Logo image
DNA copy number variations in children with vesicoureteral reflux and urinary tract infections
Journal article   Open access   Peer reviewed

DNA copy number variations in children with vesicoureteral reflux and urinary tract infections

Dong Liang, Kirk M McHugh, Pat D Brophy, Nader Shaikh, J Robert Manak, Peter Andrews, Inessa Hakker, Zihua Wang, Andrew L Schwaderer and David S Hains
PloS one, Vol.14(8), e0220617
2019
DOI: 10.1371/journal.pone.0220617
PMCID: PMC6690579
PMID: 31404082
url
https://doi.org/10.1371/journal.pone.0220617View
Published (Version of record) Open Access

Abstract

Vesicoureteral reflux (VUR) is a complex, heritable disorder. Genome-wide linkage analyses of families affected by VUR have revealed multiple genomic loci linked to VUR. These loci normally harbor a number of genes whose biologically functional variant is yet to be identified. DNA copy number variations (CNVs) have not been extensively studied at high resolution in VUR patients. In this study, we performed array comparative genomic hybridization (aCGH) on a cohort of patients with a history of both VUR and urinary tract infection (UTI) with the objective of identifying genetic variations responsible for VUR and/or UTI susceptibility. UTI/VUR-associated CNVs were identified by aCGH results from the 192 Randomized Intervention for Children With Vesicoureteral Reflux (RIVUR) patients compared to 683 controls. Rare, large CNVs that are likely pathogenic and lead to VUR development were identified using stringent analysis criteria. Because UTI is a common affliction with multiple risk factors, we utilized standard analysis to identify potential disease-modifying CNVs that can contribute to UTI risk. Gene ontology analysis identified that CNVs in innate immunity and development genes were enriched in RIVUR patients. CNVs affecting innate immune genes may contribute to UTI susceptibility in VUR patients and may provide the first step in assisting clinical medicine in determining adverse outcome risk in children with VUR.
Case-Control Studies Child DNA Copy Number Variations - genetics Female Genetic Linkage Genetic Predisposition to Disease - genetics Humans Immunity, Innate - genetics Male Risk Factors Urinary Tract Infections - genetics Vesico-Ureteral Reflux - genetics

Details

Metrics

Logo image