Susceptibility gene for myocardial infarction, stroke. and...

C - Chemistry – Metallurgy – 12 – Q

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C12Q 1/68 (2006.01)

Patent

CA 2602265

Polymorphisms in the FLAP and LTA4H gene are shown by genetic association analysis to be susceptibility markers for myocardial infarction (MI) and ACS, as well as stroke and PAOD. Pathway targeting for treatment and diagnostic applications in identifying those who are at risk of developing MI, ACS, stroke or PAOD, in particular are described. The invention also provides methods of prophylaxis therapy for MI in human subjects having a race including black African ancestry by administering to the subject a composition comprising a therapeutically effective amount of MI therapeutic agent that inhibits leukotriene synthesis in vivo. The invention also provides for compositions comprising a leukotriene synthesis inhibitor and a statin and methods of using these compositions to reduce C-reactive protein in a human subject at risk of MI, ACS, stroke and/or PAOD.

Une analyse par associations génétiques a montré que les polymorphismes des gènes de la FLAP et de la LTA4H constituaient des marqueurs de susceptibilité de l'infarctus du myocarde (MI), du syndrome coronarien aigu (ACS), de l'accident vasculaire cérébral (AVC) et/ou de l'artériopathie oblitérante (PAOD). Dans ce cadre, l'invention décrit en particulier le ciblage de mécanismes de traitement et de diagnostic permettant d'identifier les patients à risque de MI, d'ACS, d'AVC et/ou de PAOD. L'invention porte également sur des méthodes de thérapie prophylactique du MI chez l'homme d'une race comprenant un ancêtre d'Afrique noire, consistant à lui administrer une dose à efficacité thérapeutique d'un agent de traitement inhibant in vivo la synthèse de la leukotriène. L'invention porte en outre sur des préparations comprenant un inhibiteur de la synthèse de la leukotriène et une statine, et sur les méthodes d'utilisation de ces préparations pour réduire la protéine C réactive chez un patient présentant des risques de MI, d'ACS, d'AVC et/ou de PAOD.

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