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Published on: April 4, 2018
CD32a polymorphism rs1801274 affects the risk of Kawasaki disease
Zhiyong Wang1, Pei-Liang Geng2
1Department of Pediatrics, Weifang Maternal and Child Health Hospital, Weifang, China.
Insights
The CD32a polymorphism rs1801274 significantly increases the risk of Kawasaki disease (KD). The presence of the A allele in this gene variant is associated with a higher incidence of KD, particularly in certain ethnic groups.
Area of Science:
- Genetics
- Immunology
- Pediatrics
Background:
- Kawasaki disease (KD) is an acute febrile vasculitis affecting young children.
- Genetic factors are implicated in KD susceptibility, but specific gene associations require further investigation.
Purpose of the Study:
- To conduct a meta-analysis evaluating the association between CD32a polymorphism rs1801274 and Kawasaki disease risk.
- To assess the impact of this polymorphism across different ethnicities and control sources.
Main Methods:
- Meta-analysis of published studies examining the CD32a polymorphism rs1801274 and KD susceptibility.
- Calculation of summarized odds ratios (ORs) with 95% confidence intervals (CIs).
- Stratification analyses by ethnicity and control source, heterogeneity testing, sensitivity analysis, and publication bias assessment.
Main Results:
- CD32a polymorphism rs1801274 significantly elevated KD risk across multiple genetic comparisons (e.g., AA vs. GG, A vs. G).
- The association remained consistent in subgroup analyses stratified by ethnicity (Caucasian, Asian) and control source (population-based, other).
- The A allele of CD32a rs1801274 was linked to increased disease incidence.
Conclusions:
- CD32a polymorphism rs1801274 is strongly associated with the onset of Kawasaki disease.
- The A allele of CD32a rs1801274 is a risk factor for developing KD.
Abstract:
Aim: To analyze the impact of CD32a polymorphism rs1801274 on the occurrence of Kawasaki disease (KD) through the meta-analysis.Methods: The correlation between CD32a polymorphism rs1801274 and the susceptibility to KD was appraised using summarized odds ratios (ORs) with their 95% confidence intervals (95% CIs). Besides, stratification analyses were further implemented on the basis of ethnicity and control source, respectively. Between-study heterogeneity was checked adopting chi-square-based Q test, with p < .05 as significant level. And results from Q test determined which model would be employed for OR calculation, fixed- or random-effects. Sensitivity analysis was accomplished to test the stability of final results. Potential publication bias among included studies was investigated using Begg's funnel plot and Egger's test. If publication bias was significant, its influence on overall estimates would be measured adopting the trim-and-fill method.Results: CD32a polymorphism rs1801274 significantly increased KD risk in total analysis under the comparisons of AA vs. GG, AA + AG vs. GG, AA vs. GG + AG, A vs. G and AG vs. GG (OR = 2.69, 95% CI = 1.39-5.20; OR = 2.00, 95% CI = 1.23-3.26; OR = 1.90, 95% CI = 1.23-2.94; OR = 1.77, 95% CI = 1.34-2.34; OR = 1.53, 95% CI = 1.07-2.19). After stratification analysis by ethnicity, similar tendency was also observed in Caucasian and Asian subgroups under corresponding genetic models. And parallel results were replicated in population-based and other-source subgroups after stratified analysis by control source, under some contrasts.Conclusion: CD32a polymorphism rs1801274 has strong relation to KD onset, and the presence of its A allele could elevate the disease incidence.
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