Yıl: 2017 Cilt: 39 Sayı: 2 Sayfa Aralığı: 63 - 66 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis

Öz:
Objective: Major causes of mortality in patients with valvular disease are endocarditis and valve thrombosis. Oral anticoagulant drugs are used to prevent valve thrombosis. Uses of inadequate doses of medication or absence of medication use are the main reasons for the development of valve thrombosis. In addition to medical treatment or surgical treatment of patients with infective endocarditis has a high mortality rate. In this study, MTHFR C677T, Prothrombin (Factor-II) G20210A, Factor-V Leiden G1631, PAI-1 4G/5G and TNF-α-308 G>A were determined in patients with infective endocarditis and valve thrombosis groups. Materials and Methods: 18 patients with infective endocarditis, 12 patients with valve thrombosis and 37 healthy volunteers were included in this study. Polymerase chain reactions (PCR) and restriction fragment length polymorphisms (RFLP) were used to detect the related polymorphism. Chi-square was used to compare groups. Results: There were no significant differences between the groups regarding MTHFR C677T, Prothrombin (Factor-II) G20210A, Factor-V Leiden G1631, PAI-1 4G/5G polymorphism. In contrast, a significant difference was found in TNF-α -308 G>A polymorphism between the groups. Conclusion: In our study, TNF-α-308 G>A results were higher in patients with endocarditis and valve thrombosis than control groups in chi-squares test and there were significant differences between two groups. There is not enough data in literature about the involvement of genetic factors in valve thrombosis. For this reason, larger and more comprehensive studies are needed
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Bonow RO, Carabello B, de Leon AC, Edmunds LH, Fedderly BJ, Gaasch WH, et al. ACC/AHA guidelines for the 44 management of patients with valvular heart disease: A report of the American College of Cardiology / American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 1998; 32(5): 1486-588. [CrossRef]
  • 2. Bortolotti U, Milano A, Mossuto E, Mazzaro E, Thiene G, Casarotto D. Early and late outcome after reoperation for prosthetic valve dysfunction: Analysis of 549 patients during a 26- year period. J Heart Valve Dis 1994; 3(1): 81-7.
  • 3. Emirogulları EF, Saatci C, Unal A, Ozkul Y. Researching Methylenetetrahydrofolate Reductase,Prothrombın, Factor-V and Plasminogen Activator Inhibitor Type 1 Gene Polymorphisms in Chronic Renal Failure Patients with Developing and NonDevoloping Arterio-Venous Thrombosis. Erciyes University Journal of Health Sciences 2007; 16(3): 121-8.
  • 4. Ozkan M, Sivgin S, Kocyigit I, Emirogullari F, Dikilitas M, Kaynar L, et al. Do Thrombophilic Gene Mutations Have A Role On Thromboembolic Events In Cancer Patients? Asia Pac J Clin Oncol 2012; 8(3): e34-41. [CrossRef]
  • 5. Dundar M, Kiraz A, Balta B, Emirogullari EF, Zararsız G, Aslan D, et al. The Role of TNF-α and PAI-1 In Familial Mediterranean Fever (FMF). Modern Rheumatology 2013; 23(1): 140-5. [CrossRef]
  • 6. Emirogullari EF, Saatci C, Unal A, Sahin A, Ozkul Y. Prothrombin, Factor-V Leiden And Plasminogen Activator Inhibitor Type 1 Gene Polymorphisms In Hemodialysis Patients With/Without Arteriovenous Fistula Thrombosis. Int J Nephrol Urol 2010; 2(2): 314-9.
  • 7. Watkin RW, Harper LV, Vernallis AB, Lang S, Lambert PA, Ranasinghe AM, Elliott TS. Pro-inflammatory cytokines IL6, TNF-a, IL1b, procalcitonin, lipopolysaccharide binding protein and C-reactive protein in infective endocarditis. J Infect 2007; 55(3): 220-5. [CrossRef]
  • 8. Rawczynska-Englert, Hryniewiecki T, Dzierzanowska D. Evaluation of serum cytokine concentrations in patients with infective endocarditis. J Heart Valve Dis 2000; 9(5): 705-9.
  • 9. Alter P, Hoeschen J, Ritter M, Maisch B. Usefulness of cytokines interleukin-6 and interleukin-2R concentrations in diagnosing active infective endocarditis involving native valves. Am J Cardiol 2002; 89(12): 1400-4. [CrossRef]
  • 10. Kern Wv, Engel A, Schieffer S, Prümmer O, Kern P. Circulating Tumor Necrosis Factor Alpha (TNF), soluble TNF Receptors, and interleukin-6 in human subacute bacterial endocarditis. Infect Immun 1993; 61(12): 5413-6.
  • 11. Musher D, Goldsmith E, Dunbar S, Tilney G, Darouiche R, Yu Q, et al. Association of Hypercoagulable states and ıncreased platelet adhesion and aggregation with bacterial colonization of ıntravenous catheters. J Infect Dis 2002; 186(6): 769-73. [CrossRef]
  • 12. Fox AA, Shernan SK, Body SC, Collard CD. Genetic influences on cardiac surgical outcomes. J Cardiothorac Vasc Anesth 2005; 19(3): 379-91. [CrossRef]
  • 13. Schroeder S, Börger N, Wrigge H, Welz A, Putensen C, Hoeft A, et al. Tumor necrosis factor gene polymorphism influences the inflammatory response after cardiac operation. Ann Thorac Surg. 2003; 75(2): 534-7. [CrossRef]
  • 14. Parlar AI, Babaroğlu S, Ulus AT, Tutun U, Misirlioglu M, Seren M, et al. The effect of genetic polimorphisms on the mechanical heart valve dysfunction. The Turkish Journal of Thoracic and Cardiovascular Surgery 2013; 21(4): 905-10. [CrossRef]
APA TUNÇAY A, Sener E, EMİROĞULLARI Ö (2017). Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. , 63 - 66.
Chicago TUNÇAY AYDIN,Sener Elif Funda,EMİROĞULLARI Ömer Naci Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. (2017): 63 - 66.
MLA TUNÇAY AYDIN,Sener Elif Funda,EMİROĞULLARI Ömer Naci Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. , 2017, ss.63 - 66.
AMA TUNÇAY A,Sener E,EMİROĞULLARI Ö Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. . 2017; 63 - 66.
Vancouver TUNÇAY A,Sener E,EMİROĞULLARI Ö Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. . 2017; 63 - 66.
IEEE TUNÇAY A,Sener E,EMİROĞULLARI Ö "Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis." , ss.63 - 66, 2017.
ISNAD TUNÇAY, AYDIN vd. "Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis". (2017), 63-66.
APA TUNÇAY A, Sener E, EMİROĞULLARI Ö (2017). Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. Erciyes Medical Journal, 39(2), 63 - 66.
Chicago TUNÇAY AYDIN,Sener Elif Funda,EMİROĞULLARI Ömer Naci Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. Erciyes Medical Journal 39, no.2 (2017): 63 - 66.
MLA TUNÇAY AYDIN,Sener Elif Funda,EMİROĞULLARI Ömer Naci Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. Erciyes Medical Journal, vol.39, no.2, 2017, ss.63 - 66.
AMA TUNÇAY A,Sener E,EMİROĞULLARI Ö Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. Erciyes Medical Journal. 2017; 39(2): 63 - 66.
Vancouver TUNÇAY A,Sener E,EMİROĞULLARI Ö Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis. Erciyes Medical Journal. 2017; 39(2): 63 - 66.
IEEE TUNÇAY A,Sener E,EMİROĞULLARI Ö "Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis." Erciyes Medical Journal, 39, ss.63 - 66, 2017.
ISNAD TUNÇAY, AYDIN vd. "Investigation of Genetic Polymorphisms in Infective Endocarditis and Artificial Valve Thrombosis". Erciyes Medical Journal 39/2 (2017), 63-66.