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- Title
Vascular endothelial growth factor-A gene polymorphism is associated with congenital renal lesions in children with urinary tract infections.
- Authors
Bimpaki, Eirini; Bitsori, Maria; Choulaki, Christiana; Galanakis, Emmanouil
- Abstract
<bold>Aim: </bold>This study investigated the relationship between vascular endothelial growth factor-A (VEGF-A)-460C/T functional gene polymorphism and renal parenchymal lesions, vesicoureteral reflux and other urinary tract abnormalities in children with a urinary tract infection (UTI).<bold>Methods: </bold>VEGF-A-460C/T gene polymorphism was investigated with restriction length polymorphism analysis in 76 children with their first UTI and in 63 controls without infections. Genotype and allele frequencies were compared between children with UTIs and controls and between different groups with UTIs.<bold>Results: </bold>The VEGF-A-460C/T genotype frequencies differed significantly between those with and without renal parenchymal lesions in the UTI cohort. Allele C homozygosity was significantly more common in those with renal parenchymal lesions (36.6% versus 8.7%, p = 0.007). A separate analysis showed that allele C was associated with lesions compatible with hypodysplasia, rather than with focal ones associated with infections, with an odds ratio of 11.55 and 95% confidence interval of 3.03-43.9 (p = 0.0001). No significant differences in genotypes or allele frequencies were found between children with and without reflux or other urinary tract anomalies.<bold>Conclusion: </bold>In children with UTIs, C allele polymorphism of the VEGF-A gene was associated with hypodysplastic renal parenchymal lesions, which were possibly congenital and existed before the infection.
- Subjects
URINARY tract infections in children; VASCULAR endothelial growth factors; GENETIC polymorphisms; PEDIATRIC nephrology; HOMOZYGOSITY; KIDNEY diseases; LONGITUDINAL method; URINARY tract infections; DISEASE complications
- Publication
Acta Paediatrica, 2017, Vol 106, Issue 8, p1348
- ISSN
0803-5253
- Publication type
journal article
- DOI
10.1111/apa.13897