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Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Sorting nexin 24 genetic variation associates with coronary artery aneurysm severity in Kawasaki disease patients
Ying-Ju Lin1, Jeng-Sheng Chang, Xiang Liu
1Department of Medical Research, China Medical University Hospital, Taichung, Taiwan. yjlin.kath@gmail.com.
Insights
Genetic variations in SNX24 are linked to coronary artery aneurysm (CAA) risk in Kawasaki disease (KD). Specific SNX24 polymorphisms may help predict CAA development in KD patients.
Area of Science:
- Genetics
- Immunology
- Molecular Biology
Background:
- Sorting nexin (SNX) proteins are crucial for endocytosis and protein trafficking.
- The involvement of SNX proteins in Kawasaki disease (KD) and its complications, such as coronary artery aneurysm (CAA), remains unexplored.
Purpose of the Study:
- To investigate the association between genetic variations in SNX proteins and the risk of CAA formation in KD patients.
Main Methods:
- Retrospective analysis of clinical data and genotypes from 262 KD patients (76 with CAA, 186 without).
- Chi-square tests were employed to identify SNX24 genetic variants associated with KD susceptibility and CAA formation.
- Endothelial cell inflammation was assessed using siRNA knockdown of SNX24 in response to lipopolysaccharide.
Main Results:
- A significant correlation was found between KD with CAA and the rs28891 single-nucleotide polymorphism in SNX24.
- Patients with CC+CT genotypes of rs28891 exhibited reduced CAA complications.
- SNX24 knockdown in endothelial cells decreased the expression of pro-inflammatory cytokines IL-1 beta, IL-6, and IL-8.
Conclusions:
- SNX24 polymorphisms may serve as valuable genetic markers for diagnosing and predicting CAA formation in KD.
- These findings highlight the potential role of SNX24 in the pathogenesis of KD-associated vascular complications.
Background:
The sorting nexin (SNX) family is involved in endocytosis and protein trafficking and plays multiple roles in various diseases. The role of SNX proteins in Kawasaki disease (KD) is not known. We attempted to test whether genetic SNX variation associates with the risk of coronary artery aneurysm (CAA) formation in KD.
Methods And Results:
Chi-square tests were used to identify SNX24 genetic variants associated with KD susceptibility and CAA formation in KD; models were adjusted for fever duration and time of first administration of intravenous immunoglobulin. We obtained clinical characteristics and genotypes from KD patients (76 with CAA and 186 without CAA) in a population-based retrospective KD cohort study (n = 262). Clinical and genetic factors were associated with CAA formation in KD. In addition, endothelial cell inflammation was evaluated. Significant correlation was observed between KD with CAA complications and the rs28891 single-nucleotide polymorphism in SNX24. Patients with CC + CT genotypes had lesser CAA complications. In lipopolysaccharide-treated human umbilical vein endothelial cells, siRNA knockdown of SNX24 significantly decreased gene expression of the proinflammatory cytokines IL-1 beta, IL-6, and IL-8.
Conclusions:
Polymorphisms in SNX24 may be used as genetic markers for the diagnosis and prognosis of CAA formation in KD.
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