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Published on: April 1, 2019
Novel non-synonymous polymorphisms in the COX-1 gene in Turkish pediatric patients with cardiovascular anomalies
I Coskun1, Y Colkesen2, F Ayik3
1Department of Cardiovascular Surgery, Baskent University, Faculty of Medicine, Adana, Turkey icoskun1974@gmail.com.
Insights
Genetic variations in the cyclooxygenase-1 (COX-1) gene were identified in pediatric patients with cardiovascular anomalies. These novel COX-1 gene variants may influence aspirin resistance and warrant further functional studies.
Area of Science:
- Genetics
- Cardiovascular Medicine
- Pharmacogenomics
Background:
- Aspirin resistance is a clinical concern linked to variations in the cyclooxygenase-1 (COX-1) gene.
- Understanding COX-1 genetic variations is crucial for optimizing aspirin therapy, especially in pediatric cardiovascular patients.
Purpose of the Study:
- To investigate and identify genetic variations within the coding regions of the human COX-1 gene.
- To characterize novel polymorphisms in pediatric patients with cardiovascular anomalies.
Main Methods:
- DNA sequencing was employed to screen the 4 coding regions of the COX-1 gene.
- Genetic variants were identified in 90 pediatric patients and compared with an independent Caucasian population.
Main Results:
- Twenty coding-region variants causing amino acid substitutions were identified.
- Two novel non-synonymous polymorphisms (F200L and D189E) were discovered.
- Several variants, including W8R and P17L, occurred at a frequency greater than 5%.
Conclusions:
- Novel genetic variants of the human COX-1 gene have been identified in pediatric cardiovascular patients.
- Further research is necessary to elucidate the functional significance of these COX-1 variants.
Abstract:
Variation in the gene encoding cyclooxygenase-1 (COX-1) is involved in the process of aspirin resistance. This study investigated the genetic variations in the COX-1 gene. The 4 coding regions of the human COX-1 gene in 90 pediatric patients (median age of 6.5 months, 55% males) with cardiovascular anomalies were screened using DNA sequencing. Twenty coding-region variants causing amino acid substitutions as well as 2 new non-synonymous polymorphisms were identified. All variants were compared with an independent Caucasian population (N = 24 unrelated individuals). Most of the discovered polymorphisms were rare, although some variants resulted in amino acid changes occurring at a frequency >5% (W8R, P17L, Q41Q, Q240Q, D189E, and P188P). In addition, 2 new non-synonymous polymorphisms (F200L and D189E) were identified. These findings demonstrated novel genetic variants of the human COX- 1 gene. Future studies characterizing the functional impact of these variants are warranted.
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