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- W2013583560 abstract "<i>Background:</i> NADPH oxidase is an important enzyme involved in the generation of reactive oxygen species in acute kidney injury (AKI). Its key subunit, p22<sup>phox</sup>, is encoded by the highly polymorphic <i>CYBA</i> gene. <i>Methods:</i> We examined the associations of <i>CYBA </i>gene polymorphisms across the <i>CYBA </i>locus (rs8854, rs3794624, rs4673, rs4782390, and rs1049255) with dialysis requirement or in-hospital death in 256 hospitalized adults with AKI. Dominant and haplotype multivariable logistic regression analyses were performed, adjusted for sex, race, age, and severity of illness. <i>Results:</i> The baseline characteristics of the patients were not different among genotype groups with the exception of a lower prevalence of sepsis and shock in the <i>CYBA</i> rs8854 A-allele group; a higher prevalence of shock in the <i>CYBA</i> rs4782390 T-allele group, and a higher APACHE II score in the <i>CYBA </i>rs1049255 G-allele group. The <i>CYBA</i> rs8854 A-allele had an adjusted odds ratio (OR) of 0.41 (95% confidence interval, CI, 0.18–0.96) for the outcome of dialysis requirement or in-hospital death. The <i>CYBA</i> rs4673 T-allele and rs1049255 G-allele had unadjusted ORs of 1.69 (95% CI 1.03–2.79) and 1.66 (95% CI 1.01–2.73) for the composite outcome, respectively, which became non-significant after multivariable adjustment. The remaining 2 polymorphisms were not associated with the outcomes of interest. Finally, the presence of the <i>CYBA</i> A-A-G-G haplotype (generated from rs4782390, rs4673, rs3794624, and rs8854, all in Hardy-Weinberg equilibrium) was associated with an elevated OR of 1.81 (95% CI 1.07–3.08) for dialysis requirement or in-hospital death, which was attenuated after multivariable adjustment (OR 1.80; 95% CI 0.99–3.29). <i>Conclusion:</i> This study identifies several polymorphisms spanning the entire <i>CYBA</i> gene locus and a common haplotype as risk markers for dialysis requirement or in-hospital death in patients with AKI. Additional studies are needed to validate these findings." @default.
- W2013583560 created "2016-06-24" @default.
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- W2013583560 date "2011-01-01" @default.
- W2013583560 modified "2023-10-16" @default.
- W2013583560 title "<i>CYBA</i> Gene Polymorphisms and Adverse Outcomes in Acute Kidney Injury: A Prospective Cohort Study" @default.
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- W2013583560 doi "https://doi.org/10.1159/000333017" @default.
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