Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study

ABSTRACT Background and Aims Vasovagal syncope (VVS) is a primary reason for fainting in children, affected by numerous genetic and environmental factors. We designed this study to investigate the impact of SLC6A2 gene polymorphisms and gene‐environment interactions on the etiology of VVS in childre...

Full description

Saved in:
Bibliographic Details
Main Authors: Minmin Wang, Meng Li, Haizhao Zhao, Xiaoyue Liu, Qingyu Kong, Cuifen Zhao, Baomin Li
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.70585
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850046253871661056
author Minmin Wang
Meng Li
Haizhao Zhao
Xiaoyue Liu
Qingyu Kong
Cuifen Zhao
Baomin Li
author_facet Minmin Wang
Meng Li
Haizhao Zhao
Xiaoyue Liu
Qingyu Kong
Cuifen Zhao
Baomin Li
author_sort Minmin Wang
collection DOAJ
description ABSTRACT Background and Aims Vasovagal syncope (VVS) is a primary reason for fainting in children, affected by numerous genetic and environmental factors. We designed this study to investigate the impact of SLC6A2 gene polymorphisms and gene‐environment interactions on the etiology of VVS in children. Methods This study was conducted with 142 children, comprising 71 VVS patients and 71 healthy controls. Five single nucleotide polymorphisms (SNPs) in the SLC6A2 gene (rs2242446, rs168924, rs2397771, rs5564, and rs5569) were genotyped using TaqMan assays. Clinical and hematological data were analyzed alongside genetic information. Results The rs2242446 TT genotype was significantly associated with VVS (CC + CT/TT, 31/40 vs. 45/26, χ2 = 5.55, p = 0.02), and the AA genotype of rs5564 was similarly correlated with increased VVS risk (GG + AG/AA, 39/32 vs. 27/44, χ2 = 4.08, p = 0.04). No significant associations were identified for rs168924, rs2397771, or rs5569. Additional risk factors include family history, elevated hemoglobin (HB) concentrations, increased mean corpuscular volume (MCV), and low vitamin D levels. Multivariate analysis showed that only rs2242446 remained significantly associated with VVS (CC + CT/TT; OR, 2.54; 95% CI; 1.12–5.75; p = 0.03). Vitamin D deficiency, family history, and certain hematological markers were also notable risk factors. Conclusion Polymorphisms in the SLC6A2 gene, particularly rs2242446, may increase the risk of VVS in children. Further research is needed to validate these findings and explore therapeutic interventions targeting the norepinephrine system.
format Article
id doaj-art-e328c3b11ebf4e78a2efc9d55310cd32
institution DOAJ
issn 2398-8835
language English
publishDate 2025-03-01
publisher Wiley
record_format Article
series Health Science Reports
spelling doaj-art-e328c3b11ebf4e78a2efc9d55310cd322025-08-20T02:54:29ZengWileyHealth Science Reports2398-88352025-03-0183n/an/a10.1002/hsr2.70585Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control StudyMinmin Wang0Meng Li1Haizhao Zhao2Xiaoyue Liu3Qingyu Kong4Cuifen Zhao5Baomin Li6Department of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaDepartment of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaDepartment of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaDepartment of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaDepartment of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaDepartment of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaDepartment of Pediatrics Qilu Hospital of Shandong University Jinan Shandong ChinaABSTRACT Background and Aims Vasovagal syncope (VVS) is a primary reason for fainting in children, affected by numerous genetic and environmental factors. We designed this study to investigate the impact of SLC6A2 gene polymorphisms and gene‐environment interactions on the etiology of VVS in children. Methods This study was conducted with 142 children, comprising 71 VVS patients and 71 healthy controls. Five single nucleotide polymorphisms (SNPs) in the SLC6A2 gene (rs2242446, rs168924, rs2397771, rs5564, and rs5569) were genotyped using TaqMan assays. Clinical and hematological data were analyzed alongside genetic information. Results The rs2242446 TT genotype was significantly associated with VVS (CC + CT/TT, 31/40 vs. 45/26, χ2 = 5.55, p = 0.02), and the AA genotype of rs5564 was similarly correlated with increased VVS risk (GG + AG/AA, 39/32 vs. 27/44, χ2 = 4.08, p = 0.04). No significant associations were identified for rs168924, rs2397771, or rs5569. Additional risk factors include family history, elevated hemoglobin (HB) concentrations, increased mean corpuscular volume (MCV), and low vitamin D levels. Multivariate analysis showed that only rs2242446 remained significantly associated with VVS (CC + CT/TT; OR, 2.54; 95% CI; 1.12–5.75; p = 0.03). Vitamin D deficiency, family history, and certain hematological markers were also notable risk factors. Conclusion Polymorphisms in the SLC6A2 gene, particularly rs2242446, may increase the risk of VVS in children. Further research is needed to validate these findings and explore therapeutic interventions targeting the norepinephrine system.https://doi.org/10.1002/hsr2.70585childrenetiologySLC6A2vasovagal syncope
spellingShingle Minmin Wang
Meng Li
Haizhao Zhao
Xiaoyue Liu
Qingyu Kong
Cuifen Zhao
Baomin Li
Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study
Health Science Reports
children
etiology
SLC6A2
vasovagal syncope
title Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study
title_full Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study
title_fullStr Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study
title_full_unstemmed Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study
title_short Roles of Single Nucleotide Polymorphisms in the SLC6A2 Gene in the Risk of Vasovagal Syncope Among Children in Eastern China: A Case‐Control Study
title_sort roles of single nucleotide polymorphisms in the slc6a2 gene in the risk of vasovagal syncope among children in eastern china a case control study
topic children
etiology
SLC6A2
vasovagal syncope
url https://doi.org/10.1002/hsr2.70585
work_keys_str_mv AT minminwang rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy
AT mengli rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy
AT haizhaozhao rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy
AT xiaoyueliu rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy
AT qingyukong rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy
AT cuifenzhao rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy
AT baominli rolesofsinglenucleotidepolymorphismsintheslc6a2geneintheriskofvasovagalsyncopeamongchildrenineasternchinaacasecontrolstudy