1. Analysis of uridine diphosphate glucuronosyl transferase 1A1 gene mutations in neonates with unconjugated hyperbilirubinemia
- Author
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Miao J, Wang Jb, Guo Xh, Han Sz, Cui M, and Sun Yf
- Subjects
0301 basic medicine ,Male ,Heterozygote ,Glucuronosyltransferase ,Genotype ,Bilirubin ,030105 genetics & heredity ,Gene mutation ,Polymorphism, Single Nucleotide ,Loss of heterozygosity ,03 medical and health sciences ,chemistry.chemical_compound ,Gene Frequency ,Hyperbilirubinemia, Hereditary ,Genetics ,Humans ,Genetic Predisposition to Disease ,Molecular Biology ,Allele frequency ,Genetic Association Studies ,Unconjugated hyperbilirubinemia ,biology ,Homozygote ,Infant, Newborn ,General Medicine ,Molecular biology ,chemistry ,Mutation (genetic algorithm) ,Mutation ,biology.protein ,Female - Abstract
This study was carried out to analyze uridine diphosphate (UDP)-glucuronosyltransferase 1A1 (UGT1A1) gene mutations in neonates with unconjugated hyperbilirubinemia, from two different ethnic groups. Polymerase chain reaction and gene sequencing were used to analyze the differences in genotypes and allele frequencies of different gene mutations among the ethnic groups; this was followed by checking their correlation with the serum bilirubin level and the occurrence of unconjugated hyperbilirubinemia in neonates. Our results reveal that the UGT1A1 mutant genotype, 211GA, is distributed differently in the case vs control groups, as well as in the Zhuang vs Han ethnic groups. Moreover, this difference is statistically significant (P0.05); the total serum bilirubin (TSB) and unconjugated bilirubin (UCB) levels in patients carrying the single homozygous mutation, 211GA, were markedly higher than that in patients without the mutation (P0.05). Furthermore, the TSB and UCB levels were significantly different between patients carrying single or compound 211GA heterozygous mutation, (TA)6/7, and 1941CG/2042CG heterozygous mutation, and patients without mutation (P0.05). Our findings suggest that the 211GA mutation in the first exon may be a risk factor for unconjugated hyperbilirubinemia in Zhuang and Han neonates. The serum bilirubin levels seem to be affected by the homozygosity or heterozygosity of the UGT1A1 gene mutation; 211GA homozygous mutation is an important factor that causes a rise in bilirubin in neonates with unconjugated hyperbilirubinemia.
- Published
- 2016