title: CASP3 gene single-nucleotide polymorphism (rs72689236) and Kawasaki disease in Taiwanese children.
abstract: Kawasaki disease (KD) is characterized by systemic vasculitis of unknown etiology. A study from Japan reported that G to A substitution of a single-nucleotide polymorphism (SNP) located in the 5'-untranslated region of caspase 3 (CASP3) (rs72689236), which was associated with nuclear factor of activated T cell-mediated T-cell activation, is responsible for susceptibility to KD. This study was conducted to investigate whether the polymorphism of CASP3 is responsible for susceptibility and coronary artery lesion (CAL) formation in KD in the Taiwanese population. A total of 1092 subjects (341 KD patients and 751 controls) were investigated to identify an SNP of rs72689236 using Invader assays (Third Wave Technologies). Our data provided a borderline significant association between the genotypes and allele frequency of rs72689236 in control subjects and KD patients (P=0.0535 under the dominant model; P=0.0575 under the allelic model). The A allele of rs72689236 in KD patients and in patients with CAL and intravenous immunoglobulin resistance was seen in a higher frequency. Importantly, a significant association was obtained between rs72689236 and KD patients with aneurysm formation (P=0.009, under the recessive model). The A allele of rs72689236 is very likely to be a risk allele in the development of aneurysm in patients with KD.
authors.affiliation: Division of Allergy, Immunology and Rheumatology, Department of Pediatrics, Chang-Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung, Taiwan.
authors.forename: Ho-Chang
authors.initials: HC
authors.lastname: Kuo
authors.forename: Hong-Ren
authors.initials: HR
authors.lastname: Yu
authors.forename: Suh-Hang Hank
authors.initials: SH
authors.lastname: Juo
authors.forename: Kuender D
authors.initials: KD
authors.lastname: Yang
authors.forename: Yu-Shiuan
authors.initials: YS
authors.lastname: Wang
authors.forename: Chi-Di
authors.initials: CD
authors.lastname: Liang
authors.forename: Wei-Chiao
authors.initials: WC
authors.lastname: Chen
authors.forename: Wei-Pin
authors.initials: WP
authors.lastname: Chang
authors.forename: Chien-Fu
authors.initials: CF
authors.lastname: Huang
authors.forename: Chiu-Ping
authors.initials: CP
authors.lastname: Lee
authors.forename: Li-Yan
authors.initials: LY
authors.lastname: Lin
authors.forename: Yu-Chen
authors.initials: YC
authors.lastname: Liu
authors.forename: Yuh-Cherng
authors.initials: YC
authors.lastname: Guo
authors.forename: Chien-Chih
authors.initials: CC
authors.lastname: Chiu
authors.forename: Wei-Chiao
authors.initials: WC
authors.lastname: Chang
mesh_terms: D000483:Alleles; D044466:Asian People / Q000235:genetics*; D016022:Case-Control Studies; D053148:Caspase 3 / Q000235:genetics*; D002648:Child; D003331:Coronary Vessels / Q000473:pathology; D005190:Family; D005787:Gene Frequency; D005838:Genotype; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000235:genetics* / Q000473:pathology; D020641:Polymorphism, Single Nucleotide; D013624:Taiwan
chemical_list: D053148:Caspase 3