Author/Editor     Petrovič, Danijel; Peterlin, Borut
Title     Genetski (DNA) označevalci za koronarno bolezen
Type     članek
Source     Slov Kardiol
Vol. and No.     Letnik 1, št. 1
Publication year     2004
Volume     str. 26-9
Language     slo
Abstract     Coronary artery disease is multifactorial disorder. There are several gene markers for CAD, existing either at the level of proteins (i.e. C-reactive protein, interleukin 6), DNA (different genetic polymorphisms) or mRNA. With these markers we can predict CAD and its complications (acute coronary syndrome, sudden cardiac death), and also restenosis after percutaneous coronary angioplasty or stenting. Biological approach is used for testing of new gene polymorphisms (potential genetic risk factors). Moreover, we should emphasize the importance of gene-environment interaction at both personal and population level, the field covered by pharmacogenomics. The knowledge of genetic markers at individiual and/or population level could serve as a part of the global cardiovascular assessment.
Summary     Koronarna bolezen je multifaktorsko pogojena genetska bolezen. Poznamo številne označevalce (markerje) za koronarno bolezen, ki so lahko na ravni beljakovin (npr. C-reaktivna beljakovina, interlevkin 6), na ravni DNA (različni genetski polimorfizmi) in na ravni mRNA. S temi označevalci (beljakovine, mRNA, DNA) lahko napovemo koronarno bolezen in njene zaplete (akutni koronarni sindrom, nenadno srčno smrt) ter morebitne zaplete po perkutani koronarni angioplastiki in vstavitvi žilne oporonice. Pri testiranju oziroma izbiranju novih genetskih polimorfizmov (potencialnih genetskih dejavnikov tveganja) največkrat uporabljamo biološki pristop, kar pomeni, da izhajamo iz poznavanja patogenetskega procesa aterotromboze. Poudariti moramo tudi pomen medsebojnega delovanja genetskih dejavnikov (genetski polimorfizmi) in dejavnikov okolja (npr. učinek zdravil) na ravni posameznika in populacije, s čimer se ukvarja farmakogenomika. Poznavanje genetskih označevalcev na ravni posameznika in populacije je del celovite ocene srčno-žilne ogroženosti.
Descriptors     CORONARY DISEASE
POLYMORPHISM (GENETICS)
GENETIC MARKERS
ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY
STENTS
CONSTRICTION, PATHOLOGIC