Table 1.
Gene Name | Rationale | Outcome Measure | Sample Size | Single Center | Results | Reference |
---|---|---|---|---|---|---|
CACNA1A | Association of familial hemiplegic migraine attacks and coma with minor head trauma, mechanistically linked to calcium channel mediated glutamate release |
CT EEG |
3 (152 control) 2 |
Y Y |
Missense S218L present in all subjects with delayed malignant cerebral edema and absent in 152 controls and unaffected family members De novo S218L mutation in both subjects with seizures and severe cerebral edema |
Kors et al. (2001) Stam et al. (2009) |
APOE-ε4 | Previous association reports with unfavorable outcome after TBI | Hematoma Volume (CT) | 129 | Y | Larger hematomas in carriers of APOE-ε4 allele | Liaquat et al. (2002) |
Neurodegenerative process accelerated after blast injury; increased risk of APOE-e4 carriers to develop Alzheimer’s Disease after TBI | White matter integrity (MRI DTI) | 217 | Y | Interaction between close-range blast exposure and APOE ε4 carrier status in predicting white matter disruption | Sullivan et al. (2019) | |
IL-1RN IL-1B |
IL1-RN and IL-1B (inflammatory markers) are elevated post-trauma and implicated in blood vessel wall stability | Hematoma volume (CT) | 151 | Y | Association between IL-1RN*2 allele status and hemorrhage | Hadjigeorgiou et al. (2005) |
NOS3 | Established pathophysiologic role of endothelial nitric oxide synthase in maintenance of cerebral blood flow |
Xenon CT Transcranial doppler |
51 | Y |
Cerebral hemodynamics related to -786 T > C genotype |
Robertson et al. (2011) |
DAT DRD2 |
Dopamine transporter (DAT) binding reductions after severe TBI, role in cognition. | PET | 25 | Y | DAT 9-allele carrier and DRD2 A2/A2 homozygotes showed lower caudate and putamen binding | Wagner et al. (2014) |
ABCC8 TRPM4 |
Sulfonylurea-receptor 1 (encoded by ABCC8) association with TRPM4 after brain injury creates a pore-forming channel facilitating depolarization and cerebral edema |
CT ICP |
385–410 | Y | Regionally clustered ABCC8 and TRPM4 polymorphisms were associated with CT edema, intracranial hypertension and outcome. Significant interactions noted between predictive variants in the 2 genes. |
Jha et al. (2017) Jha et al. (2018) Jha et al. (2019) |