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. 2015 Mar-Apr;26(2 H3Africa Suppl):S39–S49. doi: 10.5830/CVJA-2015-039

Table 3. Genetic studies of stroke in Africa.

First author (year) Study type Stroke phenotype Sample Salient findings
Saidi et al. (2007)97 Genotyping lschaemic stroke 135 cases, 118 controls (Tunisian) Altered plasminogen activator inhibitor 1 (PAI-1) and tissue-type plasminogen activator (tPA) levels:
Significant ↑ in PAI-1 and marked ↓ in tPA levels correlated with 4G/5G, but not with -844G/A, PAI-1 variants
4G/4G carriers had reduced risk of stroke compared with other genotypes
Saidi et al. (2007)98 Genotyping lschaemic stroke 216 cases, 282 controls (Tunisian) ApoE ε3 lower (0.546 vs 0.736; p < 0.001) in stroke vs control
ApoE ε4 higher (0.370 vs 0.181; p < 0.001) in stroke vs control
Prevalence of Apo ε4-containing phenotypes higher in:
• ischaemic versus haemorrhagic (p < 0.001)
• small-vessel versus large-vessel stroke cases (p < 0.001)
• increased need for statin drugs (p = 0.040).
Mourad et al. (2008)105 Genotyping Sickle cell anaemia 20 SCA cases, 10 controls (Egyptian) Presence or ACE D allele significantly predisposed to stroke in children with sickle cell anaemia (SCA).
Saidi et al. (2008)99 Genotyping lschaemic stroke 216 stroke patients, 318 controls (Tunisian) Human platelet alloantigen (HPA) – 1 a/b (p < 0.001) and HPA-5 a/b (p < 0.001) alleles were associated with stroke-susceptible genotypes: 1a/b-2a/a-3a/b-4a/a-5a/b protective genotypes: 1a/a-2a/a-3a/a-4a/a-5a/a; 1a/a-2a/a-3a/b-4a/a-5a/a; 1a/b -2a/a-3a/a-4a/a-5a/a; 1a/b-2a/a-3a/b-4a/a-5a/a)
Saidi et al. (2008)100 Genotyping lschaemic stroke 329 cases, 444 controls Lower human platelet alloantigen, HPA-1a (p < 0.001) and higher HPA-1b (p < 0.001) allele frequencies were seen in cases than control subjects.
Homozygosity for HPA-1b (p < 0.001) alleles was more prevalent in stroke cases than in controls.
Saidi et al. (2009)101 Genotyping lschaemic stroke 228 cases, 323 controls Frequency of APOE ε3 allele and Apo E3/E3 genotype lower (p < 0.001) in stroke vs controls
Frequency of Apo ε4 allele and genotypes (E3/E4 and E4/E4) elevated (p < 0.001) in stroke vs controls
Higher proportion of Apo ε4-carrying + ACE Del/Del positive cases seen in young (< 50 years) patients (p = 0.012) and associated with large-vessel stroke (p = 0.035).
Saidi et al. (2009)102 Genotyping lschaemic stroke 329 cases, 444 controls Angiotensinogen AGT 174T/235M/-6A, AGT 174T/235T/-6G. AGT 174T/235T/- 6A and AGT 174M/235T/-6A haplotypes were significantly associated with an increased risk of stroke.
Saidi et al. (2010)103 Genotyping lschaemic stroke 329 IS patients, 444 controls Endothelial nitric oxide synthase (eNOS) gene polymorphisms (298Asp allele and 298Asp/4b/-786T and 298Asp/4b/-786C haplotypes, and in addition identified 298Asp/4a/-786T haplotypes) were significantly associated with ischaemic stroke.