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CX3CR1 at V249M and T280M Gene Polymorphism and Its Potential Risk for End-Stage Renal Diseases in Egyptian Patients
Asmaa Fathelbab Ibrahim1, Asmaa Osama Bakr Seddik Osman2, Lamiaa M Elabbasy3,4
1Lecturer of Clinical & Chemical Pathology, Faculty of Medicine, Beni Suef University, Beni Suef, Egypt.
Abstract:
CX3CL1-CX3CR1 pathway may be one of the future treatment targets to delay the progression of end-stage renal diseases. This study aimed to evaluate the CX3CR gene polymorphism in Egyptian patients with ESRD and its relation to fractalkine blood level. The study included 100 patients with ESRD on dialysis, 61 males and 39 females with mean age 51.02 ± 7.8 years. The V2491 genotype revealed a significant increase in the frequency of GG genotype in healthy control (83%) compared to patients [69%] with a significant increase in GA in patients [30%] compared to control subjects [15%], P = 0.03. T280M study showed a statistically significant prevalence of TT genotype in healthy control subjects [86%-OR 95% CI 1.7] compared to patients [70%] with a significant increase in the prevalence of TA in patients [29%] compared to control subjects [13%], P = 0.01. There was a significant increase in fractalkine levels in genotypes GA + AA [503.04±224.1] pg/ml compared to genotype GG [423.6 210.3], P = 0.03. Moreover, there was a significant increase in the blood level of fractalkine in genotype TA + AA [498.8 219.6] compared to genotype TT [426.8±212.8], P = 0.05. In conclusion, our study showed that both V2491-GA genotype and T280M-TA are associated with potential risk for end-stage renal disease in Egyptian patients.
Insights
Certain CX3CR gene variations, specifically V2491-GA and T280M-TA, are linked to an increased risk of end-stage renal disease (ESRD) in Egyptian patients. These genotypes also correlate with higher fractalkine blood levels, suggesting a potential therapeutic target.
Area of Science:
- Genetics and Molecular Biology
- Nephrology
- Immunology
Background:
- The CX3CL1-CX3CR1 pathway is implicated in the progression of end-stage renal disease (ESRD).
- Understanding genetic variations in this pathway may offer new therapeutic targets for ESRD.
Purpose of the Study:
- To investigate CX3CR gene polymorphisms in Egyptian ESRD patients.
- To assess the relationship between these gene polymorphisms and serum fractalkine levels.
Main Methods:
- Genotyping of CX3CR gene polymorphisms (V2491 and T280M) in 100 Egyptian ESRD patients and healthy controls.
- Measurement of serum fractalkine levels using ELISA.
- Statistical analysis to compare genotype frequencies and fractalkine levels between patients and controls.
Main Results:
- The V2491 polymorphism showed a higher frequency of the GA genotype in ESRD patients (30%) compared to controls (15%) (P=0.03).
- The T280M polymorphism revealed a higher prevalence of the TA genotype in ESRD patients (29%) versus controls (13%) (P=0.01).
- Elevated serum fractalkine levels were observed in patients with GA+AA genotypes for V2491 (P=0.03) and TA+AA genotypes for T280M (P=0.05).
Conclusions:
- The V2491-GA and T280M-TA genotypes are associated with an increased risk of ESRD in the Egyptian population.
- These genotypes correlate with elevated blood fractalkine levels, highlighting the CX3CL1-CX3CR1 pathway's role in ESRD pathogenesis.
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