Clinical and genetic risk factors for moderate hyperbilirubinemia in Brazilian newborn infants

Objective: To identify clinical and genetic risk factors for moderate hyperbilirubinemia during the first week of life. Study Design: Using univariate and multivariate multiple regression analyses, the RR for clinical factors, the African variant of glucose-6-phosphate dehydrogenase (G6PD) deficienc...

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Veröffentlicht in:Journal of perinatology 2010-12, Vol.30 (12), p.819-826
Hauptverfasser: Mezzacappa, M A, Facchini, F P, Pinto, A C, Cassone, A E L, Souza, D S, Bezerra, M A C, Albuquerque, D M, Saad, S T O, Costa, F F
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container_end_page 826
container_issue 12
container_start_page 819
container_title Journal of perinatology
container_volume 30
creator Mezzacappa, M A
Facchini, F P
Pinto, A C
Cassone, A E L
Souza, D S
Bezerra, M A C
Albuquerque, D M
Saad, S T O
Costa, F F
description Objective: To identify clinical and genetic risk factors for moderate hyperbilirubinemia during the first week of life. Study Design: Using univariate and multivariate multiple regression analyses, the RR for clinical factors, the African variant of glucose-6-phosphate dehydrogenase (G6PD) deficiency (G202A/A376G), and (TA) n UGT1A1 polymorphisms were established in a cohort of 608 Brazilian newborn infants. Hyperbilirubinemia was monitored until 134.5±49.8 h of life (IQR, 111.0 to 156.7). The dependent variable was total bilirubinemia (TB)⩾12.9 mg per 100 ml estimated by transcutaneous or plasma bilirubin measurements. Result: The African variant of G6PD deficiency and (TA) 7 /(TA) 7 and (TA) 7 /(TA) 8 polymorphisms present in 6.1 and 12.0% of newborns, respectively, were not risk factors for moderate hyperbilirubinemia. Coexpression of G6DP deficiency and UGT1A1 polymorphisms occurred in 0.49% of the subjects. Independent clinical predictors for TB⩾12.9 mg per 100 ml were gestational age P40th. Conclusion: In this study, G6PD deficiency and UGT1A1 gene promoter polymorphisms were not risk factors for moderate hyperbilirubinemia. Genetic factors may vary considerably in importance among different populations.
doi_str_mv 10.1038/jp.2010.48
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Study Design: Using univariate and multivariate multiple regression analyses, the RR for clinical factors, the African variant of glucose-6-phosphate dehydrogenase (G6PD) deficiency (G202A/A376G), and (TA) n UGT1A1 polymorphisms were established in a cohort of 608 Brazilian newborn infants. Hyperbilirubinemia was monitored until 134.5±49.8 h of life (IQR, 111.0 to 156.7). The dependent variable was total bilirubinemia (TB)⩾12.9 mg per 100 ml estimated by transcutaneous or plasma bilirubin measurements. Result: The African variant of G6PD deficiency and (TA) 7 /(TA) 7 and (TA) 7 /(TA) 8 polymorphisms present in 6.1 and 12.0% of newborns, respectively, were not risk factors for moderate hyperbilirubinemia. Coexpression of G6DP deficiency and UGT1A1 polymorphisms occurred in 0.49% of the subjects. Independent clinical predictors for TB⩾12.9 mg per 100 ml were gestational age &lt;38 weeks and reference curve percentiles &gt;P40th. Conclusion: In this study, G6PD deficiency and UGT1A1 gene promoter polymorphisms were not risk factors for moderate hyperbilirubinemia. Genetic factors may vary considerably in importance among different populations.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/jp.2010.48</identifier><identifier>PMID: 20376058</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/499 ; 692/700/1720 ; Bilirubin ; Brazil ; Cohort Studies ; Cross-Cultural Comparison ; Dependent variables ; Diagnosis ; Female ; Follow-Up Studies ; Genetic aspects ; Genetic Carrier Screening ; Genetic factors ; Genetic polymorphisms ; Genotype ; Gestational age ; Glucose 6 phosphate dehydrogenase ; Glucosephosphate dehydrogenase ; Glucosephosphate Dehydrogenase Deficiency - diagnosis ; Glucosephosphate Dehydrogenase Deficiency - genetics ; Glucuronosyltransferase - genetics ; Health aspects ; Humans ; Hyperbilirubinemia ; Hyperbilirubinemia, Neonatal - diagnosis ; Hyperbilirubinemia, Neonatal - genetics ; Infant, Newborn ; Infants ; Infants (Newborn) ; Jaundice ; Kernicterus - diagnosis ; Kernicterus - genetics ; Male ; Medicine ; Medicine &amp; Public Health ; Multiple regression analysis ; Neonatal Screening ; Neonates ; Newborn babies ; original-article ; Pediatric Surgery ; Pediatrics ; Polymorphism, Genetic - genetics ; Prospective Studies ; Risk analysis ; Risk Factors</subject><ispartof>Journal of perinatology, 2010-12, Vol.30 (12), p.819-826</ispartof><rights>Nature America, Inc. 2010</rights><rights>COPYRIGHT 2010 Nature Publishing Group</rights><rights>Nature America, Inc. 2010.</rights><rights>Copyright Nature Publishing Group Dec 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c530t-e2e56c3598095fdc51e671c61759e059f2398d4a3d5420c18a55ec63bac125273</citedby><cites>FETCH-LOGICAL-c530t-e2e56c3598095fdc51e671c61759e059f2398d4a3d5420c18a55ec63bac125273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20376058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mezzacappa, M A</creatorcontrib><creatorcontrib>Facchini, F P</creatorcontrib><creatorcontrib>Pinto, A C</creatorcontrib><creatorcontrib>Cassone, A E L</creatorcontrib><creatorcontrib>Souza, D S</creatorcontrib><creatorcontrib>Bezerra, M A C</creatorcontrib><creatorcontrib>Albuquerque, D M</creatorcontrib><creatorcontrib>Saad, S T O</creatorcontrib><creatorcontrib>Costa, F F</creatorcontrib><title>Clinical and genetic risk factors for moderate hyperbilirubinemia in Brazilian newborn infants</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective: To identify clinical and genetic risk factors for moderate hyperbilirubinemia during the first week of life. 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Conclusion: In this study, G6PD deficiency and UGT1A1 gene promoter polymorphisms were not risk factors for moderate hyperbilirubinemia. 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subjects 692/499
692/700/1720
Bilirubin
Brazil
Cohort Studies
Cross-Cultural Comparison
Dependent variables
Diagnosis
Female
Follow-Up Studies
Genetic aspects
Genetic Carrier Screening
Genetic factors
Genetic polymorphisms
Genotype
Gestational age
Glucose 6 phosphate dehydrogenase
Glucosephosphate dehydrogenase
Glucosephosphate Dehydrogenase Deficiency - diagnosis
Glucosephosphate Dehydrogenase Deficiency - genetics
Glucuronosyltransferase - genetics
Health aspects
Humans
Hyperbilirubinemia
Hyperbilirubinemia, Neonatal - diagnosis
Hyperbilirubinemia, Neonatal - genetics
Infant, Newborn
Infants
Infants (Newborn)
Jaundice
Kernicterus - diagnosis
Kernicterus - genetics
Male
Medicine
Medicine & Public Health
Multiple regression analysis
Neonatal Screening
Neonates
Newborn babies
original-article
Pediatric Surgery
Pediatrics
Polymorphism, Genetic - genetics
Prospective Studies
Risk analysis
Risk Factors
title Clinical and genetic risk factors for moderate hyperbilirubinemia in Brazilian newborn infants
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