Candidate Gene Analysis of Mortality in Dialysis Patients

Dialysis patients have high cardiovascular mortality risk. This study aimed to investigate the association between SNPs of genes involved in vascular processes and mortality in dialysis patients. Forty two SNPs in 25 genes involved in endothelial function, vascular remodeling, cell proliferation, in...

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Veröffentlicht in:PloS one 2015-11, Vol.10 (11), p.e0143079-e0143079
Hauptverfasser: Rothuizen, Tonia C, Ocak, Gurbey, Verschuren, Jeffrey J W, Dekker, Friedo W, Rabelink, Ton J, Jukema, J Wouter, Rotmans, Joris I
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container_title PloS one
container_volume 10
creator Rothuizen, Tonia C
Ocak, Gurbey
Verschuren, Jeffrey J W
Dekker, Friedo W
Rabelink, Ton J
Jukema, J Wouter
Rotmans, Joris I
description Dialysis patients have high cardiovascular mortality risk. This study aimed to investigate the association between SNPs of genes involved in vascular processes and mortality in dialysis patients. Forty two SNPs in 25 genes involved in endothelial function, vascular remodeling, cell proliferation, inflammation, coagulation and calcium/phosphate metabolism were genotyped in 1330 incident dialysis patients. The effect of SNPs on 5-years cardiovascular and non-cardiovascular mortality was investigated. The mortality rate was 114/1000 person-years and 49.4% of total mortality was cardiovascular. After correction for multiple testing, VEGF rs699947 was associated with all-cause mortality (HR1.48, 95% CI 1.14-1.92). The other SNPs were not associated with mortality. This study provides further evidence that a SNP in the VEGF gene may contribute to the comorbid conditions of dialysis patients. Future studies should unravel the underlying mechanisms responsible for the increase in mortality in these patients.
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subjects Aged
Analysis
Calcium
Calcium metabolism
Calcium phosphates
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - etiology
Cardiovascular Diseases - mortality
Cardiovascular Diseases - pathology
Cell proliferation
Coagulation
Demographic aspects
Dialysis
Dialysis - adverse effects
Endothelium - metabolism
Endothelium - pathology
Epidemiology
Female
Genes
Genetic aspects
Genetic Association Studies
Genetic polymorphisms
Health risk assessment
Health risks
Hemodialysis patients
Humans
Inflammation - complications
Inflammation - genetics
Inflammation - pathology
Male
Metabolism
Middle Aged
Mortality
Netherlands
Patients
Phosphates
Physiological aspects
Polymorphism, Single Nucleotide
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - genetics
Renal Insufficiency, Chronic - therapy
Single-nucleotide polymorphism
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A - genetics
Vascular Remodeling - genetics
title Candidate Gene Analysis of Mortality in Dialysis Patients
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