PMID- 20600450 OWN - NLM STAT- MEDLINE DCOM- 20110131 LR - 20211020 IS - 1879-1166 (Electronic) IS - 0198-8859 (Print) IS - 0198-8859 (Linking) VI - 71 IP - 9 DP - 2010 Sep TI - Transcript abundance patterns in Kawasaki disease patients with intravenous immunoglobulin resistance. PG - 865-73 LID - 10.1016/j.humimm.2010.06.008 [doi] AB - Intravenous immunoglobulin (IVIG)-resistant Kawasaki disease (KD) patients comprise at least 20% of treated patients and are at high risk for coronary artery abnormalities. If identified early in the course of the disease, such patients may benefit from additional anti-inflammatory therapy. The aim of this study was to compare the transcript abundance between IVIG resistant and -responsive KD patients, to identify biomarkers that might differentiate between these two groups and to generate new targets for therapies in IVIG resistant KD patients. We compared the transcript abundance profiles of whole-blood RNA on Agilent arrays from acute and convalescent KD subjects and age-similar, healthy controls. KD subjects were stratified as IVIG resistant or -responsive based on response to initial IVIG therapy. Transcript abundance was higher for IL-1 pathway genes (IL-1 receptor, interleukin receptor associated kinase, p38 mitogen-activated protein kinase), and MMP-8. These findings point to candidate biomarkers that may predict IVIG resistance in acute KD patients. The results also underscore the importance of the IL-1 pathway as a mediator of inflammation in KD and suggest that IL-1 or its receptor may be reasonable targets for therapy, particularly for IVIG resistant patients. CI - Copyright 2010 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved. FAU - Fury, Wen AU - Fury W AD - Regeneron Pharmaceuticals, Inc., Tarrytown, New York, USA. FAU - Tremoulet, Adriana H AU - Tremoulet AH FAU - Watson, Virginia E AU - Watson VE FAU - Best, Brookie M AU - Best BM FAU - Shimizu, Chisato AU - Shimizu C FAU - Hamilton, Jennifer AU - Hamilton J FAU - Kanegaye, John T AU - Kanegaye JT FAU - Wei, Yi AU - Wei Y FAU - Kao, Chiayi AU - Kao C FAU - Mellis, Scott AU - Mellis S FAU - Lin, Calvin AU - Lin C FAU - Burns, Jane C AU - Burns JC LA - eng GR - HL69413/HL/NHLBI NIH HHS/United States GR - R01 HL069413-08/HL/NHLBI NIH HHS/United States GR - R01 HL069413/HL/NHLBI NIH HHS/United States GR - K24 HL074864/HL/NHLBI NIH HHS/United States GR - K24 HL074864-05/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20100620 PL - United States TA - Hum Immunol JT - Human immunology JID - 8010936 RN - 0 (Antigens, CD) RN - 0 (Biomarkers) RN - 0 (CD66 antigens) RN - 0 (CEACAM8 protein, human) RN - 0 (Cell Adhesion Molecules) RN - 0 (GPI-Linked Proteins) RN - 0 (IL1R2 protein, human) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Interleukin-1) RN - 0 (NF-kappa B) RN - 0 (RNA, Messenger) RN - 0 (Receptors, Interleukin-1 Type II) RN - 0 (S100 Proteins) RN - 80295-33-6 (Complement C1q) RN - EC 2.7.11.1 (Interleukin-1 Receptor-Associated Kinases) RN - EC 3.4.24.34 (Matrix Metalloproteinase 8) SB - IM MH - Antigens, CD/genetics MH - Biomarkers/blood MH - Cell Adhesion Molecules/genetics MH - Child MH - Child, Preschool MH - Complement C1q/genetics MH - Drug Resistance/*genetics MH - Female MH - GPI-Linked Proteins/genetics MH - Gene Expression/genetics MH - *Gene Expression Profiling MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Infant MH - Interleukin-1/metabolism MH - Interleukin-1 Receptor-Associated Kinases/genetics MH - Male MH - Matrix Metalloproteinase 8/blood/genetics MH - Mucocutaneous Lymph Node Syndrome/blood/*drug therapy/*genetics MH - NF-kappa B/genetics MH - Oligonucleotide Array Sequence Analysis MH - RNA, Messenger/*analysis/genetics MH - Receptors, Interleukin-1 Type II/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - S100 Proteins/genetics MH - Signal Transduction/genetics MH - Transcription, Genetic/*genetics MH - Up-Regulation/genetics PMC - PMC2929310 MID - NIHMS217383 EDAT- 2010/07/06 06:00 MHDA- 2011/02/01 06:00 PMCR- 2011/09/01 CRDT- 2010/07/06 06:00 PHST- 2010/03/29 00:00 [received] PHST- 2010/05/30 00:00 [revised] PHST- 2010/06/04 00:00 [accepted] PHST- 2010/07/06 06:00 [entrez] PHST- 2010/07/06 06:00 [pubmed] PHST- 2011/02/01 06:00 [medline] PHST- 2011/09/01 00:00 [pmc-release] AID - S0198-8859(10)00151-5 [pii] AID - 10.1016/j.humimm.2010.06.008 [doi] PST - ppublish SO - Hum Immunol. 2010 Sep;71(9):865-73. doi: 10.1016/j.humimm.2010.06.008. Epub 2010 Jun 20.