RT Journal Article T1 PATJ Low Frequency Variants Are Associated With Worse Ischemic Stroke Functional Outcome. A1 Mola-Caminal, Marina A1 Carrera, Caty A1 Soriano-Tarraga, Carolina A1 Giralt-Steinhauer, Eva A1 Diaz-Navarro, Rosa M A1 Tur, Silvia A1 Jimenez, Carmen A1 Medina-Dols, Aina A1 Cullell, Natalia A1 Torres-Aguila, Nuria P A1 Muiño, Elena A1 Rodriguez-Campello, Ana A1 Ois, Angel A1 Cuadrado-Godia, Elisa A1 Vivanco-Hidalgo, Rosa M A1 Hernandez-Guillamon, Mar A1 Sole, Montse A1 Delgado, Pilar A1 Bustamante, Alejandro A1 Garcia-Berrocoso, Teresa A1 Mendioroz, Maite A1 Castellanos, Mar A1 Serena, Joaquin A1 Marti-Fabregas, Joan A1 Segura, Tomas A1 Serrano-Heras, Gemma A1 Obach, Victor A1 Ribo, Marc A1 Molina, Carlos A A1 Alvarez-Sabin, Jose A1 Palomeras, Ernest A1 Freijo, Mar A1 Font, Maria A A1 Rosand, Jonathan A1 Rost, Natalia S A1 Gallego-Fabrega, Cristina A1 Lee, Jin-Moo A1 Heitsch, Laura A1 Ibanez, Laura A1 Cruchaga, Carlos A1 Phuah, Chia-Ling A1 Lemmens, Robin A1 Thijs, Vincent A1 Lindgren, Arne A1 Maguire, Jane A1 Rannikmae, Kristiina A1 Sudlow, Catherine L A1 Jern, Christina A1 Stanne, Tara M A1 Lorentzen, Erik A1 Muñoz-Narbona, Lucia A1 Davalos, Antonio A1 Lopez-Cancio, Elena A1 Worrall, Bradford B A1 Woo, Daniel A1 Kittner, Steven J A1 Mitchell, Braxton D A1 Montaner, Joan A1 Roquer, Jaume A1 Krupinski, Jurek A1 Estivill, Xavier A1 Rabionet, Raquel A1 Vives-Bauza, Cristofol A1 Fernandez-Cadenas, Israel A1 Jimenez-Conde, Jordi K1 allele K1 genetic loci K1 genetic variant K1 genome-wide association study K1 ischemic stroke AB Ischemic stroke is among the leading causes of adult disability. Part of the variability in functional outcome after stroke has been attributed to genetic factors but no locus has been consistently associated with stroke outcome. Our aim was to identify genetic loci influencing the recovery process using accurate phenotyping to produce the largest GWAS (genome-wide association study) in ischemic stroke recovery to date. A 12-cohort, 2-phase (discovery-replication and joint) meta-analysis of GWAS included anterior-territory and previously independent ischemic stroke cases. Functional outcome was recorded using 3-month modified Rankin Scale. Analyses were adjusted for confounders such as discharge National Institutes of Health Stroke Scale. A gene-based burden test was performed. The discovery phase (n=1225) was followed by open (n=2482) and stringent joint-analyses (n=1791). Those cohorts with modified Rankin Scale recorded at time points other than 3-month or incomplete data on previous functional status were excluded in the stringent analyses. Novel variants in PATJ (Pals1-associated tight junction) gene were associated with worse functional outcome at 3-month after stroke. The top variant was rs76221407 (G allele, β=0.40, P=1.70×10-9). Our results identify a set of common variants in PATJ gene associated with 3-month functional outcome at genome-wide significance level. Future studies should examine the role of PATJ in stroke recovery and consider stringent phenotyping to enrich the information captured to unveil additional stroke outcome loci. PB Lippincott Williams & Wilkins YR 2019 FD 2019-01-04 LK http://hdl.handle.net/10668/13354 UL http://hdl.handle.net/10668/13354 LA en NO Mola-Caminal M, Carrera C, Soriano-Tárraga C, Giralt-Steinhauer E, Díaz-Navarro RM, Tur S, et al. PATJ Low Frequency Variants Are Associated With Worse Ischemic Stroke Functional Outcome. Circ Res. 2019 Jan 4;124(1):114-120. DS RISalud RD Jul 4, 2025