Mannose binding lectin and ficolin-2 polymorphisms are associated with increased risk for bacterial infections in children with B acute lymphoblastic leukemia

Background We aimed to investigate whether the presence of mannose binding lectin (MBL2), ficolin 2 (FCN2) polymorphisms or the combined deficiency significantly influence the risk and subsequently the frequency of chemotherapy‐induced bacterial infections in children with B acute lymphoblastic leuk...

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Published in:Pediatric blood & cancer 2014-06, Vol.61 (6), p.1017-1022
Main Authors: Pana, Zoe Dorothea, Samarah, Fekri, Papi, Rigini, Antachopoulos, Charalampos, Papageorgiou, Theodotis, Farmaki, Evangelia, Hatzipantelis, Emmanuel, Tragiannidis, Athanassios, Vavatsi-Christaki, Norma, Kyriakidis, Dimitrios, Athanassiadou-Piperopoulou, Fani, Roilides, Emmanuel
Format: Article
Language:English
Subjects:
Adolescent
Antineoplastic Combined Chemotherapy Protocols - adverse effects
B-ALL
bacterial infections
Bacterial Infections - etiology
Bacterial Infections - genetics
B‐ALL
bacterial infections
Child
Child, Preschool
Codon - genetics
Exons - genetics
Febrile Neutropenia - chemically induced
Febrile Neutropenia - genetics
Female
ficolin L gene polymorphisms
Ficolins
Genetic Predisposition to Disease
Genotype
Haplotypes
Hematology
Humans
Immunity, Innate
Immunocompromised Host
immunosuppression
Infant
Lectins - deficiency
Lectins - genetics
Lectins - physiology
Male
Mannose-Binding Lectin - deficiency
Mannose-Binding Lectin - genetics
Mannose-Binding Lectin - immunology
Mannose-Binding Lectin - physiology
MBL polymorphisms
Metabolism, Inborn Errors - complications
Metabolism, Inborn Errors - immunology
Oncology
pattern recognition receptors
Pediatrics
Polymorphism, Genetic
Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - complications
Precursor B-Cell Lymphoblastic Leukemia-Lymphoma - genetics
Risk
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Summary:Background We aimed to investigate whether the presence of mannose binding lectin (MBL2), ficolin 2 (FCN2) polymorphisms or the combined deficiency significantly influence the risk and subsequently the frequency of chemotherapy‐induced bacterial infections in children with B acute lymphoblastic leukemia (B‐ALL). Procedure MBL2 polymorphisms for exon 1 and FCN2 polymorphisms for promoter regions −986, −602, −557, −64, −4 and exon 8 regions +6,359, +6,424 were determined in children with B‐ALL. FCN2 haplotype was determined by gene sequencing. Number and duration of FN episodes as well as number of bacterial infections were recorded during induction chemotherapy. Results Forty‐four children with B‐ALL (median age 4.3 years, 65.9% males) suffered from 142 FN episodes and 92 bacterial infections (40.2% Gram positive and 59.8% Gram negative). MBL2 low‐risk genotype was found in 59.1%, medium‐risk in 31.8% and high‐risk in 9%. FCN2 low‐risk haplotypes were detected in 38.2%, medium‐risk in 44.1% and high‐risk in 17.6%. MBL2 genotype and FCN2 haplotype were not associated with increased frequency of FN episodes. MBL2 medium/high‐risk genotype and FCN2 medium/high‐risk haplotype were associated with prolonged duration of FN (P = 0.007 and P = 0.001, respectively) and increased number of bacterial infections (P = 0.001 and P = 0.002, respectively). The combined MBL2/FCN2 medium/high‐risk genotype was associated with an increased number of bacterial infections (P = 0.001). Conclusions MBL2 and FCN2 single or combined deficiencies are associated with increased duration of FN episodes as well as increased number of bacterial infections in children with B‐ALL suggesting a prognostic role of these genes. Pediatr Blood Cancer 2014;61:1017–1022. © 2014 Wiley Periodicals, Inc.
ISSN:1545-5009
1545-5017
DOI:10.1002/pbc.24951