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Identification of SAMD9L as a susceptibility locus for intravenous immunoglobulin resistance in Kawasaki disease by genome-wide association analysis
Ist Teil von
The pharmacogenomics journal, 2020-02, Vol.20 (1), p.80-86
Ort / Verlag
London: Nature Publishing Group UK
Erscheinungsjahr
2020
Quelle
MEDLINE
Beschreibungen/Notizen
Kawasaki disease (KD) is a systemic vasculitis affecting infants and children; it manifests as fever and signs of mucocutaneous inflammation. Intravenous immunoglobulin (IVIG) treatment effectively attenuates the fever and systemic inflammation. However, 10–20% patients are unresponsive to IVIG. To identify genetic variants influencing IVIG non-response in KD, a genome-wide association study (GWAS) and a replication study were performed using a total of 148 IVIG non-responders and 845 IVIG-responders in a Korean population. rs28662 in the sterile alpha motif domain-containing protein 9-like (
SAMD9L
) locus showed the most significant result in the joint analysis of GWAS and replication samples (odds ratio (OR) = 3.47,
P
=
1.39 × 10
−5
). The same SNP in the
SAMD9L
locus was tested in the Japanese population, and it revealed a more significant association in a meta-analysis with Japanese data (OR = 4.30,
P
=
5.30 × 10
−6
). These results provide new insights into the mechanism of IVIG response in KD.