Utvrđivanje stepena genetičke homozigotnosti i varijabilnosti i učestalost polimorfizama TRPV1 i KCC2 gena kod osoba sa febrilnim napadima
Determination degree of genetic homozygosity and variability and frequency in polymorphisms of TRPV1 and KCC2 gene in individuals with febrile seizures
Author
Dimitrijević, SanjaMentor
Nikolić, DimitrijeCommittee members
Cvjetićanin, SuzanaNovaković, Ivana

Jekić, Biljana

Vidović, Stojko
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Show full item recordAbstract
Febrilni napadi (FN) predstavljaju najĉeńće neurolońko oboljenje u detinjstvu.
Upravo zbog visoke incidence obolevanja, uzrasta koji obuhvataju i tendencije
ponavljanja, predstavljaju svojevrstan izazov u pedijatrijskoj praksi. Etiologija FN je i
dalje predmet brojnih istaņivanja i poznato je da moņe zavisiti od genetske
predispozicije.
Cilj Cilj istraņivanja je bio analizirati povezanost polimorfizama TRPV1 i KCC2 gena
sa pojavom FN i odrediti stepen genetiĉke homozigotnosti i varijabilnosti kod dece sa
FN i u kontrolnoj grupi ispitanika.
Materijal i metode U studiju je bilo ukljuĉeno 150 pacijenata sa dijagnostikovanim FN
koja su podeljena u ĉetiri grupe: jednostavni febrilni napadi (JFN), sloņeni febrilni
napadi (SFN), deca sa epilepsijom (EFN) i deca bez epilepsije (BFN). Nakon kliniĉkog
i neurolońkog pregleda, utvrĊivano je prisustvo homozigotno-recesivnih osobina (HRO)
uz pomoć HRO testa. Kontrolnu grupu ĉinilo je 121 "zdravo " dete iz iste populacije,
sliĉnog uzrast i pola. U is...pitivanim grupama sprovedena je analiza genskih
polimorfizama u genima KCC2 i TRPV1.
Rezultati Genotip CC polimorfizma rs2297201 KCC2 gena je znaĉajno ĉeńće
zastupljen u kontrolnoj grupi nego u grupi dece sa FN (p=0.003) kao i alel C ovog
polimorfizma (p=0.045). TakoĊe, genotip CC rs2297201 polimorfizma KCC2 gena je
statistiĉki znaĉajno vińe zastupljen u kontrolnoj grupi u odnosu na grupu dece sa SFN
(p=0.000). Ustanovljeno je postojanje znaĉajnog uvećanja recesivne homozigotnosti i
smanjene varijabilnosti za testirane genske lokuse ne samo u grupi pacijenata sa FN, već
i u svim ispitivanim podgrupama dece (SFN, JFN, EPI, BFN) u poreĊenju sa
kontrolnom grupom. Sa rastom stepena teņine ispoljenosti FN utvrĊeno je kako
povećanje u stepenu recesivne homozigotnosti tako i smanjenje varijabilnosti za
testirane lokuse.
Zakljuĉak Dobijeni rezultati nam ukazuju da bi CT i CC genotipovi, kao i C alel
rs2297201 polimorfizma KCC2 gena mogli biti predisponirajući faktor na nastanak FN,
pre svega CT genotip. Znaĉajno uvećana recesivna homozigotnost kao i umanjena
varijabilnost za ispitivane osobine kod osoba sa FN verovatno dovode organizam u
specifiĉno stanje genetiĉko-fizolońke homeostaze koje bi moglo da predstavlja izvesnu
predispoziciju za pojavu FN.
Febrile seizures (FN) are the most common neurological disease in
childhood. It is precisely because of the high incidence of the disease, the age that
includes the tendency of repetition, to pose a particular challenge in pediatric practice.
The etiology of FN is still the subject of numerous studies and it is known that it can
depend on genetic predisposition.
The aim of the study was to determine the association of TRPV1 and KCC2 gene
polymorphisms with the occurrence of FN and to determine the degree of genetic
homozygity and variability in children with FN and in the control group of the
examinees.
Material and Methods. The study included 150 patients diagnosed with FN divided
into four groups: simple febrile seizures (JFN), complex febrile seizures (SFN), children
with epilepsy (EFN) and children without epilepsy (BFN). After clinical and
neurological examination, the presence of homozygous-recessive characteristics (HRC)
was determined using the HRC test. The control group consi...sted of 121 "healthy"
children from the same population, of similar age and gender. In the examined groups,
we analyzed genetic polymorphisms of KCC2 and TRPV1 genes.
Results. The genotype CC polymorphism rs2297201 of the KCC2 gene is significantly
more common in the control group than in the group of children with FN (p = 0.003)
and allele C of this polymorphism (p = 0.045). Also, the genotype CC rs2297201 of the
polymorphism of the KCC2 gene was statistically significantly higher in the control
group compared to the group of children with SFN (p = 0.000). The existence of a
significant increase in recessive homozygousness and reduced variability for the tested
gene loci was established not only for a group of patients with FN, but also in all tested
subgroups of children (SFN, JFN, EPI, BFN) compared to the control group. With the
increase in the severity of FN expression, it was found that the increase in the degree of
recessive homozygousness and the decrease in variability for the tested loci.
Conclusion. The obtained results indicate that CT and CC genotypes, as well as C allel
rs2297201 polymorphisms of the KCC2 gene, could be a predisposing factor in the
development of FN, above all CT genotype. Significantly increased recessive
homozygosity as well as reduced variability for the investigated characteristics in
individuals with FN are likely to lead the organism to a specific state of geneticphysiological
homeostasis which could pose a predisposition to the occurrence of FN.