Abstract Objective To study the distribution of mutations of UDP-glucuronosyltransferase 1A1 (UGT1A1) gene and its relationship with hyperbilirubinemia among neonates with hyperbilirubinemia of Guangxi Heiyi Zhuang nationality. Methods Total genomic DNA was extracted from the blood of 100 neonates with hyperbilirubinemia (case group) and 100 neonates without hyperbilirubinemia (control group), all of whom were selected from Guangxi Heiyi Zhuang population. TATA box and all exons of UGT1A1 gene were amplified by PCR and directly sequenced. Results (TA)7 insertion mutation in TATA box, G71R missense mutation in exon 1, and 4 single nucleotide polymorphisms (SNPs) (rs199539868, rs114982090, rs1042640 and rs8330) in exon 5 were observed. The allele frequency of G71R mutation in the case group was significantly higher than that in the control group (PP>0.05). The logistic regression analysis showed that the odds ratios (95% confidence intervals) of UGT1A1 TATA box mutation, G71R mutation, and SNPs (rs1042640 and rs8330) associated with the development of neonatal hyperbilirubinemia were 0.846 (0.440, 1.629), 3.932 (1.745, 8.858), 0.899 (0.364, 2.222), respectively. Conclusions (TA)7 insertion mutation and G71R missense mutation of UGT1A1 gene are common mutation types in neonates with hyperbilirubinemia of Guangxi Heiyi Zhuang nationality. Four SNPs (rs199539868, rs114982090, rs1042640, and rs8330) was first reported in China. UGT1A1 G71R missense mutation is a risk factor for hyperbilirubinemia in neonates of Guangxi Heiyi Zhuang nationality.
WU Xiao-Jing,ZHONG Dan-Ni,YE De-Zhi et al. Mutations in UGT1A1 gene in neonates with hyperbilirubinemia of Guangxi Heiyi Zhuang nationality[J]. CJCP, 2014, 16(5): 483-488.
WU Xiao-Jing,ZHONG Dan-Ni,YE De-Zhi et al. Mutations in UGT1A1 gene in neonates with hyperbilirubinemia of Guangxi Heiyi Zhuang nationality[J]. CJCP, 2014, 16(5): 483-488.
Beutler E, Gelbart T, Demina A. Racial variability in the UDP-glucuronosyltransferase 1 (UGT1A1) promoter: A balanced polymorphism for regulation of bilirubin metabolism? [J]. Proc Natl Acad, 1998, 95(14): 8170-8174.
[2]
Ambalavanan N, Carlo WA. Hypocapnia and hypercapnia in respiratory management of newborn infants[J].Clin Perinatol, 2001, 28(3): 517-531.
[3]
Okumura A, Hayakawa F, Kato T, et al. Hypocapnia in preterm infants with periventricular leukomalacia: The relation between hypocapnia and mechanical ventilation[J]. Pediatrics, 2001, 107(3): 469-475.
[7]
Sun G, Wu MY, Cao J, et al. Cord blood bilirubin level in relation to bilirubin UDP-glucuronosyltransferase gene missense allele in Chinese neonates [J]. Acta Paediatr, 2007, 96(11): 1622-1625.
[4]
Nagler J, Krauss B. Capnography: a valuable tool for airway management[J]. Emerg Med Clin North Am, 2008, 26(4): 881-897.
[5]
Takki S, Aromaa U, Kauste A. The validity and usefulness of the endtidal PaCO2 during anaesthesia[J]. Ann Clin Res, 1972, 4: 278-284.
[8]
Maruo Y, Sato H, Yamano T, et al. Gilbert syndrome caused by a homozygousmissense mutation (Tyr486Asp) of bilirubinUDP-glucuronosyltransferase gene [J]. J Pediatr, 1998, 132(6): 1045-1047.
[6]
McDonald MJ, Montgomery VL, Cerrito PB, et al. Comparison of end-tidal CO2 and PaCO2 in children receiving mechanical ventilation[J]. Pediatr Crit Care Med, 2002, 3(3): 244-249.
Akaba K, Kimura T, Sasaki A, et al. Neonatal hyperbilirubinemia and mutation of the bilirubin uridine diphosphate‐glucuronosyltransferase gene: a common missense mutation among Japanese, Koreans and Chinese [J]. IUBMB Life, 1998, 46(1): 21-26.
[8]
Hansen J E, Sue DY, Wasserman K. Predicted values for clinical exercise testing[J]. Am Rev Respir Dis, 1984, 129(2 Pt 2): S49-S55.
Agrawal SK, Kumar P, Rathi R, et al. UGT1A1 gene polymorphisms in North Indian neonates presenting with unconjugated hyperbilirubinemia [J]. Pediatr Res, 2009, 65(6): 675-680.
Nikolac N, Simundic AM, Jurcic Z, et al. Rare TA repeats in promoter TATA box of the UDP glucuronosyltranferase (UGT1A1) gene in Croatian subjects [J]. Clin Chem Lab Med, 2008, 46(2): 174-178.
Watkins AM, Weindling AM. Monitoring of end tidal CO2 in neonatal intensive care[J]. Arch Dis Child, 1987, 62(8): 837-839.
[11]
Hand IL, Shepard EK, Krauss AN, et al. Discrepancies between transcutaneous and end-tidal carbon dioxide monitoring in the critically ill neonate with respiratory distress syndrome[J]. Crit Care Med, 1989, 17 (6): 556-559.
[17]
Bosma PJ, Chowdhury JR, Bakker C, et al. The genetic basis of the reduced expression of bilirubin UDP-glucuronosyltransferase 1 in Gilbert's syndrome [J]. N Engl J Med, 1995, 333(18): 1171-1175.
Rozycki HJ, Sysyn GD, Marshall MK, et al. Mainstream end-tidal carbon dioxide monitoring in the neonatal intensive care unit[J]. Pediatrics, 1998, 101(4): 648-653.
[19]
Chen G, Ramos E, Adeyemo A, et al. UGT1A1 is a major locus influencing bilirubin levels in African Americans [J]. Eur J Hum Genet, 2012, 20(4): 463-468.