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Fibrillin-1 gene intron 56 polymorphism in Turkish children with mitral valve prolapse
Osman Ozdemir1, Rana Olgunturk, Kadri Karaer
1Department of Paediatric Cardiology, Kecioren Training and Research Hospital, Ardahan Sokak No. 1, Kecioren, Ankara, Turkey. pedkard@gmail.com
Insights
The fibrillin-1 gene intron 56 G-allele may increase the risk of mitral valve prolapse in Turkish children. Mitral valve prolapse patients showed higher frequencies of specific fibrillin-1 gene genotypes.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Pediatrics
Background:
- Mitral valve prolapse is a common childhood heart valve anomaly.
- Fibrillin, a key component of microfibrils, is present in the mitral valve.
- The role of genetic variations in mitral valve prolapse is an area of ongoing research.
Purpose of the Study:
- To investigate the association between fibrillin-1 gene intron 56 polymorphism and mitral valve prolapse risk in Turkish children.
- To determine if specific genotypes or alleles of the fibrillin-1 gene are linked to mitral valve prolapse.
Main Methods:
- A case-controlled study involving 77 children with mitral valve prolapse and 89 healthy controls.
- Diagnosis of mitral valve prolapse confirmed by clinical evaluation and echocardiography.
- Fibrillin-1 gene intron 56 polymorphism analyzed using polymerase chain reaction-based restriction analysis.
Main Results:
- Significant differences in fibrillin-1 gene intron 56 genotype distribution (p = 0.0001) and allelic frequency (p = 0.0001) were observed between cases and controls.
- Mitral valve prolapse patients exhibited higher frequencies of the GC genotype.
- Healthy children showed a higher prevalence of the CC genotype.
Conclusions:
- The fibrillin-1 gene intron 56 GC genotype is more frequent in children with mitral valve prolapse.
- The fibrillin-1 gene intron 56 CC genotype is more common in healthy children.
- A higher frequency of the fibrillin-1 gene intron 56 G-allele is speculated to increase the risk of developing mitral valve prolapse.
Objective:
Mitral valvar prolapse is the most common anomaly of the mitral valve apparatus throughout childhood. Fibrillin is one of the structural components of the elastin-associated microfibrils found in the mitral valve. A case-controlled study has performed to investigate the relationship between fibrillin 1 gene intron 56 polymorphism and risk of mitral valvar prolapse in Turkish children.
Patients And Methods:
A total of 77 patients with mitral valvar prolapse diagnosed by clinical evaluation and echocardiography and 89 normal children of same age and sex were studied. The fibrillin-1 gene intron 56 polymorphism was identified by the polymerase chain reaction-based restriction analysis.
Results:
There was a significant difference in the distribution of fibrillin-1 gene intron 56 genotypes (p = 0.0001) and allelic frequency (p = 0.0001) between the cases and the controls.
Conclusions:
Patients with mitral valvar prolapse have higher frequencies of fibrillin-1 gene intron 56 GC genotypes. Healthy children have higher frequencies of fibrillin-1 gene intron 56 CC genotypes. We speculate that the higher frequency of fibrillin-1 gene intron 56 G-allele increases the risk of mitral valvar prolapse.
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