eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2015
vol. 12
 
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abstract:

EXPERIMENTAL CARDIOVASCULAR AND LUNG RESEARCH
Single nucleotide polymorphisms for genes encoding cytokines in the context of cardiac surgery. Part I: Heart transplantation

Aleksander Danikiewicz
,
Janusz Szkodzinski
,
Bartosz Hudzik
,
Ilona Korzonek-Szlacheta
,
Mariusz Gąsior
,
Lech Polonski
,
Barbara Zubelewicz-Szkodzińska

Kardiochirurgia i Torakochirurgia Polska 2015; 12 (1): 48-52
DOI: https://doi.org/10.5114/kitp.2015.50568
Online publish date: 2015/03/31
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Cardiovascular diseases remain the leading cause of death in Poland and other countries of the European Union. Patients with end-stage heart failure constitute a patient subgroup for whom the treatment of choice is heart transplantation. Despite advances in immunosuppressive therapy, acute or chronic graft rejection occurs in 20-30% of cases in the first six months after transplantation. The significance of the immune response and inflammation in graft rejection implies the important role of cytokines. Molecular markers are sought to facilitate risk assessment and improve patient care. At present, genetic tests are not used for this purpose, but studies aiming to rectify that have been conducted for years, including studies on single nucleotide polymorphisms of cytokine genes. This paper presents the results of research on the single nucleotide polymorphisms (SNPs) of the IL-2, IL-4, IL-6, IL-10, TGF-β1, PDGF, VEGF, and TNF-α genes in conjunction with heart transplantation. The analyzed data do not allow for reliable application of these genetic tests in clinical practice, but suggest that it is a promising direction which may improve the options of treatment individualization in the future.
keywords:

cytokines, single nucleotide polymorphisms, SNP, heart transplantation
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