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@article{1173452, author = {Jabandžiev, Petr and Smerek, Michal and Michalek, Jaroslav Sr. and Fedora, Michal and Košinová, Lucie and Hubacek, Jaroslav A. and Michálek, Jaroslav}, article_location = {LONDON}, article_number = {1}, doi = {http://dx.doi.org/10.1186/cc13174}, keywords = {sepsis; children; gene; single nucleotide polymorphism}, language = {eng}, issn = {1466-609X}, journal = {Critical Care}, title = {Multiple gene-to-gene interactions in children with sepsis: a combination of five gene variants predicts outcome of life-threatening sepsis}, url = {http://ccforum.com/content/pdf/cc13174.pdf}, volume = {18}, year = {2014} }
TY - JOUR ID - 1173452 AU - Jabandžiev, Petr - Smerek, Michal - Michalek, Jaroslav Sr. - Fedora, Michal - Košinová, Lucie - Hubacek, Jaroslav A. - Michálek, Jaroslav PY - 2014 TI - Multiple gene-to-gene interactions in children with sepsis: a combination of five gene variants predicts outcome of life-threatening sepsis JF - Critical Care VL - 18 IS - 1 SP - 1-9 EP - 1-9 PB - BioMed Central SN - 1466609X KW - sepsis KW - children KW - gene KW - single nucleotide polymorphism UR - http://ccforum.com/content/pdf/cc13174.pdf N2 - Introduction: The aim of the study was to identify the dependency structure of genetic variants that can influence the outcome for paediatric patients with sepsis. Methods: We evaluated the role of single nucleotide polymorphisms for five genes: bactericidal permeability increasing protein (BPI; rs5743507), lipopolysaccharide-binding protein (LBP; rs2232618), toll-like receptor 4 (TLR4; rs4986790), heat shock protein 70 (HSP 70; rs2227956), and interleukin 6 (IL-6; rs1800795) in 598 children aged 0 to 19 years that were admitted to a paediatric intensive care unit with fever, systemic inflammatory response syndrome, sepsis, severe sepsis, septic shock, or multiple organ dysfunction syndrome. A control group of 529 healthy individuals was included. Multi-way contingency tables were constructed and statistically evaluated using log-linear models. Typical gene combinations were found for both study groups. Results: Detailed analyses of the five studied gene profiles revealed significant differences in sepsis survival. Stratification into high-risk, intermediate-risk, and low-risk groups of paediatric patients can predict the severity of sepsis. Conclusions: Analysis of single nucleotide polymorphisms for five genes can be used as a predictor of sepsis outcome in children. ER -
JABANDŽIEV, Petr, Michal SMEREK, Jaroslav Sr. MICHALEK, Michal FEDORA, Lucie KOŠINOVÁ, Jaroslav A. HUBACEK and Jaroslav MICHÁLEK. Multiple gene-to-gene interactions in children with sepsis: a combination of five gene variants predicts outcome of life-threatening sepsis. \textit{Critical Care}. LONDON: BioMed Central, 2014, vol.~18, No~1, p.~1-9. ISSN~1466-609X. Available from: https://dx.doi.org/10.1186/cc13174.
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