PMID- 24278430 OWN - NLM STAT- MEDLINE DCOM- 20150102 LR - 20221207 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 11 DP - 2013 TI - Association between GRIN3A gene polymorphism in Kawasaki disease and coronary artery aneurysms in Taiwanese children. PG - e81384 LID - 10.1371/journal.pone.0081384 [doi] LID - e81384 AB - Kawasaki disease (KD) is pediatric systemic vasculitis with the classic complication of coronary artery aneurysm (CAA). It is the leading cause of acquired cardiovascular diseases in children. Some severe cases present with multi-organ involvement or neurological dysfunction. To identify the role of the glutamate receptor, ionotropic, N-methyl-d-aspartate 3A (GRIN3A) in KD, we investigated genetic variations in GRIN3A in a Taiwanese cohort of 262 KD patients (76 with and 186 without CAA complications). We used univariate and multivariate regression analyses to identify the associations between clinical characteristics and GRIN3A genetic variations in KD. According to univariate regression analysis, CAA formation in KD was significantly associated with fever duration (p < 0.0001), first Intravenous immunoglobulin (IVIG) used (days after day one of fever) (p < 0.0001), and the GRIN3A (rs7849782) genetic variant (p < 0.001). KD patients with GG+GC genotype showed a lower rate of developing CAA (GG+GC genotype: odds ratio = 0.26; 95% CI = 0.14-0.46). Significant associations were identified between KD with CAA complication and the GRIN3A (rs7849782) genetic variant by using multivariate regression analysis. Specifically, significant correlations were observed between KD with CAA complications and the presence of GG+GC genotypes for the GRIN3A rs7849782 single-nucleotide polymorphism (full model: odds ratio = 0.25; 95% CI = 0.14-0.46). Our results suggest that a polymorphism of the GRIN3A gene may play a role in KD pathogenesis. FAU - Lin, Ying-Ju AU - Lin YJ AD - Department of Medical Research, China Medical University Hospital, Taichung, Taiwan ; School of Chinese Medicine, China Medical University, Taichung, Taiwan. FAU - Chang, Jeng-Sheng AU - Chang JS FAU - Liu, Xiang AU - Liu X FAU - Hung, Chien-Hui AU - Hung CH FAU - Lin, Ting-Hsu AU - Lin TH FAU - Huang, Shao-Mei AU - Huang SM FAU - Jeang, Kuan-Teh AU - Jeang KT FAU - Chen, Chia-Yen AU - Chen CY FAU - Liao, Chiu-Chu AU - Liao CC FAU - Lin, Cheng-Wen AU - Lin CW FAU - Lai, Chih-Ho AU - Lai CH FAU - Tien, Ni AU - Tien N FAU - Lan, Yu-Ching AU - Lan YC FAU - Ho, Mao-Wang AU - Ho MW FAU - Chien, Wen-Kuei AU - Chien WK FAU - Chen, Jin-Hua AU - Chen JH FAU - Huang, Yu-Chuen AU - Huang YC FAU - Tsang, Hsinyi AU - Tsang H FAU - Wu, Jer-Yuarn AU - Wu JY FAU - Chen, Chien-Hsiun AU - Chen CH FAU - Chang, Li-Ching AU - Chang LC FAU - Tsai, Fuu-Jen AU - Tsai FJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131122 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (GRIN3A protein, human) RN - 0 (Receptors, N-Methyl-D-Aspartate) SB - IM MH - Asian People/genetics MH - Child, Preschool MH - Coronary Aneurysm/*genetics MH - Female MH - Genetic Association Studies MH - *Genetic Predisposition to Disease MH - Genotype MH - Humans MH - Infant MH - Linkage Disequilibrium MH - Male MH - Mucocutaneous Lymph Node Syndrome/*genetics MH - Odds Ratio MH - *Polymorphism, Single Nucleotide MH - Receptors, N-Methyl-D-Aspartate/*genetics MH - Taiwan PMC - PMC3838481 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/11/28 06:00 MHDA- 2015/01/03 06:00 PMCR- 2013/11/22 CRDT- 2013/11/27 06:00 PHST- 2013/05/07 00:00 [received] PHST- 2013/10/14 00:00 [accepted] PHST- 2013/11/27 06:00 [entrez] PHST- 2013/11/28 06:00 [pubmed] PHST- 2015/01/03 06:00 [medline] PHST- 2013/11/22 00:00 [pmc-release] AID - PONE-D-13-18778 [pii] AID - 10.1371/journal.pone.0081384 [doi] PST - epublish SO - PLoS One. 2013 Nov 22;8(11):e81384. doi: 10.1371/journal.pone.0081384. eCollection 2013.