Our primary goal is to explore the complex relationships of genetic architecture and environment in the development of intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). These stroke subtypes occur in 55,000 to 60,000 persons in the U.S. each year, of whom 40 percent die within 30 days. The primary hypotheses of this ongoing study are: (1) the genetic and environmental factors associated with spontaneous ICH vary with the location and presumed mechanisms of arterial rupture; and (2) the impact of environmental and genetic risk factors for spontaneous ICH and SAH in the population vary by gender and race. We will have identified, extensively interviewed, and obtained genetic material from 1000 cases of ICH and SAH and 2000 age, gender, and race-matched controls from the Greater Cincinnati population by 2007 (540 cases and 1102 controls as of 8/31/01). Whole genome amplification of DNA abstracted from buccal cells and blood samples will be performed to maximize the usefulness of currently available DNA. Polymerase chain reactions will be performed to examine susceptibility genes that may risk factors for ICH and SAH. These include genes potentially related to the accumulation of amyloid protein in cortical blood vessels, genes related to hypertension, and genes related to the regulation of elastase (a-1-antitrypsin gene) and elastin. We will then determine the population attributable risks of ICH and SAH for environmental and genetic risk factors for the population as a whole, as well as by gender and race. With the just completed mapping of the human genome, our prospective, population-based, case-control database provides a unique resource to identify the genetic architecture and environmental factors associated with an increased risk of ICH and SAH.

Agency
National Institute of Health (NIH)
Institute
National Institute of Neurological Disorders and Stroke (NINDS)
Type
Research Project (R01)
Project #
5R01NS036695-07
Application #
6792039
Study Section
Special Emphasis Panel (ZRG1-EDC-3 (01))
Program Officer
Jacobs, Tom P
Project Start
1997-09-12
Project End
2007-06-30
Budget Start
2004-07-01
Budget End
2005-06-30
Support Year
7
Fiscal Year
2004
Total Cost
$1,063,888
Indirect Cost
Name
University of Cincinnati
Department
Neurology
Type
Schools of Medicine
DUNS #
041064767
City
Cincinnati
State
OH
Country
United States
Zip Code
45221
Marini, Sandro; Devan, William J; Radmanesh, Farid et al. (2018) 17p12 Influences Hematoma Volume and Outcome in Spontaneous Intracerebral Hemorrhage. Stroke 49:1618-1625
Murphy, Meredith P; Kuramatsu, Joji B; Leasure, Audrey et al. (2018) Cardioembolic Stroke Risk and Recovery After Anticoagulation-Related Intracerebral Hemorrhage. Stroke 49:2652-2658
Decker, Michael J; Jones, Karra A; Keating, Glenda L et al. (2018) Postnatal hypoxia evokes persistent changes within the male rat's dopaminergic system. Sleep Breath 22:547-554
Falcone, Guido J; Woo, Daniel (2017) Genetics of Spontaneous Intracerebral Hemorrhage. Stroke 48:3420-3424
Woo, Daniel; Debette, Stephanie; Anderson, Christopher (2017) 20th Workshop of the International Stroke Genetics Consortium, November 3-4, 2016, Milan, Italy: 2016.036 ISGC research priorities. Neurol Genet 3:S12-S18
Anderson, Christopher D; Falcone, Guido J; Phuah, Chia-Ling et al. (2016) Genetic variants in CETP increase risk of intracerebral hemorrhage. Ann Neurol 80:730-740
Lees, Kennedy R; Selim, Magdy H; Molina, Carlos A et al. (2016) Early Versus Late Assessment of Stroke Outcome. Stroke 47:1416-9
Woo, Daniel; Kruger, Andrew J; Sekar, Padmini et al. (2016) Incontinence and gait disturbance after intraventricular extension of intracerebral hemorrhage. Neurology 86:905-11
Raffeld, Miriam R; Debette, Stephanie; Woo, Daniel (2016) International Stroke Genetics Consortium Update. Stroke 47:1144-5
Radmanesh, Farid; Falcone, Guido J; Anderson, Christopher D et al. (2015) Rare Coding Variation and Risk of Intracerebral Hemorrhage. Stroke 46:2299-301

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