Prognostic role of genetic polymorphisms of the interleukin-6 signaling pathway in patients with severe heart failure

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ABSTRACT Heart failure (HF) is associated with perturbations of the interleukin-6 (IL-6) signaling pathway. A total of 559 Danish subjects with severe chronic HF enrolled in the previously


reported Echocardiography and Heart Outcome Study were genotyped for three SNPs in IL6, nine in the IL-6 receptor gene (IL6R), and two in the IL-6 signal transducer gene (IL6ST). After a


mean follow-up of 5.0 years, 5 SNPs in IL6R introns (rs12083537, rs6684439, rs4845622, rs4537545, and rs7529229) and a SNP in the IL6R coding region (rs2228145, also known as Asp358Ala) were


associated with adverse outcomes, e.g., hazard ratios (HRs) for cardiovascular death and all-cause death 1.38 (CI: 1.09–1.76; _P_ = 0.008) and 1.37 (CI: 1.10–1.70; _P_ = 0.004) for


rs6684439 heterozygotes, and 1.39 (CI: 1.09–1.77; _P_ = 0.007) and 1.37 (CI: 1.10–1.70; _P_ = 0.005) for rs4845622 heterozygotes, respectively. We conclude that SNPs in the IL-6 signaling


pathway may be independent predictors of fatal outcomes in patients with severe HF. Access through your institution Buy or subscribe This is a preview of subscription content, access via


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Article  CAS  Google Scholar  Download references ACKNOWLEDGMENTS Peter R. Hansen is supported by an unrestricted grant from the LEO Foundation and a Borregaard Clinical Scientist Fellowship


from the Novo Nordisk Foundation. Claus H. Nielsen and Christian Enevold are supported by a grant from the Danish Biotechnology Program, the Capital Region of Denmark. AUTHOR INFORMATION


AUTHORS AND AFFILIATIONS * Department of Cardiology, Herlev-Gentofte Hospital, DK-2900, Hellerup, Denmark Peter R. Hansen * Section for Periodontology, Department of Odontology, Faculty of


Health and Medical Sciences, Copenhagen University, DK-2100, Copenhagen, Denmark Peter R. Hansen & Claus Henrik Nielsen * Department of Nephrology, Rigshospitalet, DK-2100, Copenhagen,


Denmark Karl Emil Nelveg-Kristensen * Institute of Biological Psychiatry, Mental Health Centre Sct. Hans, Copenhagen University Hospital, DK-4000, Roskilde, Denmark Henrik B. Rasmussen *


Department of Science and Environment, Roskilde University, Universitetsvej 1, DK-4000, Roskilde, Denmark Henrik B. Rasmussen * Department of Health and Science Technology, Aalborg


University, DK-9100, Aalborg, Denmark Christian Torp-Pedersen * Department of Cardiology, Rigshospitalet, DK-2100, Copenhagen, Denmark Lars Køber * Institute for Inflammation Research,


Center for Rheumatology and Spine Diseases, Rigshospitalet, Copenhagen University Hospital, DK-2100, Copenhagen, Denmark Claus Henrik Nielsen & Christian Enevold Authors * Peter R.


Hansen View author publications You can also search for this author inPubMed Google Scholar * Karl Emil Nelveg-Kristensen View author publications You can also search for this author


inPubMed Google Scholar * Henrik B. Rasmussen View author publications You can also search for this author inPubMed Google Scholar * Christian Torp-Pedersen View author publications You can


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CORRESPONDING AUTHOR Correspondence to Peter R. Hansen. ETHICS DECLARATIONS CONFLICT OF INTEREST The authors declare that they have no conflict of interest. ADDITIONAL INFORMATION


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THIS ARTICLE CITE THIS ARTICLE Hansen, P.R., Nelveg-Kristensen, K.E., Rasmussen, H.B. _et al._ Prognostic role of genetic polymorphisms of the interleukin-6 signaling pathway in patients


with severe heart failure. _Pharmacogenomics J_ 19, 428–437 (2019). https://doi.org/10.1038/s41397-019-0068-2 Download citation * Received: 03 August 2017 * Revised: 04 November 2018 *


Accepted: 21 December 2018 * Published: 17 January 2019 * Issue Date: October 2019 * DOI: https://doi.org/10.1038/s41397-019-0068-2 SHARE THIS ARTICLE Anyone you share the following link


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