Background
Aneurysmal subarachnoid hemorrhage (aSAH) is a devastating disease caused by intracranial aneurysm (IA) rupture. Lysyl oxidase (
LOX
) family genes (
LOX-like [LOXL] 1-4
) have roles in collagen cross-linking in the extracellular matrix (ECM) and may be associated with IA rupture. We aimed to explore the association between
LOX
polymorphisms and the risk of aSAH.
Methods
This case-control study included 2 cohorts: 133 single ruptured and 115 unruptured IA patients, and 65 multiple ruptured and 71 unruptured IA patients. Genotyping of 27 single nucleotide polymorphisms (SNPs) in
LOX
was performed. Logistic regression analysis was performed to calculate the odds ratios (ORs) and 95% confidence intervals (CIs) of the SNPs of
LOX
and the risk of aSAH.
Results
LOX
rs1800449 and
LOXL4
rs3793692 were positively associated with the risk of single IA rupture in the recessive model (OR =5.66, 2.06; 95% CI =1.22–26.24, 1.11–3.82, respectively) and
LOX
rs10519694 demonstrated a protective effect on single IA rupture (dominant model: OR =0.42, 95% CI =0.21–0.83; recessive model: OR =0.16, 95% CI =0.04–0.65; additive model: OR =0.46, 95% CI =0.28–0.78).
LOXL1
rs2165241,
LOXL2
rs1063582, and
LOXL3
rs17010021 showed risk effects on multiple IAs rupture.
LOXL3
rs17010022 showed a protective effect on multiple IAs ruptures (dominant model: OR =0.41, 95% CI =0.21–0.82; additive model: OR =0.51, 95% CI =0.30–0.85).
Conclusions
LOX
and
LOXL4
may be susceptibility genes for single IA rupture, whereas
LOXL1
-
3
may have a role in susceptibility to multiple IAs ruptures in the Chinese population, suggesting that
LOX
family genes may be associated with aSAH.