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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

HLA-A*31 as a marker of genetic susceptibility to sepsis

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Author(s):
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Fabiano Pinheiro da Silva [1] ; Germano Preuhs Filho [2] ; Eduardo Finger [3] ; Hermes Vieira Barbeiro [4] ; Fernando Godinho Zampieri [5] ; Alessandra Carvalho Goulart [6] ; Francisco Torggler Filho [7] ; Nicolas Panajotopoulos [8] ; Irineu Tadeu Velasco [9] ; Jorge Kalil [10] ; Heraldo Possolo de Souza [11] ; Luiz Monteiro da Cruz Neto [12] ; Helcio Rodrigues [13]
Total Authors: 13
Affiliation:
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[1] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[2] Universidade de Sao Paulo. Instituto do Coracao. Departamento de Imunologia - Brasil
[3] Laboratorios Salomao Zoppi - Brasil
[4] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[5] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[6] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[7] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[8] Universidade de Sao Paulo. Instituto do Coracao. Departamento de Imunologia - Brasil
[9] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[10] Universidade de Sao Paulo. Instituto do Coracao. Departamento de Imunologia - Brasil
[11] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[12] Universidade de Sao Paulo. Departamento de Emergencias Clinicas - Brasil
[13] Universidade de Sao Paulo. Instituto do Coracao. Departamento de Imunologia - Brasil
Total Affiliations: 13
Document type: Journal article
Source: Revista Brasileira de Terapia Intensiva; v. 25, n. 4, p. 284-289, 2013-12-00.
Abstract

Objective: The HLA haplotype has been associated with many autoimmune diseases, but no associations have been described in sepsis. This study aims to investigate the HLA system as a possible marker of genetic sepsis susceptibility. Methods: This is a prospective cohort study including patients admitted to an intensive care unit and healthy controls from a list of renal transplant donors. Patients with less 18 years of age; pregnant or HIV positive patients; those with metastatic malignancies or receiving chemotherapy; or with advanced liver disease; or with end-of-life conditions were excluded. The DNA was extracted from the whole blood and HLA haplotypes determined using MiliPlex® technology. Results: From October 2010 to October 2012, 1,121 patients were included (1,078 kidney donors, 20 patients admitted with severe sepsis and 23 with septic shock). HLA-A*31 positive subjects had increased risk of developing sepsis (OR 2.36, 95%CI 1.26-5.35). Considering a p value <0.01, no other significant association was identified. Conclusion: HLA-A*31 expression is associated to risk of developing sepsis. (AU)

FAPESP's process: 09/17731-2 - Markers of infection in critically ill patients
Grantee:Fabiano Pinheiro da Silva
Support Opportunities: Research Grants - Young Investigators Grants