Heme oxygenase-1 genotype and restenosis after balloon angioplasty: a novel vascular protective factor
Martin Schillinger, MD*,
Markus Exner, MD ,
Erich Minar, MD*,
Wolfgang Mlekusch, MD*,
Marcus Müllner, MD, MSc(Epi) ,
Christine Mannhalter, PhD ,
Fritz H. Bach, MD and
Oswald Wagner, MD ,*
* Angiology, University of Vienna, Medical Faculty, Vienna, Austria
Laboratory Medicine, University of Vienna, Medical Faculty, Vienna, Austria
Emergency Medicine, University of Vienna, Medical Faculty, Vienna, Austria
Harvard Medical School, Boston, Massachusetts, USA

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Figure 1 Course of C-reactive protein (median and 95% confidence interval of the median) from baseline to 48 h postintervention after femoropopliteal balloon angioplasty (n = 210) and after lower limb angiography (n = 103). Carriers and non-carriers of the class S allele in the heme oxygenase-1 (HO-1) gene promoter were compared. PTA = percutaneous transluminal angioplasty. Diamonds = carriers of the class S allele; squares = non-carriers of the class S allele.
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Figure 2 Frequency distribution of the guanosine thymidine (GT)n repeats in patients with and without restenosis after femoropopliteal balloon angioplasty (n = 210): lower number of (GT)n repeats in patients without restenosis compared with patients with restenosis (p = 0.001).
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Figure 3 Lower restenosis rates after femoropopliteal balloon angioplasty in homozygous and heterozygous class S allele carriers compared with non-carriers of the class S allele in the heme oxygenase-1 gene promoter (p < 0.001). Bars indicate percentage of patients with and without restenosis according to the heme oxygenase-1 (HO-1) promoter genotype; point estimates and 95% confidence interval indicate the percentage of patients with restenosis for each HO-1 promoter genotype.
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