Pharmacogenomics of coronary artery response to intravenous gamma globulin in kawasaki disease

Autor: Sadeep Shrestha, Howard W. Wiener, Sabrina Chowdhury, Hidemi Kajimoto, Vinodh Srinivasasainagendra, Olga A. Mamaeva, Ujval N. Brahmbhatt, Dolena Ledee, Yung R. Lau, Luz A. Padilla, Jake Y. Chen, Nagib Dahdah, Hemant K. Tiwari, Michael A. Portman
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: npj Genomic Medicine, Vol 9, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 2056-7944
DOI: 10.1038/s41525-024-00419-7
Popis: Abstract Kawasaki disease (KD) is a multisystem inflammatory illness of infants and young children that can result in acute vasculitis. The mechanism of coronary artery aneurysms (CAA) in KD despite intravenous gamma globulin (IVIG) treatment is not known. We performed a Whole Genome Sequencing (WGS) association analysis in a racially diverse cohort of KD patients treated with IVIG, both using AHA guidelines. We defined coronary aneurysm (CAA) (N = 234) as coronary z ≥ 2.5 and large coronary aneurysm (CAA/L) (N = 92) as z ≥ 5.0. We conducted logistic regression models to examine the association of genetic variants with CAA/L during acute KD and with persistence >6 weeks using an additive model between cases and 238 controls with no CAA. We adjusted for age, gender and three principal components of genetic ancestry. The top significant variants associated with CAA/L were in the intergenic regions (rs62154092 p
Databáze: Directory of Open Access Journals