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Published on: April 11, 2018
Physical-capacity-related genetic polymorphisms in children with cystic fibrosis
Thomas Yvert1, Catalina Santiago, Elena Santana-Sosa
1School of Doctorate Studies and Research, Universidad Europea de Madrid, Madrid, Spain.
Insights
Genetic factors influencing physical capacity (PC) in cystic fibrosis (CF) children were studied. The examined gene polymorphisms showed no significant impact on PC or health outcomes in CF patients.
Area of Science:
- Genetics
- Pediatrics
- Pulmonology
Background:
- Physical capacity (PC) is linked to mortality risk in cystic fibrosis (CF) patients.
- PC is influenced by genetic factors, necessitating investigation into specific polymorphisms.
- Understanding these genetic links can inform strategies for managing CF-related health outcomes.
Purpose of the Study:
- To investigate the association between specific genetic polymorphisms and physical capacity (PC) and related health phenotypes in children with CF.
- To analyze muscle function and energy metabolism polymorphisms in relation to VO2peak, FEV1, FVC, PImax, and muscular strength.
- To compare findings in a CF cohort with a control group of healthy children.
Main Methods:
- Genotyping of muscle function polymorphisms (e.g., ACE, AGT, ACTN3, NOS3) and energy metabolism polymorphisms (e.g., PPARGC1A, NRF1, NRF2).
- Phenotypic assessment including VO2peak, FEV1, FVC, PImax, and muscular strength measurements.
- Statistical analysis to determine correlations between polymorphisms and phenotypic traits in 66 children with CF and 113 healthy controls.
Main Results:
- No significant correlations were found between the studied polymorphisms and PC or health phenotypes in children with CF.
- Marginal associations were noted between NOS3 rs2070744 and VO2peak/FEV1, and PPARGC1A rs8192678 and FEV1 in the CF group.
- Similar lack of major associations was observed in the control group, indicating no strong genetic influence from these polymorphisms.
Conclusions:
- The investigated PC-related genetic polymorphisms do not appear to significantly affect physical capacity or health in children with cystic fibrosis.
- Further research may be needed to identify other genetic factors or complex gene-environment interactions influencing PC in CF.
- These findings suggest that current genetic targets may not be primary determinants of physical capacity deficits in pediatric CF populations.
Abstract:
In patients with cystic fibrosis (CF), physical capacity (PC) has been correlated with mortality risk. In turn, PC is dependent on genetic factors. This study examines several polymorphisms associated with PC and health-related phenotype traits (VO2peak, FEV1, FVC, PImax and muscular strength) in a group of children with CF (n = 66, primary purpose). The same analyses were also performed in a control group of healthy children (n = 113, secondary purpose). The polymorphisms determined were classified as muscle function polymorphisms (ACE rs1799752; AGT rs699; ACTN3 rs1815739; PTK2 rs7843014 and rs7460; MSTN rs1805086; TRHR rs7832552; NOS3 rs2070744) or energy metabolism polymorphisms (PPARGC1A rs8192678; NRF1 rs6949152; NRF2 rs12594956; TFAM rs1937; PPARD rs2267668; ACSL1 rs6552828). No significant polymorphism/phenotype correlations were detected in children with CF, with marginal associations being observed between NOS3 rs2070744 and VO2peak and FEV1, as well as between PPARGC1A rs8192678 and FEV1. Overall, similar findings were observed in the control group, i.e., no major associations. The PC-related polymorphisms examined seem to have no effects on the PC or health of children with CF.
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