Impact of the PEAR1 polymorphism on clinical outcomes in Chinese patients receiving dual antiplatelet therapy after percutaneous coronary intervention

Pharmacogenomics. 2022 Jul;23(11):639-648. doi: 10.2217/pgs-2022-0033. Epub 2022 Jul 26.

Abstract

Background: Patients might still experience major adverse cardiovascular events even with dual antiplatelet therapy after percutaneous coronary intervention. Our study aimed to explore the impact of gene polymorphism on clinical outcomes in one-year follow-up. Methods: A total of 171 patients treated with dual antiplatelet therapy after percutaneous coronary intervention from April to December 2020 in the first hospital of Jilin University enrolled in this study. Results: PEAR1 genetic polymorphisms was associated with the arachidonic acid (AA) and adenosine diphosphate (ADP) platelet aggregation. Hyperglycemia was associated with the rate of major adverse cardiovascular events. PEAR1 GA+AA genetic genetic polymorphisms is associated with hyperglycemia. Conclusion:PEAR1 GG is a risk factor for AA and ADP platelet aggregation. Hyperglycemia can effect the one-year outcome. PEAR1 GA+AA genetic polymorphisms are associated with hyperglycemia.

Keywords: PCI; PEAR1; aspirin; genetic polymorphisms.

MeSH terms

  • Adenosine Diphosphate / pharmacology
  • Aspirin / adverse effects
  • Cardiovascular Diseases* / drug therapy
  • China
  • Clopidogrel / adverse effects
  • Humans
  • Hyperglycemia* / chemically induced
  • Hyperglycemia* / drug therapy
  • Hyperglycemia* / genetics
  • Percutaneous Coronary Intervention* / adverse effects
  • Platelet Aggregation / genetics
  • Platelet Aggregation Inhibitors / adverse effects
  • Polymorphism, Genetic / genetics
  • Receptors, Cell Surface / genetics

Substances

  • PEAR1 protein, human
  • Platelet Aggregation Inhibitors
  • Receptors, Cell Surface
  • Adenosine Diphosphate
  • Clopidogrel
  • Aspirin