Short article: Impact of genetic variation in the vasopressin 1a receptor on the development of organ failure in patients admitted for acute decompensation of liver cirrhosis. Issue 5 (May 2017)

• Record Type: Journal Article
• Authors: Kerbert, Annarein J.C.; Schaapman, Jelte J.; van der Reijden, Johan J.; Amorós Navarro, Àlex; McCormick, Aiden; van Hoek, Bart; Arroyo, Vicente; Ginès, Pere; Jalan, Rajiv; Vargas, Victor; Stauber, Rudolf; Verspaget, Hein W.; Coenraad, Minneke J.
• Is Part Of: European journal of gastroenterology & hepatology. Volume 29:Issue 5(2017:May)
• Publication Date: 2017-05
• Subjects: acute-on-chronic liver failure -- arginine vasopressin 1a receptor -- cirrhosis -- single nucleotide polymorphisms; Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; Digestive organs -- Diseases; Liver -- Diseases; Periodicals; 616.33
• DOI: 10.1097/MEG.0000000000000834
• Languages: English
• ISSNs: 0954-691X

Abstract

Abstract : Background: Vasopressin receptor-mediated vasoconstriction is considered to be involved in the pathogenesis of organ failure in acute-on-chronic liver failure (ACLF). Patients and methods: We studied the association between six single nucleotide polymorphisms (SNPs) of the vasopressin 1a receptor gene and the development of organ failure in 826 patients admitted for acute decompensation of liver cirrhosis ( n =641) or ACLF ( n =185). Results: No associations were found for SNPs with the presence of circulatory or renal failure. A C>T mutation in SNP rs7308855 and a T>A mutation in SNP rs7298346 showed an association with the presence of coagulation failure in the entire population ( n =61, P =0.024 and 0.060, respectively) and in the subgroup of patients with ACLF ( n =44, P =0.081 and 0.056, respectively). Conclusion: Genetic variation in the vasopressin 1a receptor was found not to be associated with circulatory or renal failure, but with the presence of coagulation failure in patients with acute decompensation of liver cirrhosis and ACLF.