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Haematologica 2004;89: supplement no. 8 - Supplements ...

Haematologica 2004;89: supplement no. 8 - Supplements ...

Haematologica 2004;89: supplement no. 8 - Supplements ...

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26Oral CommunicationsCO-014ENOS GENE AFFECTS BLOOD VISCOSITY AND RED CELLDEFORMABILITY: ROLE OF ENOS T-786C, G<strong>89</strong>4T AND 4A/4BPOLYMORPHISMSMannini L,* Fatini C,* Sticchi E,* Cecchi E,* Ilari I,*Bruschettini A,* Costanzo M,* Leprini E,° Pagnini P,°Gensini GF,* Prisco D,* Abbate R**Dipartimento Area Critica Medico-Chirurgica,Università degli Studi di Firenze; °Dipartimento diScienze Chirurgiche Oto-Neuro-Oftalmologiche,Università degli Studi di Firenze, ItalyPlasma viscosity and erythrocyte aggregation playa key role in maintaining and regulating microcirculation.In vitro and in vivo studies suggested a role fornitric oxide (NO) in modulating flow-mediated vasodilatationand red blood cell deformability. Impaired NOavailability due to mutations in eNOS gene might contributeto altered hemorheological state. Aim of thisstudy was to investigate the role of eNOS T-786C,G<strong>89</strong>4T and 4a/4b polymorphisms in influencinghemorheological state. We studied 80 Idiopathic SuddenSensorineural Hearing Loss (ISSHL) patients and80 healthy subjects. From the multivariate analysis asignificant association between eNOS <strong>89</strong>4T rare variantand ISSHL (OR <strong>89</strong>4TT+GT=2.08, p=0.03) wasfound. A higher percentage of altered erythrocyte filtrationtest (EFT) both in patients and in controls carryingthe eNOS rare variants was found in comparisonto subjects carrying the wild-type. Apart from thedisease, eNOS T-786C and G<strong>89</strong>4T polymorphismsindependently affected the EFT (OR -786CC+TC=2.81,p=0.01 and OR <strong>89</strong>4TT+GT=2.5, p=0.02, respectively),in particular in subjects in whom the contemporarypresence of the two rare alleles was observed (OR -786CC+TC and <strong>89</strong>4TT+GT combined ge<strong>no</strong>type =6.9,p

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