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- W2783393665 abstract "Abstract Objectives Emotional dysfunction is a common finding in stroke patients. Despite reports on serotonergic involvement in the etiology of poststroke emotional dysfunction ( PSED ), the role of serotonin synthesizing tryptophan hydroxylase 2 ( TPH 2) genes in the development of PSED remains unclear. Methods Genotyping of TPH 2 rs4641528 and rs10879355 was performed from genomic DNA of 383 stroke patients collected previously and stored at −70°C. Potential associations between TPH 2 genes and poststroke depression ( PSD ), poststroke emotional incontinence ( PSEI ), and poststroke anger proneness ( PSAP ) were investigated 3 months poststroke. Results Among the 383 patients, 69 (18%) had PSD , 41 (11%) had PSEI , and 93 (24%) had PSAP . The TPH 2 rs4641528 genotype frequencies differed significantly between patients with and without either PSD or PSEI , although no significant differences were found between the patients with and without PSAP . In multiple logistic regression analysis, PSD was related to the National Institutes of Health Stroke Scale ( NIHSS ) score at admission (95% confidence interval [ CI ]: 1.047–1.230, p < .01), modified Rankin scale score at 3 months (95% CI : 0.135–0.848, p < .05), and TPH 2 rs4641528 C allele (95% CI : 1.039–5.631, p < .05), whereas PSEI was associated only with the NIHSS score at admission (95% CI : 1.053–1.259, p < .01) and the TPH 2 rs4641528 C allele (95% CI : 1.029–11.678, p < .05). Conclusions Our findings suggest that the TPH 2 rs4641528 C allele may play a role in the pathogenesis of PSD and PSEI but not PSAP in Korean stroke patients." @default.
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- W2783393665 date "2018-01-11" @default.
- W2783393665 modified "2023-09-24" @default.
- W2783393665 title "Poststroke emotional disturbances and a tryptophan hydroxylase 2 gene polymorphism" @default.
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- W2783393665 doi "https://doi.org/10.1002/brb3.892" @default.
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