes with overall and cause-specific cardiovascular mortality in ESRD patients.

methodsTotal of 199 patients undergoing hemodialysis were included in the study. Median value of time elapsed from dialysis initiation until the death, or the end of follow-up was 8 ± 5 years. The effect of GSTM1, GSTT1, GSTP1 and GSTA1 gene polymorphisms on predicting overall and specific cardiovascular outcomes (myocardial infarction, MI or stroke) was analyzed using Cox regression model, and differences in survival were determined by Kaplan-Meier.

resultsGSTM1-null genotype in ESRD patients was found to be independent predictor of overall and cardiovascular mortality. However, after false discovery rate and Bonferroni corrections this effect was lost. The borderline effect modification by wild-type GSTA1*A/*A genotype on associations between GSTM1-null and analyzed outcomes was found only for death from stroke. Homozygous carriers of combined GSTM1*0/GSTA1*A genotype exhibited significantly shorter time to death of stroke or MI in comparison with carriers of either GSTM1-active or at least one GSTA1*B gene variant. The best survival rate regarding cardiovascular outcome was found for ESRD patients with combined GSTM1-active and mutant GSTA1*B/*B genotype.

conclusionsCombined GSTM1*0/GSTA1*A genotypes might be considered as genetic markers for cardiovascular death risk in ESRD patients, which may permit targeting of preventive and early intervention.

Indexed as

Cardiovascular DiseasesDeath, Sudden, CardiacFemaleGenetic Association StudiesGenetic MarkersGenetic Predisposition to DiseaseGlutathione TransferaseHumansIncidenceMaleMiddle AgedRenal DialysisRisk FactorsSerbiaSurvival RateGenetic MarkersGlutathione TransferaseGSTA1 protein, human

Identifiers

PMID24423050
PMCPMC3909531

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