An Angiotensinogen Gene Polymorphism (rs5050) Is Associated with the Risk of Coronary Artery Aneurysm in Southern Chinese Children with Kawasaki Disease

• Published in: Disease markers Vol. 2019; no. 2019; pp. 1 - 7
• Main Authors: Zhang, Li, Yu, Tao, Gu, Xiaoqiong, Zeng, Lanlan, Long, Haifeng, Zheng, Hao, Xu, Yufen, Che, Di, Pi, Lei, Fu, Lanyan, Liu, Yunfeng, Huang, Ping
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 01.01.2019; Hindawi; Hindawi Limited
• Subjects: AGT gene; Aneurysm; Angiotensinogen; Angiotensinogen - genetics; Cardiovascular diseases; Child; Child, Preschool; Children; China; Confidence intervals; Coronary Aneurysm - etiology; Coronary Aneurysm - genetics; Coronary artery; Coronary artery disease; Coronary vessels; Deoxyribonucleic acid; DNA; Enzymes; Etiology; Female; Gene polymorphism; Genetic testing; Genome-wide association studies; Genomes; Heart diseases; Humans; Hypertension; Infant; Infant, Newborn; Kawasaki disease; Male; Mucocutaneous lymph node syndrome; Mucocutaneous Lymph Node Syndrome - complications; Mutation; Pathogenesis; Polymorphism; Polymorphism, Single Nucleotide; Risk; Single-nucleotide polymorphism; Stroke; Vasculitis; Veins & arteries; Womens health; China
• ISSN: 0278-0240; 1875-8630
• DOI: 10.1155/2019/2849695

Background. Kawasaki disease (KD) is an acute vasculitis disease that commonly causes acquired heart disease in children. Coronary artery aneurysm (CAA) is a major complication of KD. However, the pathogenesis of KD remains unclear. The results of a genome-wide association study (GWAS) showed that two functional single-nucleotide polymorphisms (SNPs; rs699A>G and rs5050T>G) in the angiotensinogen (AGT) gene were related to cardiovascular disease susceptibility. The purpose of our study was to estimate the relationship between the two GWAS-identified AGT gene polymorphisms and the risk of CAA in Southern Chinese children with KD. Methods. We genotyped the two AGT gene polymorphisms (rs699A>G and rs5050T>G) in 760 KD cases and 972 healthy controls. We used the odds ratios (ORs) and 95% confidence intervals (CIs) to estimate the degree of the associations. Results. These two AGT gene polymorphisms were not associated with a risk of KD relative to the controls, but after adjusting for sex and age, the carriers of the rs5050G allele with TG/GG vs TT had an adjusted OR=1.56, 95% CI=1.01-2.41, and P=0.044 relative to the carriers of the rs5050TT genotype. The susceptibility to CAA was more predominant in KD patients younger than 12 months old. Conclusions. Our results indicate that the AGT gene polymorphism rs5050T>G may increase the risk of CAA in children with KD, especially those who are younger than 12 months. These results need to be verified by a validation study with a larger sample size.