Evidence map›Paper›PMID 39048669›Full record

ArticlePediatric research2025

CELF4 (rs1786814) gene polymorphism and speckle-tracking Echocardiography for cardiovascular complications in childhood cancer survivors.

Seham M Ragab, Mahmoud A El-Hawy, Sally M El-Hefnawy, Hend M A El-Deeb, Amany S Elfalah, Asmaa A Mahmoud

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Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Seham M RagabDepartement of Pediatrics, Faculty of Medicine, Menoufia University, Shebin ElKom, Egypt.
Mahmoud A El-HawyDepartement of Pediatrics, Faculty of Medicine, Menoufia University, Shebin ElKom, Egypt.
Sally M El-HefnawyMedical Biochemistry and Molecular Biology Departement, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt.
Hend M A El-DeebDepartment of Cardiology, Faculty of Medicine, Menoufia University, Shebin Elkom, Egypt.
Amany S ElfalahDepartement of Pediatrics, Faculty of Medicine, Menoufia University, Shebin ElKom, Egypt.
Asmaa A MahmoudDepartement of Pediatrics, Faculty of Medicine, Menoufia University, Shebin ElKom, Egypt. asmaasoliman50@gmail.com.ORCID http://orcid.org/0000-0002-2366-8009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite a well-known dose-dependent association between the risk of cardiac dysfunction and anthracycline, the risk of cardiac dysfunction for any given anthracycline dose varies between patients. So, we assessed CELF4 (rs1786814) gene polymorphism on anthracycline-related cardiotoxicity in childhood cancer survivors (CCS).

methodsThis comparative cross-sectional study included 53 CCS who had regular follow-up visits at the Pediatric Oncology Unit, Menoufia University Hospital. CELF4 (rs1786814) gene polymorphism and conventional and speckle-tracking Echocardiography were done for all survivors.

resultsRegarding CELF4 (rs1786814) genotypes, significant differences existed between the studied groups with a predominance of GG homozygous mutation. For Echocardiographic findings, the ejection fraction and end-systolic diameter compared to the control group, were significantly lower in the survivors group. Speckle- tracking Echocardiography showed a significant difference regarding (GLPS-A4C) and (GLPS-LAX), with no significant difference regarding (GLPS-A2C), (GLPS-Avg) and left atrium between the studied groups. Multivariate logistic regression analysis illustrated a statistically significant relation between cumulative anthracycline dose >300 mg/m

conclusionEarly detection of ventricular dysfunction in CCS with subclinical cardiotoxicity with regular follow-up is promising before the development of life-threatening complications. IMPACT: Early detection of anthracycline-related cardiotoxicity in childhood cancer survivors (CCS) after finishing chemotherapy. CLEF4 (rs1786814) GG variant is more significant in CCS exposed to high-dose anthracycline. GLPS holds promise as an early predictor of late left ventricular dysfunction and subclinical cardiotoxicity in CCS.

Indexed as

AnthracyclinesCancer SurvivorsCardiovascular DiseasesCELF ProteinsEchocardiographyNeoplasmsPolymorphism, GeneticPolymorphism, Single NucleotideAdolescentCardiotoxicityChildChild, PreschoolCross-Sectional StudiesFemaleGenotypeHumansAnthracyclinesCELF Proteins

Identifiers

PMID39048669
PMCPMC12507695

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