[Association study of a functional SNP rs28493229 of ITPKC gene and Kawasaki disease in a Chinese population]
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Updated: May 26, 2026

Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
Qian Peng1, Chang-hui Chen, Qing Wu
1Department of Pediatrics, Sichuan Provincial People's Hospital, Chengdu, Sichuan, People's Republic of China. qian70910@263.net
Insights
This study found no association between the rs28493229 genetic marker and Kawasaki disease (KD) or coronary artery lesions (CALs) in Chinese children. The C allele of rs28493229 is not a reliable predictor for KD susceptibility or treatment outcomes in this population.
Area of Science:
- Genetics
- Pediatrics
- Immunology
Background:
- Kawasaki disease (KD) is a leading cause of acquired heart disease in children, characterized by multi-systemic vasculitis.
- Coronary artery lesions (CALs) are frequent complications of KD, necessitating research into genetic risk factors.
- A specific genetic variant, the C allele of rs28493229 in the ITPKC gene, was previously linked to KD/CALs in the Japanese population.
Purpose of the Study:
- To investigate the association between the rs28493229 polymorphism and Kawasaki disease (KD) in a Chinese pediatric population.
- To determine if this genetic marker is linked to the development of coronary artery lesions (CALs) in KD patients.
- To evaluate the potential of rs28493229 as a predictor for KD susceptibility, prognosis, and response to intravenous immunoglobulin (IVIG) treatment.
Main Methods:
- A case-control study involving 206 KD patients and 285 healthy controls.
- Genotyping of the rs28493229 polymorphism using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and DNA sequencing.
- Comparison of allele, genotype, and C allele carrier frequencies between KD patients and controls, and between subgroups based on CALs and IVIG response.
Main Results:
- The frequency of the C allele of rs28493229 was significantly lower in the Chinese population compared to the Japanese population.
- No statistically significant differences were found in allele, genotype, or C allele carrier frequencies between KD patients and controls.
- The rs28493229 polymorphism showed no association with the presence of CALs or the response to IVIG treatment in Chinese KD patients.
Conclusions:
- The rs28493229 polymorphism in the ITPKC gene is not associated with Kawasaki disease (KD) or coronary artery lesions (CALs) in the Chinese pediatric population.
- This genetic marker cannot be reliably used for predicting KD susceptibility, prognosis, or treatment efficacy in Chinese children.
- Further research is needed to identify other functional single nucleotide polymorphisms (SNPs) within the ITPKC gene that may be associated with KD/CALs in this population.
Objective:
Kawasaki disease (KD) is a form of acute multi-systemic vasculitis with unknown etiology. It is the leading cause of acquired heart disease in children due to the frequent occurrence of coronary artery lesions (CALs). Recently, a C allele of rs28493229 (G/C) in inositol 1,4,5-trisphosphate 3-kinase C (ITPKC) gene was found to significantly increase the risk for KD/CALs in Japanese population. It is important to confirm such finding in Chinese population to enable prognosis and personalized therapy for KD.
Methods:
A case-control study was performed. The patient group has included 206 unrelated patients with KD, and the control group included 285 age, gender and ethnically matched children who never had KD. Genotyping of rs28493229 was performed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) and DNA sequencing. The allele, genotype and C allele carrier frequencies were compared between the two groups, patients with or without CALs, and patients who were resistant or responsive to (intravenous immunoglobulin, IVIG) treatment.
Results:
Frequency of the C allele of rs28493229 was significantly lower in both groups than that in the Japanese population (P< 0.01). No significant difference was detected between the two groups in terms of allele, genotype and C carrier of rs28493229 frequencies. Such frequencies were also similar between patients with or without CALs, resistant or responsive to IVIG treatment.
Conclusion:
Our study has failed to prove any association between rs28493229 and KD/CALs in Chinese patients, which indicated that the C allele of rs28493229 may not be used as a molecular marker for determining KD susceptibility, prognosis and effect of treatment. The much lower frequency of C allele does not support its significance in the occurrence of KD/CALs in Chinese population. It is still necessary to find functional SNPs in ITPKC gene which is associated with KD/CALs in Chinese population.
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