Variations in CRHR1 are associated with persistent pulmonary hypertension of the newborn

Introduction: Persistent pulmonary hypertension of the newborn (PPHN) is associated with substantial infant morbidity and mortality. Recently, genetic associations have been found in idiopathic pulmonary arterial hypertension. Results: PPHN was significantly ( P < 0.05) associated with genetic va...

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Veröffentlicht in:Pediatric research 2012-02, Vol.71 (2), p.162-167
Hauptverfasser: Byers, Heather M., Dagle, John M., Klein, Jonathan M., Ryckman, Kelli K., McDonald, Erin L., Murray, Jeffrey C., Borowski, Kristi S.
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container_end_page 167
container_issue 2
container_start_page 162
container_title Pediatric research
container_volume 71
creator Byers, Heather M.
Dagle, John M.
Klein, Jonathan M.
Ryckman, Kelli K.
McDonald, Erin L.
Murray, Jeffrey C.
Borowski, Kristi S.
description Introduction: Persistent pulmonary hypertension of the newborn (PPHN) is associated with substantial infant morbidity and mortality. Recently, genetic associations have been found in idiopathic pulmonary arterial hypertension. Results: PPHN was significantly ( P < 0.05) associated with genetic variants in corticotropin-releasing hormone (CRH) receptor 1, CRHR1 and CRH-binding protein, CRHBP . Association with CRHR1 rs4458044 passed the Bonferroni threshold for significance. No mutations were found in the bone morphogenetic protein receptor type II ( BMPR2) gene. Discussion: We describe previously unreported genetic associations between PPHN and CRHR1 and CRHBP . These findings may have implications for further understanding the pathophysiology of PPHN and treatment. Methods: We performed a family-based candidate gene study to examine a genetic association with PPHN and sequenced the BMPR2 gene in 72 individuals. We enrolled 110 families with infants diagnosed with PPHN based on inclusion criteria. After medical chart review, 22 subjects were excluded based on predefined criteria, and DNA samples from 88 affected infants and at least one parent per infant were collected and genotyped. Thirty-two single-nucleotide polymorphisms in 12 genes involved in vasoconstriction/vasodilation, lung development, surfactant regulation, or vascular endothelial cell function were investigated using family-based association tests.
doi_str_mv 10.1038/pr.2011.24
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Recently, genetic associations have been found in idiopathic pulmonary arterial hypertension. Results: PPHN was significantly ( P &lt; 0.05) associated with genetic variants in corticotropin-releasing hormone (CRH) receptor 1, CRHR1 and CRH-binding protein, CRHBP . Association with CRHR1 rs4458044 passed the Bonferroni threshold for significance. No mutations were found in the bone morphogenetic protein receptor type II ( BMPR2) gene. Discussion: We describe previously unreported genetic associations between PPHN and CRHR1 and CRHBP . These findings may have implications for further understanding the pathophysiology of PPHN and treatment. Methods: We performed a family-based candidate gene study to examine a genetic association with PPHN and sequenced the BMPR2 gene in 72 individuals. We enrolled 110 families with infants diagnosed with PPHN based on inclusion criteria. 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After medical chart review, 22 subjects were excluded based on predefined criteria, and DNA samples from 88 affected infants and at least one parent per infant were collected and genotyped. 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source MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
Biological and medical sciences
Bone Morphogenetic Protein Receptors, Type II - genetics
Carrier Proteins - genetics
Female
Gene Frequency
General aspects
Genetic Association Studies
Genetic Predisposition to Disease
Gestational Age
Humans
Infant, Newborn
Iowa
Linear Models
Linkage Disequilibrium
Male
Medical sciences
Medicine
Medicine & Public Health
Pediatric Surgery
Pediatrics
Pedigree
Persistent Fetal Circulation Syndrome - genetics
Pneumology
Polymorphism, Single Nucleotide
Proportional Hazards Models
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Receptors, Corticotropin-Releasing Hormone - genetics
Retrospective Studies
translational-investigation
Young Adult
title Variations in CRHR1 are associated with persistent pulmonary hypertension of the newborn
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