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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2009-5-20
pubmed:abstractText
Genetic factors are implicated in pathogenesis of neonatal hyperbilirubinemia. In this nested case-control study, we determined 1) frequency of thymine-adenine (TA)n promoter polymorphism and Gly71Arg mutation in uridine diphosphoglucuronate-glucuronosyltransferase 1A1 (UGT1A1) gene in neonates > or =35-wk gestation presenting with bilirubin levels > or =18 mg/dL and controls, 2) interaction among (TA)n promoter polymorphism, glucose-6-phosphate dehydrogenase (G6PD) gene mutations, and peak bilirubin. The number of TA repeats was assessed by PCR-single-strand conformation polymorphism (SSCP) analysis and Gly71Arg mutation by PCR-RFLP. Fifty samples of both mutations were verified with DNA sequencing. One hundred twenty-seven neonates were enrolled (77 hyperbilirubinemics, 50 controls). The incidence of (TA)n polymorphism was higher in babies with hyperbilirubinemia [89.6% vs. 50%, OR 8.63 (95% CI, 3.2-24.1)]. Gly71Arg mutation was not found either in hyperbilirubinemics or controls. A novel polymorphism (Ala72Pro) at codon position 72 of exon 1 was detected in all 50 samples (21 hyperbilirubinemics, 29 controls), which were sequenced. Presence of variant (TA)n promoter (adjusted OR, 10.6; 95% CI, 3.3-34.2), G6PD deficiency (adjusted OR, 20.6; 95% CI, 3.6-117.3), and history of jaundice in sibling requiring phototherapy (adjusted OR, 12.6; 95% CI, 1.1-141.6) were independent risk factors for bilirubin levels > or =18 mg/dL.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1530-0447
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
65
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
675-80
pubmed:meshHeading
pubmed-meshheading:19430380-Base Sequence, pubmed-meshheading:19430380-Bilirubin, pubmed-meshheading:19430380-Case-Control Studies, pubmed-meshheading:19430380-DNA Mutational Analysis, pubmed-meshheading:19430380-Female, pubmed-meshheading:19430380-Genetic Predisposition to Disease, pubmed-meshheading:19430380-Genotype, pubmed-meshheading:19430380-Gestational Age, pubmed-meshheading:19430380-Glucosephosphate Dehydrogenase, pubmed-meshheading:19430380-Glucuronosyltransferase, pubmed-meshheading:19430380-Humans, pubmed-meshheading:19430380-Hyperbilirubinemia, Neonatal, pubmed-meshheading:19430380-India, pubmed-meshheading:19430380-Infant, Newborn, pubmed-meshheading:19430380-Jaundice, pubmed-meshheading:19430380-Molecular Sequence Data, pubmed-meshheading:19430380-Mutation, pubmed-meshheading:19430380-Polymorphism, Genetic, pubmed-meshheading:19430380-Polymorphism, Single-Stranded Conformational, pubmed-meshheading:19430380-Pregnancy, pubmed-meshheading:19430380-Promoter Regions, Genetic, pubmed-meshheading:19430380-Repetitive Sequences, Nucleic Acid
pubmed:year
2009
pubmed:articleTitle
UGT1A1 gene polymorphisms in North Indian neonates presenting with unconjugated hyperbilirubinemia.
pubmed:affiliation
Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't