SXR rs3842689: a prognostic factor for steroid sensitivity or resistance in pediatric idiopathic nephrotic syndrome

Pharmacogenomics. 2016 Jul;17(11):1227-1233. doi: 10.2217/pgs-2016-0029. Epub 2016 Jul 5.

Abstract

Aim: of the study was to analyse the impact of SXR rs3842689 polymorphism on the response to corticosteroids in pediatric idiopathic nephrotic syndrome.

Patients & methods: 66 children (56 steroid-sensitive, ten steroid-resistant) were studied for SXR gene polymorphism distribution.

Results: Steroid sensitive patients accounted for 96% of cases with In/In polymorphism, but only for 53% of cases with Del/Del polymorphism At odds ratio analysis, Del/Del represented a clear risk factor of steroid resistance (OR: 20.57; p = 0.009), while In/In was a favourable prognostic factor of steroid sensitivity.

Conclusion: The analysis of SXR polymorphism is a promising tool to predict both the favourable response to corticosteroids and the risk of developing steroid resistance.

Keywords: SXR; idiopathic nephrotic syndrome; steroid-resistant; steroids.

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use*
  • Child
  • Child, Preschool
  • Drug Resistance / genetics
  • Female
  • Humans
  • Male
  • Nephrotic Syndrome / drug therapy*
  • Nephrotic Syndrome / genetics*
  • Oxidoreductases Acting on Sulfur Group Donors / genetics*
  • Polymorphism, Genetic / genetics
  • Predictive Value of Tests
  • Prognosis
  • Risk Factors

Substances

  • Adrenal Cortex Hormones
  • Oxidoreductases Acting on Sulfur Group Donors
  • SRXN1 protein, human

Supplementary concepts

  • Nephrosis, congenital