TY  - JOUR
A1  - Zahnleiter, Diana
A1  - Uebe, Steffen
A1  - Ekici, Arif B.
A1  - Hoyer, Juliane
A1  - Wiesener, Antje
A1  - Wieczorek, Dagmar
A1  - Kunstmann, Erdmute
A1  - Reis, André
A1  - Doerr, Helmuth-Guenther
A1  - Rauch, Anita
A1  - Thiel, Christian T.
T1  - Rare Copy Number Variants Are a Common Cause of Short Stature
JF  - PLoS Genetics
N2  - Human growth has an estimated heritability of about 80%-90%. Nevertheless, the underlying cause of shortness of stature remains unknown in the majority of individuals. Genome-wide association studies (GWAS) showed that both common single nucleotide polymorphisms and copy number variants (CNVs) contribute to height variation under a polygenic model, although explaining only a small fraction of overall genetic variability in the general population. Under the hypothesis that severe forms of growth retardation might also be caused by major gene effects, we searched for rare CNVs in 200 families, 92 sporadic and 108 familial, with idiopathic short stature compared to 820 control individuals. Although similar in number, patients had overall significantly larger CNVs \((p-value <1 x 10^{-7})\). In a gene-based analysis of all non-polymorphic CNVs >50 kb for gene function, tissue expression, and murine knock-out phenotypes, we identified 10 duplications and 10 deletions ranging in size from 109 kb to 14 Mb, of which 7 were de novo (p < 0.03) and 13 inherited from the likewise affected parent but absent in controls. Patients with these likely disease causing 20 CNVs were smaller than the remaining group (p < 0.01). Eleven (55%) of these CNVs either overlapped with known microaberration syndromes associated with short stature or contained GWAS loci for height. Haploinsufficiency (HI) score and further expression profiling suggested dosage sensitivity of major growth-related genes at these loci. Overall 10% of patients carried a disease-causing CNV indicating that, like in neurodevelopmental disorders, rare CNVs are a frequent cause of severe growth retardation.
KW  - genetic skeletal disorders
KW  - microdeletion syndrome
KW  - mental retardation
KW  - growth failure
KW  - deletion
KW  - classification
KW  - association
KW  - mutations
KW  - genome
KW  - abnormalities
Y1  - 2013
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-127645
SN  - 1553-7404
VL  - 9
IS  - 3
ER  - 
TY  - JOUR
A1  - Averdunk, Luisa
A1  - Bernhagen, Jürgen
A1  - Fehnle, Karl
A1  - Surowy, Harald
A1  - Lüdecke, Hermann-Josef
A1  - Mucha, Sören
A1  - Meybohm, Patrick
A1  - Wieczorek, Dagmar
A1  - Leng, Lin
A1  - Marx, Gernot
A1  - Leaf, David E.
A1  - Zarbock, Alexander
A1  - Zacharowski, Kai
A1  - Bucala, Richard
A1  - Stoppe, Christian
T1  - The Macrophage Migration Inhibitory Factor (MIF) promoter polymorphisms (rs3063368, rs755622) predict acute kidney injury and death after cardiac surgery
JF  - Journal of Clinical Medicine
N2  - Background: Macrophage Migration Inhibitory Factor (MIF) is highly elevated after cardiac surgery and impacts the postoperative inflammation. The aim of this study was to analyze whether the polymorphisms CATT\(_{5–7}\) (rs5844572/rs3063368,“-794”) and G>C single-nucleotide polymorphism (rs755622,-173) in the MIF gene promoter are related to postoperative outcome. Methods: In 1116 patients undergoing cardiac surgery, the MIF gene polymorphisms were analyzed and serum MIF was measured by ELISA in 100 patients. Results: Patients with at least one extended repeat allele (CATT\(_7\)) had a significantly higher risk of acute kidney injury (AKI) compared to others (23% vs. 13%; OR 2.01 (1.40–2.88), p = 0.0001). Carriers of CATT\(_7\) were also at higher risk of death (1.8% vs. 0.4%; OR 5.12 (0.99–33.14), p = 0.026). The GC genotype was associated with AKI (20% vs. GG/CC:13%, OR 1.71 (1.20–2.43), p = 0.003). Multivariate analyses identified CATT\(_7\) predictive for AKI (OR 2.13 (1.46–3.09), p < 0.001) and death (OR 5.58 (1.29–24.04), p = 0.021). CATT\(_7\) was associated with higher serum MIF before surgery (79.2 vs. 50.4 ng/mL, p = 0.008). Conclusion: The CATT\(_7\) allele associates with a higher risk of AKI and death after cardiac surgery, which might be related to chronically elevated serum MIF. Polymorphisms in the MIF gene may constitute a predisposition for postoperative complications and the assessment may improve risk stratification and therapeutic guidance.
KW  - acute kidney injury
KW  - genetic polymorphisms
KW  - risk prediction
KW  - (cardiac) surgery
KW  - inflammatory cytokines
KW  - clinical studies
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-213126
SN  - 2077-0383
VL  - 9
IS  - 9
ER  -