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Published in: BMC Medical Genetics 1/2007

Open Access 01-12-2007 | Study protocol

The Fangshan/Family-based Ischemic Stroke Study In China (FISSIC) protocol

Authors: Xun Tang, Yonghua Hu, Dafang Chen, Siyan Zhan, Zongxin Zhang, Huidong Dou

Published in: BMC Medical Genetics | Issue 1/2007

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Abstract

Background

The exact etiology of ischemic stroke remains unclear, because multiple genetic predispositions and environmental risk factors may be involved, and their interactions dictate the complexity. Family-based studies provide unique features in design, while they are currently underrepresented for studies of ischemic stroke in developing countries. The Fangshan/Family-based Ischemic Stroke Study In China (FISSIC) program aims to conduct a genetic pedigree study of ischemic stroke in rural communities of China.

Methods/Design

The pedigrees of ischemic stroke with clear documentation are recruited by using the proband-initiated contact method, based on the stroke registry in hospital and communities. Blood samples and detailed information of pedigrees are collected through the health care network in the rural area, and prospective follow-up of the pedigrees cohort is scheduled. Complementary strategies of both family-based design and matched case-spousal control design are used, and comprehensive statistical methods will be implemented to ascertain potential complex genetic and environmental factors and their interactions as well.

Discussion

This study is complementary to other genetic pedigree studies of ischemic stroke, such as the Siblings With Ischemic Stroke Study (SWISS), which are established in developed countries. We describe the protocol of this family-based genetic epidemiological study that may be used as a new practical guideline and research paradigm in developing countries and facilitate initiatives of stroke study for international collaborations.
Appendix
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Literature
1.
go back to reference Strong K, Mathers C, Bonita R: Preventing stroke: saving lives around the world. Lancet Neurol. 2007, 6 (2): 182-187. 10.1016/S1474-4422(07)70031-5.CrossRefPubMed Strong K, Mathers C, Bonita R: Preventing stroke: saving lives around the world. Lancet Neurol. 2007, 6 (2): 182-187. 10.1016/S1474-4422(07)70031-5.CrossRefPubMed
2.
go back to reference Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ: Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007, 6 (5): 456-464. 10.1016/S1474-4422(07)70004-2.CrossRefPubMed Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ: Stroke in China: epidemiology, prevention, and management strategies. Lancet Neurol. 2007, 6 (5): 456-464. 10.1016/S1474-4422(07)70004-2.CrossRefPubMed
3.
go back to reference Feigin VL: Stroke in developing countries: can the epidemic be stopped and outcomes improved?. Lancet Neurol. 2007, 6 (2): 94-97. 10.1016/S1474-4422(07)70007-8.CrossRefPubMed Feigin VL: Stroke in developing countries: can the epidemic be stopped and outcomes improved?. Lancet Neurol. 2007, 6 (2): 94-97. 10.1016/S1474-4422(07)70007-8.CrossRefPubMed
4.
go back to reference Zhang LF, Yang J, Hong Z, Yuan GG, Zhou BF, Zhao LC, Huang YN, Chen J, Wu YF: Proportion of different subtypes of stroke in China. Stroke. 2003, 34 (9): 2091-2096. 10.1161/01.STR.0000087149.42294.8C.CrossRefPubMed Zhang LF, Yang J, Hong Z, Yuan GG, Zhou BF, Zhao LC, Huang YN, Chen J, Wu YF: Proportion of different subtypes of stroke in China. Stroke. 2003, 34 (9): 2091-2096. 10.1161/01.STR.0000087149.42294.8C.CrossRefPubMed
5.
go back to reference Jerrard-Dunne P, Cloud G, Hassan A, Markus HS: Evaluating the genetic component of ischemic stroke subtypes: a family history study. Stroke. 2003, 34 (6): 1364-1369. 10.1161/01.STR.0000069723.17984.FD.CrossRefPubMed Jerrard-Dunne P, Cloud G, Hassan A, Markus HS: Evaluating the genetic component of ischemic stroke subtypes: a family history study. Stroke. 2003, 34 (6): 1364-1369. 10.1161/01.STR.0000069723.17984.FD.CrossRefPubMed
6.
go back to reference Bak S, Gaist D, Sindrup SH, Skytthe A, Christensen K: Genetic liability in stroke: a long-term follow-up study of Danish twins. Stroke. 2002, 33 (3): 769-774. 10.1161/hs0302.103619.CrossRefPubMed Bak S, Gaist D, Sindrup SH, Skytthe A, Christensen K: Genetic liability in stroke: a long-term follow-up study of Danish twins. Stroke. 2002, 33 (3): 769-774. 10.1161/hs0302.103619.CrossRefPubMed
7.
go back to reference Carr FJ, McBride MW, Carswell HV, Graham D, Strahorn P, Clark JS, Charchar FJ, Dominiczak AF: Genetic aspects of stroke: human and experimental studies. J Cereb Blood Flow Metab. 2002, 22 (7): 767-773. 10.1097/00004647-200207000-00001.CrossRefPubMed Carr FJ, McBride MW, Carswell HV, Graham D, Strahorn P, Clark JS, Charchar FJ, Dominiczak AF: Genetic aspects of stroke: human and experimental studies. J Cereb Blood Flow Metab. 2002, 22 (7): 767-773. 10.1097/00004647-200207000-00001.CrossRefPubMed
8.
go back to reference Dichgans M: Genetics of ischaemic stroke. Lancet Neurol. 2007, 6 (2): 149-161. 10.1016/S1474-4422(07)70028-5.CrossRefPubMed Dichgans M: Genetics of ischaemic stroke. Lancet Neurol. 2007, 6 (2): 149-161. 10.1016/S1474-4422(07)70028-5.CrossRefPubMed
9.
go back to reference Gretarsdottir S, Sveinbjornsdottir S, Jonsson HH, Jakobsson F, Einarsdottir E, Agnarsson U, Shkolny D, Einarsson G, Gudjonsdottir HM, Valdimarsson EM, et al: Localization of a susceptibility gene for common forms of stroke to 5q12. Am J Hum Genet. 2002, 70 (3): 593-603. 10.1086/339252.CrossRefPubMedPubMedCentral Gretarsdottir S, Sveinbjornsdottir S, Jonsson HH, Jakobsson F, Einarsdottir E, Agnarsson U, Shkolny D, Einarsson G, Gudjonsdottir HM, Valdimarsson EM, et al: Localization of a susceptibility gene for common forms of stroke to 5q12. Am J Hum Genet. 2002, 70 (3): 593-603. 10.1086/339252.CrossRefPubMedPubMedCentral
10.
go back to reference Meschia JF, Brown RD, Brott TG, Chukwudelunzu FE, Hardy J, Rich SS: The Siblings With Ischemic Stroke Study (SWISS) protocol. BMC Med Genet. 2002, 3: 1-10.1186/1471-2350-3-1.CrossRefPubMedPubMedCentral Meschia JF, Brown RD, Brott TG, Chukwudelunzu FE, Hardy J, Rich SS: The Siblings With Ischemic Stroke Study (SWISS) protocol. BMC Med Genet. 2002, 3: 1-10.1186/1471-2350-3-1.CrossRefPubMedPubMedCentral
11.
go back to reference Meschia JF, Kissela BM, Brott TG, Brown RD, Worrall BB, Beck J, Skarp AN: The Siblings With Ischemic Stroke Study (SWISS): a progress report. Clin Med Res. 2006, 4 (1): 12-21.CrossRefPubMedPubMedCentral Meschia JF, Kissela BM, Brott TG, Brown RD, Worrall BB, Beck J, Skarp AN: The Siblings With Ischemic Stroke Study (SWISS): a progress report. Clin Med Res. 2006, 4 (1): 12-21.CrossRefPubMedPubMedCentral
12.
go back to reference Casas JP, Hingorani AD, Bautista LE, Sharma P: Meta-analysis of genetic studies in ischemic stroke: thirty-two genes involving approximately 18,000 cases and 58,000 controls. Arch Neurol. 2004, 61 (11): 1652-1661. 10.1001/archneur.61.11.1652.CrossRefPubMed Casas JP, Hingorani AD, Bautista LE, Sharma P: Meta-analysis of genetic studies in ischemic stroke: thirty-two genes involving approximately 18,000 cases and 58,000 controls. Arch Neurol. 2004, 61 (11): 1652-1661. 10.1001/archneur.61.11.1652.CrossRefPubMed
13.
go back to reference Marchini J, Cardon LR, Phillips MS, Donnelly P: The effects of human population structure on large genetic association studies. Nat Genet. 2004, 36 (5): 512-517. 10.1038/ng1337.CrossRefPubMed Marchini J, Cardon LR, Phillips MS, Donnelly P: The effects of human population structure on large genetic association studies. Nat Genet. 2004, 36 (5): 512-517. 10.1038/ng1337.CrossRefPubMed
14.
go back to reference Laird NM, Lange C: Family-based designs in the age of large-scale gene-association studies. Nat Rev Genet. 2006, 7 (5): 385-394. 10.1038/nrg1839.CrossRefPubMed Laird NM, Lange C: Family-based designs in the age of large-scale gene-association studies. Nat Rev Genet. 2006, 7 (5): 385-394. 10.1038/nrg1839.CrossRefPubMed
15.
go back to reference Barrett JH, Sheehan NA, Cox A, Worthington J, Cannings C, Teare MD: Family based studies and genetic epidemiology: theory and practice. Hum Hered. 2007, 64 (2): 146-148. 10.1159/000101993.CrossRefPubMed Barrett JH, Sheehan NA, Cox A, Worthington J, Cannings C, Teare MD: Family based studies and genetic epidemiology: theory and practice. Hum Hered. 2007, 64 (2): 146-148. 10.1159/000101993.CrossRefPubMed
16.
go back to reference Dichgans M, Markus HS: Genetic association studies in stroke: methodological issues and proposed standard criteria. Stroke. 2005, 36 (9): 2027-2031. 10.1161/01.STR.0000177498.21594.9e.CrossRefPubMed Dichgans M, Markus HS: Genetic association studies in stroke: methodological issues and proposed standard criteria. Stroke. 2005, 36 (9): 2027-2031. 10.1161/01.STR.0000177498.21594.9e.CrossRefPubMed
17.
go back to reference Wu Z, Yao C, Zhao D, Wu G, Wang W, Liu J, Zeng Z, Wu Y: Sino-MONICA project: a collaborative study on trends and determinants in cardiovascular diseases in China, Part i: morbidity and mortality monitoring. Circulation. 2001, 103 (3): 462-468.CrossRefPubMed Wu Z, Yao C, Zhao D, Wu G, Wang W, Liu J, Zeng Z, Wu Y: Sino-MONICA project: a collaborative study on trends and determinants in cardiovascular diseases in China, Part i: morbidity and mortality monitoring. Circulation. 2001, 103 (3): 462-468.CrossRefPubMed
18.
go back to reference Jones WJ, Williams LS, Meschia JF: Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by neurological history and examination. Stroke. 2001, 32 (10): 2232-2236.CrossRefPubMed Jones WJ, Williams LS, Meschia JF: Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by neurological history and examination. Stroke. 2001, 32 (10): 2232-2236.CrossRefPubMed
19.
go back to reference Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, O'Brien PC: Reliability of the questionnaire for verifying stroke-free status. Cerebrovasc Dis. 2004, 17 (2–3): 218-223. 10.1159/000075794.PubMed Meschia JF, Lojacono MA, Miller MJ, Brott TG, Atkinson EJ, O'Brien PC: Reliability of the questionnaire for verifying stroke-free status. Cerebrovasc Dis. 2004, 17 (2–3): 218-223. 10.1159/000075794.PubMed
20.
go back to reference Adams HP, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, Marsh EE: Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke. 1993, 24 (1): 35-41.CrossRefPubMed Adams HP, Bendixen BH, Kappelle LJ, Biller J, Love BB, Gordon DL, Marsh EE: Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment. Stroke. 1993, 24 (1): 35-41.CrossRefPubMed
21.
go back to reference A haplotype map of the human genome. Nature. 2005, 437 (7063): 1299-1320. 10.1038/nature04226. A haplotype map of the human genome. Nature. 2005, 437 (7063): 1299-1320. 10.1038/nature04226.
22.
go back to reference Gauderman WJ: Sample size requirements for association studies of gene-gene interaction. Am J Epidemiol. 2002, 155 (5): 478-484. 10.1093/aje/155.5.478.CrossRefPubMed Gauderman WJ: Sample size requirements for association studies of gene-gene interaction. Am J Epidemiol. 2002, 155 (5): 478-484. 10.1093/aje/155.5.478.CrossRefPubMed
23.
go back to reference Laird NM, Horvath S, Xu X: Implementing a unified approach to family-based tests of association. Genet Epidemiol. 2000, 19 (Suppl 1): S36-42. 10.1002/1098-2272(2000)19:1+<::AID-GEPI6>3.0.CO;2-M.CrossRefPubMed Laird NM, Horvath S, Xu X: Implementing a unified approach to family-based tests of association. Genet Epidemiol. 2000, 19 (Suppl 1): S36-42. 10.1002/1098-2272(2000)19:1+<::AID-GEPI6>3.0.CO;2-M.CrossRefPubMed
24.
go back to reference Martin ER, Bass MP, Hauser ER, Kaplan NL: Accounting for linkage in family-based tests of association with missing parental genotypes. Am J Hum Genet. 2003, 73 (5): 1016-1026. 10.1086/378779.CrossRefPubMedPubMedCentral Martin ER, Bass MP, Hauser ER, Kaplan NL: Accounting for linkage in family-based tests of association with missing parental genotypes. Am J Hum Genet. 2003, 73 (5): 1016-1026. 10.1086/378779.CrossRefPubMedPubMedCentral
25.
go back to reference Haseman JK, Elston RC: The investigation of linkage between a quantitative trait and a marker locus. Behav Genet. 1972, 2 (1): 3-19. 10.1007/BF01066731.CrossRefPubMed Haseman JK, Elston RC: The investigation of linkage between a quantitative trait and a marker locus. Behav Genet. 1972, 2 (1): 3-19. 10.1007/BF01066731.CrossRefPubMed
26.
go back to reference Ritchie MD, Hahn LW, Roodi N, Bailey LR, Dupont WD, Parl FF, Moore JH: Multifactor-dimensionality reduction reveals high-order interactions among estrogen-metabolism genes in sporadic breast cancer. Am J Hum Genet. 2001, 69 (1): 138-147. 10.1086/321276.CrossRefPubMedPubMedCentral Ritchie MD, Hahn LW, Roodi N, Bailey LR, Dupont WD, Parl FF, Moore JH: Multifactor-dimensionality reduction reveals high-order interactions among estrogen-metabolism genes in sporadic breast cancer. Am J Hum Genet. 2001, 69 (1): 138-147. 10.1086/321276.CrossRefPubMedPubMedCentral
28.
go back to reference Gretarsdottir S, Thorleifsson G, Reynisdottir ST, Manolescu A, Jonsdottir S, Jonsdottir T, Gudmundsdottir T, Bjarnadottir SM, Einarsson OB, Gudjonsdottir HM, et al: The gene encoding phosphodiesterase 4D confers risk of ischemic stroke. Nat Genet. 2003, 35 (2): 131-138. 10.1038/ng1245.CrossRefPubMed Gretarsdottir S, Thorleifsson G, Reynisdottir ST, Manolescu A, Jonsdottir S, Jonsdottir T, Gudmundsdottir T, Bjarnadottir SM, Einarsson OB, Gudjonsdottir HM, et al: The gene encoding phosphodiesterase 4D confers risk of ischemic stroke. Nat Genet. 2003, 35 (2): 131-138. 10.1038/ng1245.CrossRefPubMed
29.
go back to reference Dichgans M, Hegele RA: Update on the genetics of stroke and cerebrovascular disease 2006. Stroke. 2007, 38 (2): 216-218. 10.1161/01.STR.0000254710.32761.44.CrossRefPubMed Dichgans M, Hegele RA: Update on the genetics of stroke and cerebrovascular disease 2006. Stroke. 2007, 38 (2): 216-218. 10.1161/01.STR.0000254710.32761.44.CrossRefPubMed
30.
go back to reference Wei G, Ji X, Bai H, Ding Y: Stroke research in China. Neurol Res. 2006, 28 (1): 11-15. 10.1179/016164106X91807.CrossRefPubMed Wei G, Ji X, Bai H, Ding Y: Stroke research in China. Neurol Res. 2006, 28 (1): 11-15. 10.1179/016164106X91807.CrossRefPubMed
31.
go back to reference Nilsson-Ardnor S, Janunger T, Wiklund PG, Lackovic K, Nilsson AK, Lindgren P, Escher SA, Stegmayr B, Asplund K, Holmberg D: Genome-wide linkage scan of common stroke in families from northern Sweden. Stroke. 2007, 38 (1): 34-40. 10.1161/01.STR.0000251643.37454.16.CrossRefPubMed Nilsson-Ardnor S, Janunger T, Wiklund PG, Lackovic K, Nilsson AK, Lindgren P, Escher SA, Stegmayr B, Asplund K, Holmberg D: Genome-wide linkage scan of common stroke in families from northern Sweden. Stroke. 2007, 38 (1): 34-40. 10.1161/01.STR.0000251643.37454.16.CrossRefPubMed
32.
go back to reference Woodward M, Barzi F, Martiniuk A, Fang X, Gu DF, Imai Y, Lam TH, Pan WH, Rodgers A, Suh I, et al: Cohort profile: the Asia Pacific Cohort Studies Collaboration. Int J Epidemiol. 2006, 35 (6): 1412-1416. 10.1093/ije/dyl222.CrossRefPubMed Woodward M, Barzi F, Martiniuk A, Fang X, Gu DF, Imai Y, Lam TH, Pan WH, Rodgers A, Suh I, et al: Cohort profile: the Asia Pacific Cohort Studies Collaboration. Int J Epidemiol. 2006, 35 (6): 1412-1416. 10.1093/ije/dyl222.CrossRefPubMed
33.
go back to reference Tang X, Zhu YP, Li N, Chen DF, Zhang ZX, Dou HD, Hu YH: Genetic epidemiological study on discordant sib pairs of ischemic stroke in Beijing Fangshan District. Journal of Peking University (Health Sciences). 2007, 39 (2): 119-125. (in Chinese) Tang X, Zhu YP, Li N, Chen DF, Zhang ZX, Dou HD, Hu YH: Genetic epidemiological study on discordant sib pairs of ischemic stroke in Beijing Fangshan District. Journal of Peking University (Health Sciences). 2007, 39 (2): 119-125. (in Chinese)
34.
go back to reference Sacco RL, Roberts JK, Jacobs BS: Homocysteine as a risk factor for ischemic stroke: an epidemiological story in evolution. Neuroepidemiology. 1998, 17 (4): 167-173. 10.1159/000026169.CrossRefPubMed Sacco RL, Roberts JK, Jacobs BS: Homocysteine as a risk factor for ischemic stroke: an epidemiological story in evolution. Neuroepidemiology. 1998, 17 (4): 167-173. 10.1159/000026169.CrossRefPubMed
35.
go back to reference Flossmann E, Schulz UG, Rothwell PM: Potential confounding by intermediate phenotypes in studies of the genetics of ischaemic stroke. Cerebrovasc Dis. 2005, 19 (1): 1-10. 10.1159/000081905.CrossRefPubMed Flossmann E, Schulz UG, Rothwell PM: Potential confounding by intermediate phenotypes in studies of the genetics of ischaemic stroke. Cerebrovasc Dis. 2005, 19 (1): 1-10. 10.1159/000081905.CrossRefPubMed
36.
go back to reference Szolnoki Z, Somogyvari F, Kondacs A, Szabo M, Fodor L, Bene J, Melegh B: Evaluation of the modifying effects of unfavourable genotypes on classical clinical risk factors for ischaemic stroke. J Neurol Neurosurg Psychiatry. 2003, 74 (12): 1615-1620. 10.1136/jnnp.74.12.1615.CrossRefPubMedPubMedCentral Szolnoki Z, Somogyvari F, Kondacs A, Szabo M, Fodor L, Bene J, Melegh B: Evaluation of the modifying effects of unfavourable genotypes on classical clinical risk factors for ischaemic stroke. J Neurol Neurosurg Psychiatry. 2003, 74 (12): 1615-1620. 10.1136/jnnp.74.12.1615.CrossRefPubMedPubMedCentral
37.
go back to reference Meng Y, Ma Q, Yu Y, Farrell J, Farrer LA, Wilcox MA: Multifactor-dimensionality reduction versus family-based association tests in detecting susceptibility loci in discordant sib-pair studies. BMC Genet. 2005, 6 (Suppl 1): S146-10.1186/1471-2156-6-S1-S146.CrossRefPubMedPubMedCentral Meng Y, Ma Q, Yu Y, Farrell J, Farrer LA, Wilcox MA: Multifactor-dimensionality reduction versus family-based association tests in detecting susceptibility loci in discordant sib-pair studies. BMC Genet. 2005, 6 (Suppl 1): S146-10.1186/1471-2156-6-S1-S146.CrossRefPubMedPubMedCentral
38.
Metadata
Title
The Fangshan/Family-based Ischemic Stroke Study In China (FISSIC) protocol
Authors
Xun Tang
Yonghua Hu
Dafang Chen
Siyan Zhan
Zongxin Zhang
Huidong Dou
Publication date
01-12-2007
Publisher
BioMed Central
Published in
BMC Medical Genetics / Issue 1/2007
Electronic ISSN: 1471-2350
DOI
https://doi.org/10.1186/1471-2350-8-60

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