CD209-336A/G promotor polymorphism and its clinical associations in sickle cell disease Egyptian Pediatric patients

Hematol Oncol Stem Cell Ther. 2018 Jun;11(2):75-81. doi: 10.1016/j.hemonc.2017.09.002. Epub 2017 Oct 26.

Abstract

Objectives: To detect the frequency of CD209 A>G polymorphism in sickle cell disease (SCD) Egyptian patients and to evaluate the use of CD209 A>G polymorphism as a genetic predictor of SCD clinical heterogeneity.

Methods: A total of 100 Egyptian children with SCD and 100 Egyptian controls were tested for CD209 A>G polymorphism and were followed up prospectively between June 2012 and December 2014.

Results: Comparison of CD209 A>G polymorphism among cases and controls did not show statistically significant difference (p = .742). In addition, comparison of the allelic frequency did not show statistically significant difference (p = .738). Infections occurred more frequently among the heterozygous genotype (AG; 60.5%) and homozygous genotype (GG; 75%) patients than among the wild (AA) genotype (24.1%; p < .001). The use of hydroxyurea treatment was significantly higher among the wild (AA) genotype (47%) than the heterozygous (AG; 21%) and homozygous (GG; 5%) genotypes (p = .003).

Conclusion: We found no significant difference between our population of Egyptian SCD cases and controls regarding CD209 A>G polymorphism. Infections occurred more frequently among the heterozygous genotype (AG) and homozygous genotype (GG) patients.

Keywords: CD209 A>G polymorphism; Heterozygous genotype; Homozygous genotype; Hydroxyurea; Sickle cell disease.

Publication types

  • Clinical Trial

MeSH terms

  • Adolescent
  • Alleles*
  • Anemia, Sickle Cell / drug therapy
  • Anemia, Sickle Cell / genetics*
  • Cell Adhesion Molecules / genetics*
  • Child
  • Egypt
  • Female
  • Gene Frequency*
  • Humans
  • Hydroxyurea / administration & dosage
  • Lectins, C-Type / genetics*
  • Male
  • Polymorphism, Genetic*
  • Promoter Regions, Genetic*
  • Prospective Studies
  • Receptors, Cell Surface / genetics*

Substances

  • Cell Adhesion Molecules
  • DC-specific ICAM-3 grabbing nonintegrin
  • Lectins, C-Type
  • Receptors, Cell Surface
  • Hydroxyurea