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A Method to Study the C924T Polymorphism of the Thromboxane A2 Receptor Gene
Published on: April 1, 2019
Methylenetetrahydrofolate reductase polymorphism in Kawasaki disease
H Tsukahara1, M Hiraoka, M Saito
1Department of Pediatrics, Fukui Medical University, Japan. htsuka@fmsrsa.fukui-med.ac.jp
Insights
The MTHFR gene
Area of Science:
- Genetics
- Cardiovascular Research
- Pediatric Diseases
Background:
- The 5,10-methylenetetrahydrofolate reductase (MTHFR) gene's 677 C to T substitution reduces enzyme activity.
- Kawasaki disease (KD) is associated with coronary artery lesions (CAL).
Purpose of the Study:
- Investigate the association between MTHFR gene polymorphisms and coronary artery lesions in Kawasaki disease patients.
- Determine if the T677 allele frequency differs between KD patients with and without CAL and healthy controls.
Main Methods:
- Genotyping of the MTHFR gene (677 C to T) using polymerase chain reaction and restriction fragment length polymorphism.
- Analysis of 75 KD patients and 238 healthy subjects.
Main Results:
- Female KD patients showed a higher frequency of the TT genotype compared to female controls.
- In females, the TT genotype was associated with a lower risk of initial coronary aneurysm.
- Male KD patients with the TT genotype had a higher, though not statistically significant, risk of severe coronary complications.
Conclusions:
- The MTHFR TT genotype may offer protection against initial coronary aneurysm in female KD patients.
- This genotype might predispose male KD patients to severe coronary complications.
- Further research is needed to confirm the role of homocysteine in KD coronary sequelae.
Background:
A genetic aberration in the 5,10-methylenetetrahydrofolate reductase (MTHFR) gene (677 C to T substitution) has been shown to result in reduced enzyme activity. The hypothesis tested in the present study was that a higher proportion of Kawasaki disease (KD) patients with coronary artery lesions (CAL) would have the T677 allele compared with patients without CAL and healthy subjects.
Methods:
Genotypes for MTHFR were determined in 75 KD patients (male:female ratio 52:23) and 238 healthy subjects (male:female ratio, 110:128) by the polymerase chain reaction and restriction fragment length polymorphism method.
Results:
The results indicated that female KD patients had a significantly higher frequency of the TT genotype compared with female control subjects. In the female population, the frequency of the TT genotype in patients with initial coronary aneurysm was significantly lower than in patients without this manifestation. Analysis of the data for the male population showed that the frequency of the TT genotype in KD patients developing coronary stenosis, occlusion or myocardial infarction was higher than that in those without these manifestations, although the difference was statistically insignificant.
Conclusions:
The TT genotype may protect female KD patients against initial aneurysm formation and predispose male KD patients to severe coronary complications. Further large-scale studies may be required to confirm the contribution of homocysteine in the coronary sequelae of KD.
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