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Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
IL-6 572 C/G, 190 C/T, and 174 G/C gene polymorphisms in children's malnutrition
Cristina O Marginean1, Claudia Banescu, Septimiu Voidazan
1*Pediatrics Clinic I †Department of Genetics ‡Department of Epidemiology, University of Medicine and Pharmacy of Târgu Mureş, Romania.
Insights
Children with malnutrition show higher frequencies of IL-6 174 G allele carriers. The IL-6 190 TT genotype appears protective against malnutrition in children. Specific combined genotypes were also more frequent in malnourished children.
Area of Science:
- Genetics and Molecular Biology
- Pediatrics
- Nutritional Science
Background:
- Childhood malnutrition remains a significant global health issue.
- Genetic factors, including cytokine gene polymorphisms, may influence susceptibility to malnutrition.
- Interleukin-6 (IL-6) is a key inflammatory cytokine with known roles in various physiological processes.
Purpose of the Study:
- To investigate the association between polymorphisms in the interleukin-6 (IL-6) genes at positions 572, 190, and 174 and the occurrence of malnutrition in hospitalized children.
- To identify specific IL-6 genotypes that correlate with malnutrition and its clinical indicators.
Main Methods:
- A case-control study involving 283 hospitalized children, divided into a control group (n=110) and a malnourished group (n=173).
- Genotyping for IL-6 polymorphisms at positions 572 (C/G), 190 (C/T), and 174 (G/C).
- Assessment of anthropometric indicators (BMI, mid-upper arm circumference, tricipital skinfold thickness) and serum albumin levels.
Main Results:
- The GG and CG genotypes of the IL-6 174 gene were significantly more frequent in malnourished children (P = 0.0001).
- The CT heterozygous genotype of the IL-6 190 gene was also more prevalent in the malnourished group (P = 0.003).
- The IL-6 190 TT genotype demonstrated a protective effect against malnutrition (P = 0.0001).
- Malnutrition indicators (BMI, MUAC, TST, low albumin) correlated with specific IL-6 genotypes (IL-6 572/174 GG/CG and IL-6 190 CT).
Conclusions:
- Carriage of the IL-6 174 G allele (GG and CG genotypes) is associated with a higher risk of malnutrition in children.
- The IL-6 190 TT genotype appears to confer a protective effect against childhood malnutrition.
- Specific combinations of IL-6 polymorphisms (e.g., GG/CT/CG at 572/190/174) were found to be more common in malnourished children, suggesting a complex genetic influence.
Objectives:
The aim of the present study was to establish the correlations between the polymorphisms of the genes interleukin-6 (IL-6) 572, 190, and 174 in children's malnutrition.
Methods:
We assessed 283 hospitalized children and divided them into 2 groups: group I (control) included 110 patients with normal nutritional status, median (range) age 10.90 (1-18) years; and group II consisted of 173 malnourished patients, median (range) age 10.70 (1-18) years.
Results:
The 2 groups underwent IL-6 572 cytosine allele (C)/guanine allele (G), 190 C/thymine allele (T), and 174 G/C polymorphism testing, measurement of anthropometric indicators (mid-upper arm circumference and tricipital skinfold thickness [TST]), and paraclinical evaluation (protein, albumin). We observed that the GG and CG genotypes were more frequent in malnourished children for the IL-6 174 gene (P = 0.0001), whereas the CT heterozygous genotype was more frequent in the malnourished group for the IL-6 190 gene (P = 0.003). Body mass index (BMI), middle upper arm circumference (MUAC), TST, and low serum albumin levels correlated with the GG and CG genotypes of the IL-6 572 and IL-6 174 genes, and with the CT genotype of the IL-6 190 gene, in children with malnutrition, whereas the IL-6 190 TT genotype was a protective factor for malnutrition (P = 0.0001).
Conclusions:
Malnutrition is more frequently associated in children with IL-6 174 G allele carriers (GG and CG genotypes), whereas IL-6 190 TT genotype has a protective function. In malnourished children, the IL-6 572/190/174 GG/CT/CG, GG/CT/GG, GG/CC/GG, and GG/CC/CG combined genotypes are more frequent.
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