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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2006-6-23
pubmed:abstractText
Gilbert's syndrome is a common hereditary chronic or recurrent, mild unconjugated hyperbilirubinemia. Polymorphisms in the bilirubin uridine diphosphate glucuronosyl transferase gene (UGT1A1) causing a decreased enzyme activity are associated with susceptibility to the syndrome. Homozygosity for TA(7) allele of the A(TA)(n)TAA promoter polymorphism is found in the majority of Caucasian patients. We sought to investigate the role of three UGT1A1 polymorphisms (A[TA](n)TAA, -3279T-->G, and G71R) in the susceptibility to Gilbert's syndrome in 53 Italian pediatric subjects compared to 83 unaffected controls. Carriage of two TA(n) risk alleles (TA(7) and TA(8)) and -3279G homozygosity were similarly associated with hyperbilirubinemia (odds ratio [OR] = 11.59, 95% confidence interval [CI] = 4.80-27.98; p < 0.001, and OR = 11.51, 95% CI = 5.06-26.19; p < 0.001, respectively). Homozygosity for both TA7 and -3279G was associated with the highest relative risk estimate (OR = 19.23, 95% CI = 7.34-50.4; p < 0.001), but a significant association was found also for TA7 heterozygosity combined with -3279G/G genotype (OR = 7.98, 95% CI = 2.54-25.06; p < 0.001). The G71R variant was found only in two controls. Our results demonstrate that genotyping of both UGT1A1 A(TA)(n)TAA and -3279T-->G polymorphisms best defines genetic susceptibility to Gilbert's syndrome in Caucasian pediatric patients, and the TA7 heterozygous genotype combined with homozygosity for the -3279G allele can also be associated with pediatric mild hyperbilirubinemia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
1090-6576
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
121-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:16792515-Adolescent, pubmed-meshheading:16792515-Adult, pubmed-meshheading:16792515-Child, pubmed-meshheading:16792515-Child, Preschool, pubmed-meshheading:16792515-Female, pubmed-meshheading:16792515-Genetic Predisposition to Disease, pubmed-meshheading:16792515-Genotype, pubmed-meshheading:16792515-Gilbert Disease, pubmed-meshheading:16792515-Glucuronosyltransferase, pubmed-meshheading:16792515-Heterozygote Detection, pubmed-meshheading:16792515-Humans, pubmed-meshheading:16792515-Hyperbilirubinemia, Hereditary, pubmed-meshheading:16792515-Infant, pubmed-meshheading:16792515-Italy, pubmed-meshheading:16792515-Linkage Disequilibrium, pubmed-meshheading:16792515-Male, pubmed-meshheading:16792515-Phenotype, pubmed-meshheading:16792515-Polymorphism, Single Nucleotide, pubmed-meshheading:16792515-Prognosis, pubmed-meshheading:16792515-Risk
pubmed:year
2006
pubmed:articleTitle
Combined test for UGT1A1 -3279T-->G and A(TA)nTAA polymorphisms best predicts Gilbert's syndrome in Italian pediatric patients.
pubmed:affiliation
IRCCS CSS Hospital, CSS-Mendel Institute, Rome, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't