The IL-10 (-627 A/C) promoter polymorphism may be associated with coronary aneurysms and low serum albumin in Korean children with Kawasaki disease.
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| Abstract |
Kawasaki disease (KD) is an acute febrile vasculitic syndrome of unknown etiology that preferentially affects the coronary artery. Interleukin-10 (IL-10) is a key proinflammatory cytokine, and a polymorphism near the major transcriptional start site of the IL-10 gene was shown to influence IL-10 production in vitro. This study investigated the association of the IL-10 promoter polymorphism with KD and its clinical parameters in Korean children. A total of 194 children with congenital heart disease (CHD) and 95 children with KD were included in this study. IL-10 (-627 A/C) polymorphism genotypes were determined using the single-base extension method. There was no difference in the allele frequencies of IL-10 (-627 A/C) polymorphism between CHD children and KD children. KD children with one or two copies of the IL-10 (-627C) allele showed significantly lower albumin levels (p = 0.020) and higher frequencies of early coronary artery aneurysm [62.22% versus 37.78%, adjusted odds ratio (aOR) = 3.50, 95% confidence interval (CI): 1.50-8.16] compared with KD children with the common IL-10 (-627A) allele. These findings suggest that the IL-10 (-627 A/C) promoter polymorphism might be a genetic marker for the risk of early coronary artery complication in KD.
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| Authors | Hyun-Seung Jin, Hyo Bin Kim, Bong Seong Kim, Jong-Keuk Lee, Eul-Ju Seo, Han-Wook Yoo, In Sook Park, Young Mi Hong, Soo-Jong Hong |
| Journal | Pediatric research (Pediatr Res) Vol. 61 Issue 5 Pt 1 Pg. 584-7 (May 2007) ISSN: 0031-3998 [Print] United States |
| PMID | 17413867 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't) |
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