PMID- 31965063 OWN - NLM STAT- MEDLINE DCOM- 20201008 LR - 20210120 IS - 1435-232X (Electronic) IS - 1434-5161 (Linking) VI - 65 IP - 4 DP - 2020 Apr TI - Association of the IL16 Asn1147Lys polymorphism with intravenous immunoglobulin resistance in Kawasaki disease. PG - 421-426 LID - 10.1038/s10038-020-0721-2 [doi] AB - Kawasaki disease (KD) is an acute, self-limited vasculitis, mainly affecting children younger than 5 years old, with accompanying fever and signs of mucocutaneous inflammation. Intravenous immunoglobulin (IVIG) is the standard treatment for KD; however, ~15% of patients are resistant to IVIG treatment. To identify protein coding genetic variants influencing IVIG resistance, we re-analyzed our previous genome-wide association study (GWAS) data from 296 patients with KD, including 101 IVIG non-responders and 195 IVIG responders. Five nonsynonymous SNPs (nsSNPs) in five immune-related genes, including a previously reported SAMD9L nsSNP (rs10488532; p.Val266Ile), were associated with IVIG non-response (odds ratio [OR] = 1.89-3.46, P = 0.0109-0.0035). In a replication study of the four newly-identified nsSNPs, only one in the interleukin 16 (IL16) gene (rs11556218, p.Asn1147Lys) showed a trend of association with IVIG non-response (OR = 1.54, P = 0.0078). The same IL16 nsSNP was more significantly associated with IVIG non-response in combined analysis of all data (OR = 1.64, P = 1.25 x 10(-4)). Furthermore, risk allele combination of the IL16 CT and SAMD9L TT nsSNP genotypes exhibited a very strong effect size (OR = 9.19, P = 3.63 x 10(-4)). These results implicate IL16 as involved in the mechanism of IVIG resistance in KD. FAU - Kim, Hea-Ji AU - Kim HJ AD - Asan Institute for Life Sciences, University of Ulsan College of Medicine, Seoul, Korea. FAU - Kim, Jae-Jung AU - Kim JJ AD - Asan Institute for Life Sciences, University of Ulsan College of Medicine, Seoul, Korea. FAU - Yun, Sin Weon AU - Yun SW AD - Department of Pediatrics, Chung-Ang University Hospital, Seoul, Korea. FAU - Yu, Jeong Jin AU - Yu JJ AD - Department of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. FAU - Yoon, Kyung Lim AU - Yoon KL AD - Department of Pediatrics, Kyung Hee University Hospital at Gangdong, Seoul, Korea. FAU - Lee, Kyung-Yil AU - Lee KY AD - Department of Pediatrics, The Catholic University of Korea, Daejeon St. Mary's Hospital, Daejeon, Korea. FAU - Kil, Hong-Ryang AU - Kil HR AD - Department of Pediatrics, Chungnam National University Hospital, Daejeon, Korea. FAU - Kim, Gi Beom AU - Kim GB AD - Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea. FAU - Han, Myung-Ki AU - Han MK AD - Department of Pediatrics, University of Ulsan, Gangneung Asan Hospital, Gangneung, Korea. FAU - Song, Min Seob AU - Song MS AD - Department of Pediatrics, Inje University Paik Hospital, Busan, Korea. FAU - Lee, Hyoung Doo AU - Lee HD AD - Department of Pediatrics, Pusan National University Hospital, Busan, Korea. FAU - Ha, Kee Soo AU - Ha KS AD - Department of Pediatrics, Korea University Hospital, Seoul, Korea. FAU - Hong, Young Mi AU - Hong YM AD - Department of Pediatrics, Ewha Woman's University Hospital, Seoul, Korea. FAU - Jang, Gi Young AU - Jang GY AD - Department of Pediatrics, Korea University Hospital, Seoul, Korea. FAU - Lee, Jong-Keuk AU - Lee JK AUID- ORCID: 0000-0003-1125-4017 AD - Asan Institute for Life Sciences, University of Ulsan College of Medicine, Seoul, Korea. cookie_jklee@hotmail.com. CN - Korean Kawasaki Disease Genetics Consortium LA - eng GR - 2019R1F1A1061238/National Research Foundation of Korea (NRF)/ PT - Clinical Trial PT - Journal Article PT - Multicenter Study DEP - 20200122 PL - England TA - J Hum Genet JT - Journal of human genetics JID - 9808008 RN - 0 (Il16 protein, human) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Interleukin-16) SB - IM MH - Child MH - Child, Preschool MH - Drug Resistance/*genetics MH - Female MH - Genome-Wide Association Study MH - Humans MH - Immunoglobulins, Intravenous/*administration & dosage MH - Infant MH - Interleukin-16/*genetics MH - Male MH - *Mucocutaneous Lymph Node Syndrome/drug therapy/genetics MH - *Mutation, Missense MH - *Polymorphism, Single Nucleotide FIR - Yu, Jeong Jin IR - Yu JJ FIR - Park, In-Sook IR - Park IS FIR - Hong, Soo-Jong IR - Hong SJ FIR - Kim, Kwi-Joo IR - Kim KJ FIR - Lee, Jong-Keuk IR - Lee JK FIR - Kim, Jae-Jung IR - Kim JJ FIR - Hong, Young Mi IR - Hong YM FIR - Sohn, Sejung IR - Sohn S FIR - Jang, Gi Young IR - Jang GY FIR - Ha, Kee Soo IR - Ha KS FIR - Nam, Hyo-Kyoung IR - Nam HK FIR - Byeon, Jung-Hye IR - Byeon JH FIR - Yun, Sin Weon IR - Yun SW FIR - Han, Myung-Ki IR - Han MK FIR - Jun, Hyun Ok IR - Jun HO FIR - Lee, Kyung-Yil IR - Lee KY FIR - Hwang, Ja-Young IR - Hwang JY FIR - Rhim, Jung-Woo IR - Rhim JW FIR - Song, Min Seob IR - Song MS FIR - Lee, Hyoung Doo IR - Lee HD FIR - Kim, Dong Soo IR - Kim DS FIR - Yoon, Kyung Lim IR - Yoon KL FIR - Kil, Hong-Ryang IR - Kil HR FIR - Kim, Gi Beom IR - Kim GB FIR - Lee, Jae-Moo IR - Lee JM FIR - Kim, Jong-Duk IR - Kim JD EDAT- 2020/01/23 06:00 MHDA- 2020/10/09 06:00 CRDT- 2020/01/23 06:00 PHST- 2019/12/04 00:00 [received] PHST- 2020/01/05 00:00 [accepted] PHST- 2019/12/27 00:00 [revised] PHST- 2020/01/23 06:00 [pubmed] PHST- 2020/10/09 06:00 [medline] PHST- 2020/01/23 06:00 [entrez] AID - 10.1038/s10038-020-0721-2 [pii] AID - 10.1038/s10038-020-0721-2 [doi] PST - ppublish SO - J Hum Genet. 2020 Apr;65(4):421-426. doi: 10.1038/s10038-020-0721-2. Epub 2020 Jan 22.