Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2005-7-25
pubmed:abstractText
Antibodies against phospholipids (PL) and PL-binding proteins have been causally implicated in antiphospholipid syndrome (APS). Mutations in the fifth domain of the beta2-glycoprotein I (beta2GPI) protein, a putative PL-binding site, may play a critical role in APS pathogenesis. The purpose of this study was to identify associations between beta2GPI mutations and both antiphospholipid antibodies (aPL) and their associated clinical manifestations in a pediatric and adolescent cohort and to search for novel mutations. Genetic analysis of beta2GPI was performed in 58 youths with systemic lupus erythematosus (SLE) and/or aPL, to identify known polymorphisms at amino acids 247 and 306 as well as novel mutations in exon 7 of the beta2GPI gene, and their association with aPL-associated clinical manifestations. Our results demonstrate an association between substitution of Val for Leu at AA247 (L247V) of beta2GPI and both the development of aPL (P = 0.05) and aPL-associated clinical manifestations (P = 0.03) among pediatric patients. The odds ratio associated with risk of aPL-associated clinical manifestations for the homozygous VV polymorphism was 5.5 (CI 1.3-23, P = 0.03) for the overall cohort, and 4.75 (CI 0.66-55.49, P = 0.06) after adjusting for ethnicity. The association was not significant after stratifying for SLE versus non-SLE. Association between the VV genotype at amino acid 247 of beta2GPI and clinical disease supports a genetic cause for APS among children and adolescents. Neither novel exon 7 beta2GPI mutations or the previously described C306G polymorphism was identified in this pediatric cohort.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0961-2033
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
440-4
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:16038107-Adolescent, pubmed-meshheading:16038107-Adult, pubmed-meshheading:16038107-Alleles, pubmed-meshheading:16038107-Amino Acid Substitution, pubmed-meshheading:16038107-Antibodies, Antiphospholipid, pubmed-meshheading:16038107-Antiphospholipid Syndrome, pubmed-meshheading:16038107-Base Sequence, pubmed-meshheading:16038107-Child, pubmed-meshheading:16038107-Child, Preschool, pubmed-meshheading:16038107-Cohort Studies, pubmed-meshheading:16038107-DNA, Complementary, pubmed-meshheading:16038107-Female, pubmed-meshheading:16038107-Glycoproteins, pubmed-meshheading:16038107-Humans, pubmed-meshheading:16038107-Lupus Erythematosus, Systemic, pubmed-meshheading:16038107-Male, pubmed-meshheading:16038107-Polymorphism, Genetic, pubmed-meshheading:16038107-beta 2-Glycoprotein I
pubmed:year
2005
pubmed:articleTitle
Association between beta2-glycoprotein I gene polymorphisms and pediatric SLE and antiphospholipid antibodies.
pubmed:affiliation
Pediatric Rheumatology, University of California, San Francisco, CA 94143, USA. evonsche@peds.ucsf.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S., Research Support, Non-U.S. Gov't, Research Support, N.I.H., Extramural