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Updated: Jun 13, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Common variants in CASP3 confer susceptibility to Kawasaki disease
Yoshihiro Onouchi1, Kouichi Ozaki, Jane C Buns
1Laboratory for Cardiovascular diseases, Center for Genomic Medicine RIKEN, Yokohama 230-0045, Japan. onouchi@src.riken.jp
Insights
Genetic variants in the caspase-3 gene (CASP3) are linked to Kawasaki disease (KD) susceptibility in children. A specific CASP3 variant affects immune cell gene expression, influencing KD risk.
Area of Science:
- Genetics
- Immunology
- Pediatrics
Background:
- Kawasaki disease (KD) is an acute vasculitis affecting children's arteries.
- Host genetics are implicated in KD pathogenesis.
- The specific genetic factors contributing to KD remain largely unknown.
Purpose of the Study:
- To investigate the association between genetic variants and Kawasaki disease susceptibility.
- To identify specific genes and mutations conferring risk for KD.
- To elucidate the functional impact of identified variants on gene expression.
Main Methods:
- Case-control study comparing genetic variants in KD patients and controls.
- Genotyping of single nucleotide polymorphisms (SNPs) in the caspase-3 gene (CASP3).
- Analysis of SNP association with KD in Japanese and European American cohorts.
- Functional assays to assess the impact of a specific SNP on transcription factor binding.
Main Results:
- Multiple CASP3 variants in linkage disequilibrium were associated with KD susceptibility in both Japanese and European American cohorts.
- A specific G to A substitution (rs72689236) in the 5' untranslated region of CASP3 was significantly associated with KD.
- This SNP abolished the binding of nuclear factor of activated T cells (NFAT) to the regulatory DNA sequence.
Conclusions:
- Genetic variations in CASP3 contribute to Kawasaki disease susceptibility.
- Altered CASP3 expression due to these variants may influence KD pathogenesis.
- These findings highlight the role of CASP3 in immune effector cells in KD development.
Abstract:
Kawasaki disease (KD; OMIM 611775) is an acute vasculitis syndrome which predominantly affects small- and medium-sized arteries of infants and children. Epidemiological data suggest that host genetics underlie the disease pathogenesis. Here we report that multiple variants in the caspase-3 gene (CASP3) that are in linkage disequilibrium confer susceptibility to KD in both Japanese and US subjects of European ancestry. We found that a G to A substitution of one commonly associated SNP located in the 5' untranslated region of CASP3 (rs72689236; P = 4.2 x 10(-8) in the Japanese and P = 3.7 x 10(-3) in the European Americans) abolished binding of nuclear factor of activated T cells to the DNA sequence surrounding the SNP. Our findings suggest that altered CASP3 expression in immune effecter cells influences susceptibility to KD.
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