Copyright: ©Author(s) 2026.
World J Clin Pediatr. Jun 9, 2026; 15(2): 117283
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.117283
Published online Jun 9, 2026. doi: 10.5409/wjcp.v15.i2.117283
Table 1 Comparison between various echocardiographic parameters among the study groups, mean ± SD
| Variables | Cases | Controls | P value | Patients with heart failure (n = 50) | Patients without heart failure (n = 50) | P value |
| Ejection fraction (EF) (%) | 45.71 ± 13.97 | 59.82 ± 8.98 | < 0.001a | 34.52 ± 7.98 | 56.9 ± 8.66 | < 0.001a |
| Fractional shortening (FS) (%) | 31.20 ± 8.05 | 36.58 ± 5.66 | 0.03a | 23.08 ± 2.62 | 38.86 ± 7.47 | < 0.001a |
| LVEDD (mm) | 29.12 ± 10.89 | 27.02 ± 9.3 | 0.400 | 29.74 ± 11.95 | 28.51 ± 9.79 | 0.964 |
| LVESD (mm) | 22.46 ± 9.79 | 19.38 ± 7.42 | 0.118 | 23.92 ± 8.45 | 21.01 ± 10.86 | 0.037a |
| Pulmonary artery pressure (mmHg), median (IQ range) | 19 (18-22) | 17 (14-20) | 0.001a | 22 (15-25) | 19 (18-20) | 0.726 |
| IVS (mm) | 7.46 ± 1.87 | 6.65 ± 1.78 | 0.021a | 7.41 ± 1.34 | 7.01 ± 1.14 | 0.937 |
Table 2 Comparison of the serum growth differentiation-15 levels among the study groups, mean ± SD
| Serum GDF-15 (pg/mL) | Cases (n = 100) | Controls (n = 50) | P value | ||||
| 948.35 ± 386.29 | 249.48 ± 99.9 | < 0.001a | |||||
| Serum GDF-15 (pg/mL) | Congenital heart diseases (n = 69) | Rheumatic heart diseases (n = 14) | Cardiomyopathy (n = 17) | P value | P1 | P2 | P3 |
| 852.07 ± 376.39 | 1081.43 ± 435.28 | 1229.53 ± 166.6 | < 0.001a | 0.029a | < 0.001a | 0.796 | |
| Serum GDF-15 (pg/mL) | TOF (n = 16) | PDA + VSD + ASD (n = 53) | P value | ||||
| 1138.38 ± 249.32 | 765.64 ± 366.74 | < 0.001a | |||||
| Serum GDF-15 (pg/mL) | Patients with heart failure (n = 50) | Patients without heart failure (n = 50) | P value | ||||
| 1170 ± 292.55 | 726.7 ± 340.04 | < 0.001a | |||||
Table 3 Genotypes and allele frequencies of growth differentiation factor-15 rs4808793 (-3148C>G) single-nucleotide polymorphism among the study groups
| Study groups | Variables | |||||||||||||||||
| GDF-15 rs4808793 (-3148C>G) genotypes | GDF-15 rs4808793 (-3148C>G) alleles | |||||||||||||||||
| CC | CG | GG | CC + CG | GG | CC | CG + GG | C | G | ||||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | |
| Cases (n = 100) | 36 | 36 | 53 | 53 | 11 | 11 | 89 | 89 | 11 | 11 | 36 | 36 | 64 | 64 | 125 | 62.5 | 75 | 37.5 |
| Controls (n = 50) | 5 | 10 | 34 | 68 | 11 | 22 | 39 | 78 | 11 | 22 | 5 | 10 | 45 | 90 | 44 | 44 | 56 | 56 |
| P value (χ2) | 0.002 (12.287) | 0.073 (3.223) | < 0.001 (11.345) | 0.002 (9.275) | ||||||||||||||
| OR (95%CI) | - | 2.282 (0.913-5.707) | 5.063 (1.844-13.902) | 2.121 (1.302-3.455) | ||||||||||||||
Table 4 Genotypes and allele frequencies of growth differentiation factor-15 rs4808793 (-3148C>G) single-nucleotide polymorphism among congenital heart diseases and controls
| Study groups | Variables | |||||||||||||||||
| GDF-15 rs4808793 (-3148C>G) genotypes | GDF-15 rs4808793 | |||||||||||||||||
| CC | CG | GG | CC + CG | GG | CC | CG + GG | C | G | ||||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | |
| Congenital heart diseases (n = 69) | 31 | 44.9 | 33 | 47.8 | 5 | 7.2 | 64 | 92.4 | 5 | 7.6 | 31 | 44.9 | 38 | 55.1 | 95 | 68.8 | 43 | 31.2 |
| Control (n = 50) | 5 | 10 | 34 | 68 | 11 | 22 | 39 | 78 | 11 | 22 | 5 | 10 | 45 | 90 | 44 | 44 | 56 | 56 |
| P value (χ2) | < 0.001 (16.252) | 0.020 (5.423) | < 0.001 (16.762) | < 0.001 (14.728) | ||||||||||||||
| OR (95%CI) | - | 3.610 (1.167-11.172) | 7.342 (2.599-20.743) | 2.812 (1.648-4.799) | ||||||||||||||
Table 5 Genotypes and allele frequencies of growth differentiation factor-15 (rs4808793) single-nucleotide polymorphism among patients with and without heart failure
| Study groups | Variables | |||||||||||||||||
| GDF-15 rs4808793 (-3148C>G) genotypes | GDF-15 rs4808793 | |||||||||||||||||
| CC | CG | GG | CC+CG | GG | CC | CG+GG | C | G | ||||||||||
| n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | n | % | |
| Pediatric cardiac patients with heart failure (n = 50) | 16 | 32 | 27 | 54 | 7 | 14 | 43 | 86 | 7 | 14 | 16 | 32 | 34 | 68 | 59 | 59 | 41 | 41 |
| Pediatric cardiac patients without heart failure (n = 50) | 20 | 40 | 26 | 52 | 4 | 8 | 46 | 92 | 4 | 8 | 20 | 40 | 30 | 60 | 66 | 66 | 34 | 34 |
| P value (χ2) | 0.527 (1.281) | 0.338 (0.919) | 0.405 (0.694) | 0.307 (1.045) | ||||||||||||||
| OR (95%CI) | 0.534 (0.146-1.954) | 0.706 (0.311-1.603) | 0.741 (0.417-1.317) | |||||||||||||||
- Citation: Abd-Elmawgood EA, Hassan MH, Abd-Elbaseer KA, Ibrahem MH, Yousef KMH, Bakri AH. Circulating levels of growth differentiation factor-15 and its genetic variants -3148C>G (rs4808793) in pediatric cardiac patients. World J Clin Pediatr 2026; 15(2): 117283
- URL: https://www.wjgnet.com/2219-2808/full/v15/i2/117283.htm
- DOI: https://dx.doi.org/10.5409/wjcp.v15.i2.117283