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A Tagging Polymorphism in Fat Mass and Obesity-Associated (FTO) Gene Is Associated with Sepsis Status in Children

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JABANDŽIEV Petr HUBACEK Jaroslav Alois JAROSLAV Michalek JOUZA Martin PAPEŽ Jan PECL Jakub SLABÁ Kateřina SLABÝ Ondřej URÍK Milan AULICKÁ Štefánia KUNOVSKÝ Lumír JAROSLAV Michalek DOMINIK Petr KRATOCHVÍL Milan KLUČKA Jozef ŠTOURAČ Petr

Rok publikování 2024
Druh Článek v odborném periodiku
Časopis / Zdroj ROMANIAN JOURNAL OF INTERNAL MEDICINE
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://sciendo.com/article/10.2478/rjim-2024-0008
Doi http://dx.doi.org/10.2478/rjim-2024-0008
Klíčová slova child; obesity; sepsis; genotype; genetic predisposition to the disease
Popis Introduction Sepsis is one of the most common causes of death in patients admitted to intensive care units (ICUs). The development of sepsis is significantly influenced by genetic predisposition. In this study, we highlight a potential association between a variant of the fat mass and obesity-associated (FTO) gene and risk of sepsis in children and adolescents. Methods We investigated a first-intron tagging FTO polymorphism (rs17817449) by comparing a severe condition (SC) group, comprising 598 paediatric patients (ages 0-19 years) admitted to an ICU with fever, systemic inflammatory response syndrome (SIRS), sepsis, severe sepsis, septic shock, or multiple organ dysfunction syndrome (MODS), with a control group consisting of 616 healthy young adults. Results We observed a lower prevalence (p < 0.01; OR = 0.59, 95% CI = 0.39-0.87) of the FTO TT genotype in febrile and SIRS patients compared to patients with severe illness. There was a borderline trend towards a lower prevalence of the FTO TT genotype in the control group compared to the SC group (p < 0.09, OR = 0.81, 95% CI = 0.62-1.06). Conclusions Our findings suggest that rs17817449, a common FTO polymorphism, may be a predictor of sepsis in paediatric patients, and that higher body weight is protective against this clinical complication.

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