Abstract:Objective To investigate the association between rs2075650 polymorphism of translocase of outer mitochondrial membrane 40 (TOMM40) gene and cerebral infarction in middle-aged and elderly people of Wuhan. Methods TOMM40 rs2075650 locus was genotyped using the high resolution melting (HRM) method in 507 cerebral infarction patients (case group) and 510 healthy controls (control group). Fluorescence quantitative polymerase chain reaction was performed to detect TOMM40 mRNA expression in 80 cases and 80 controls. Hardy- Weinberg law was used to test the group representativeness of the controls. The differences between the two groups were analyzed by the Student’s t -test, nonparametric test and Chi-square test. Results The frequencies of AA, AG and GG genotypes at rs2075650 locus of TOMM40 gene were significantly different between the case group and the control group (P < 0.05), and so was the allele frequency of A and G between the two groups (P < 0.05). There was a significant difference in dominant model (AA vs . AG + GG) between the two groups (P < 0.05), however, there was no significant difference in recessive model (GG vs . AG + AA) between the two groups (P > 0.05). The expression of TOMM40 mRNA in the control group was higher than in the case group (P < 0.05). Conclusions The rs2075650 polymorphism of TOMM40 gene may be related with cerebral infarction in middle-aged and elderly people of Wuhan.