Thursday, January 15, 2009

Whole genome study reveals clues to solving mystery behind Kawasaki disease

WASHINGTON, Jan. 8 (Chinese media) -- A group of new human

genes that appear to be involved in making some children more susceptible to

Kawasaki disease has been identified, according to a study to be published on

Friday in the journal PLoS Genetics.

Research teams from the University of Western

Australia, the Genome Institute of Singapore, Emma Children's Hospital in the

Netherlands, Imperial College London in Britain and the University of California

San Diego in the United States studied naturally occurring genetic variation in

almost 900 cases of Kawasaki disease in their countries, the first genetic study

of an infectious disease to examine the whole genome rather than selected genes.



The study showed that genes involved in

cardiovascular function and inflammation may be particularly important and some

seem to function together.

The researchers believe these findings could lead to

new diagnostics and better treatment and may offer information about adult

cardiovascular disease as well.

As the findings do not yet prove that the new genes

are functionally involved, the researchers are now planning detailed studies of

the function of these genes and larger collaborative studies including East

Asian populations, who are at particular risk of Kawasaki disease. One in 150

Japanese children are affected by the disease.

Kawasaki disease is an inflammatory condition in

children that affects the mucus membranes, lymph nodes, walls of blood vessels

and the heart.

The disease causes damage to the coronary arteries in

a quarter of untreated children and may increase the risk of atherosclerosis in

early adulthood.

The cause of Kawasaki disease is unknown, and an

infectious etiology is suspected but not proven. There is no diagnostic test,

and current treatment fails to prevent coronary damage in at least one in 10 to

20 children. Kawasaki disease is fatal in about one in 1,000 children.

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