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http://purl.uniprot.org/citations/22710204http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/22710204http://www.w3.org/2000/01/rdf-schema#comment"

Objective

Acute kidney injury frequently complicates septic shock and independently predicts mortality in this population. Clinical factors alone do not entirely account for differences in risk of acute kidney injury between patients. Genetic variants are likely to explain this differential susceptibility. To identify genetic variants linked to acute kidney injury susceptibility, we conducted a high-density genotyping association study in a large population of patients with septic shock.

Design

Retrospective study.

Setting

Tertiary academic medical center.

Patients

One thousand two hundred and sixty-four patients with septic shock were analyzed to elucidate clinical risk factors associated with the development of acute kidney injury. Among them, 887 Caucasian patients were randomly split into discovery and validation cohorts and genotyped using the Illumina Human-CVD BeadChip (Illumina, San Diego, CA).

Interventions

None.

Measurements and main results

Six hundred and twenty-seven of the 1,264 patients with septic shock and 441 of the 887 patients with genotyping data developed acute kidney injury within the first 72 hrs of intensive care unit admission. Five single nucleotide polymorphisms were associated with acute kidney injury in both the discovery and validation cohorts. Two of these were in the BCL2 gene and both were associated with a decreased risk of acute kidney injury (rs8094315: odds ratio 0.61, p = .0002; rs12457893: odds ratio 0.67, p = .0002, both for combined data). Bcl-2 is involved in the apoptosis pathway, which has previously been implicated in acute kidney injury. Another single nucleotide polymorphism was in the SERPINA4 gene, whose protein product, kallistatin, has been linked to apoptosis in the kidney.

Conclusions

Large-scale genotyping reveals two single nucleotide polymorphisms in the BCL2 gene and a single nucleotide polymorphism in the SERPINA4 gene associated with a decreased risk of developing acute kidney injury, supporting the putative role of apoptosis in the pathogenesis of acute kidney injury."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.org/dc/terms/identifier"doi:10.1097/ccm.0b013e3182514bca"xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Chen F."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Zhao Y."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Su L."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Christiani D.C."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Sheu C.C."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Frank A.J."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Gong M.N."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Thompson B.T."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/author"Bajwa E."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/date"2012"xsd:gYear
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/name"Crit Care Med"xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/pages"2116-2123"xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/title"BCL2 genetic variants are associated with acute kidney injury in septic shock*."xsd:string
http://purl.uniprot.org/citations/22710204http://purl.uniprot.org/core/volume"40"xsd:string
http://purl.uniprot.org/citations/22710204http://www.w3.org/2004/02/skos/core#exactMatchhttp://purl.uniprot.org/pubmed/22710204
http://purl.uniprot.org/citations/22710204http://xmlns.com/foaf/0.1/primaryTopicOfhttps://pubmed.ncbi.nlm.nih.gov/22710204
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http://purl.uniprot.org/uniprot/#_A0A1L4AQR6-mappedCitation-22710204http://www.w3.org/1999/02/22-rdf-syntax-ns#objecthttp://purl.uniprot.org/citations/22710204