COMT-Val158Met-Polymorphism Is Not a Risk Factor for Acute Kidney Injury after Cardiac Surgery
Joint Authors
Krane, M.
Eichhorn, S.
Lahm, H.
Kornek, Matthias
Deutsch, Marcus-André
Wagenpfeil, Stefan
Boehm, Johannes
Lange, R.
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-08-07
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Cardiac surgery-associated acute kidney injury (CSA-AKI) depicts a major complication after cardiac surgery using cardiopulmonary bypass (CPB).
Objective.
CSA-AKI has clearly been linked to increased perioperative morbidity and mortality.
Dysregulations of vasomotor tone are assumed to be causal for CSA-AKI.
While catechol-O-methyltransferase (COMT) is involved in metabolizing catecholamines, a single-nucleotide polymorphism (SNP) in the COMT gene leads to different enzyme activities according to genotype.
Pilot studies found associations between those COMT genotypes and CSA-AKI.
Methods.
We prospectively included 1741 patients undergoing elective cardiac surgery using cardiopulmonary bypass (CPB).
Patients were genotyped for COMT-Val158Met-(G/A) polymorphism (rs4680).
Results.
Demographic characteristics and procedural data revealed no significant differences between genotypes.
No association between COMT genotypes and the RIFLE criteria could be detected.
A multiple linear regression analysis for postoperative creatinine increase revealed highly significant associations for aortic cross-clamp time (P<0.001), CPB time (P<0.001), norepinephrine (P<0.001), and age (P<0.001).
No associations were found for COMT genotypes or baseline creatinine.
With an R2=0.39 and a sample size of 1741, the observed power of the regression analysis was >99%.
Conclusions.
Based on our results, we can rule out an association between the COMT-Val158Met-(G/A) polymorphism and the appearance of CSA-AKI.
American Psychological Association (APA)
Kornek, Matthias& Deutsch, Marcus-André& Eichhorn, S.& Lahm, H.& Wagenpfeil, Stefan& Krane, M.…[et al.]. 2013. COMT-Val158Met-Polymorphism Is Not a Risk Factor for Acute Kidney Injury after Cardiac Surgery. Disease Markers،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-1031193
Modern Language Association (MLA)
Kornek, Matthias…[et al.]. COMT-Val158Met-Polymorphism Is Not a Risk Factor for Acute Kidney Injury after Cardiac Surgery. Disease Markers No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-1031193
American Medical Association (AMA)
Kornek, Matthias& Deutsch, Marcus-André& Eichhorn, S.& Lahm, H.& Wagenpfeil, Stefan& Krane, M.…[et al.]. COMT-Val158Met-Polymorphism Is Not a Risk Factor for Acute Kidney Injury after Cardiac Surgery. Disease Markers. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-1031193
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1031193