VEGF gene polymorphism in complicated infective endocarditis
- 作者: Samoylenko E.S.1,2, Kolesnikova N.V.1, Baklay V.I.3, Maydannikova E.Y.2, Omelchenko E.V.2
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隶属关系:
- Kuban State Medical University
- Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1
- Specialized Clinical Infectious Diseases Hospital
- 期: 卷 12, 编号 5 (2022)
- 页面: 938-946
- 栏目: ORIGINAL ARTICLES
- URL: https://journal-vniispk.ru/2220-7619/article/view/119164
- DOI: https://doi.org/10.15789/2220-7619-VGP-1877
- ID: 119164
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Introduction. Infective endocarditis (IE) is a bacterial disease with frequent pathogen localization on the heart valve apparatus. IE is characterized by rapid development of heart failure and frequent thromboembolic complications (TEC). IE features are accounted for by foreign pathogen nature and state of human immune system (IS). The imbalanced IS in infective endocarditis is manifested by impaired cytokine-mediated interactions. This confirms the rationality of studying cytokines to advance understanding of the pathogenesis for various conditions. Most cytokine genes are characterized by polymorphism and existing isoforms underlying disease predisposition. Genetic polymorphism of vascular endothelial growth factor — A (VEGF-A) plays an important role in the induction of vasculogenesis and angiogenesis. The pathogenetic VEGF role in IE has not been thoroughly studied. Research objective — analysis of polymorphic nucleotide sequence variants in the vascular endothelial growth factor gene, taking into account a relation with its serum concentration in patients with infective endocarditis. Materials and methods. 86 patients treated with verified diagnosis of infective endocarditis at the Scientific Research Institute — “Regional Clinical Hospital No. 1” of Krasnodar were divided into two clinical groups in accordance with the IE course: Group 1 — IE with TEC (n = 44), group 2 — IE without TEC (n = 42), and the control group consisted of 20 apparently healthy individuals. The concentration of serum VEGF-A (pg/mL) was measured by ELISA on day 1 of hospitalization. Genomic DNA was isolated from whole blood leukocytes and used to determine the frequency of genotypes of VEGF gene polymorphic variants. Results. Significant differences in the frequency distribution of VEGF-rs2010963 genotypes between patients with infective endocarditis and control group were revealed: G/G (OR = 0.25; p = 0.012) and G/C (OR = 4.28; p = 0.022), as well as differences between VEGF concentrations for various SNP-rs2010963 genotypes (p = 0.0001). A study of VEGF genotype frequency distribution between patients of clinical groups showed a significantly decreased frequency of the genotype G/G (rs2010963) in the IE group with TEC (OR = 0.21; p = 0.014) and increased frequency of G/C (OR = 4.72; p = 0.024) compared with the control group, whereas in patients with IE without TEC, significant (p = 0.0003) differences in serum concentrations of VEGF-rs2010963 were found in accordance with genotypes GG/CC (p = 0.01) and GG/GC (p = 0.003). Conclusion. The relationship between the VEGF genotypes (G/G and G/C of rs2010963 polymorphism) and related serum concentration among patients with IE was revealed. Carriers of the minor C allele (rs2010963) had higher serum VEGF levels. The results obtained complement and systematize current scientific data on the disease pathogenesis, as well as focus on the genetic determinant of the developing complications.
作者简介
E. Samoylenko
Kuban State Medical University; Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1
编辑信件的主要联系方式.
Email: kondrenko.ekaterina@yandex.ru
PhD student, Department of Clinical Immunology, Pathologist
俄罗斯联邦, Krasnodar; KrasnodarN. Kolesnikova
Kuban State Medical University
Email: nvk24071954@mail.com
PhD, MD (Biology), Professor, Professor of the Department of Clinical Immunology
俄罗斯联邦, KrasnodarV. Baklay
Specialized Clinical Infectious Diseases Hospital
Email: vladik120989@gmail.com
Bacteriologist
俄罗斯联邦, KrasnodarE. Maydannikova
Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1
Email: ekaterinamaydannikova@mail.ru
Biologist, Clinical Diagnostic Laboratory Pathologist
俄罗斯联邦, KrasnodarE. Omelchenko
Scientific Research Institute — Ochapovsky Regional Clinical Hospital No. 1
Email: omelcenkoekaterina1@gmail.com
Laboratory Assistant, Clinical Diagnostic Laboratory
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