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TATA box polymorphism in the UDP-glucuronosyltransferase-1 gene promoter and neonatal hyperbilirubinemia

Title
TATA box polymorphism in the UDP-glucuronosyltransferase-1 gene promoter and neonatal hyperbilirubinemia
Type
Article in International Scientific Journal
Year
2001
Authors
Alexandrino, AM
(Author)
Other
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Carvalho, C
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Other
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Costa, E
(Author)
FFUP
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Vieira, E
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Oliveira, P
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ICBAS
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Duarte, C
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Barbot, J
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dos Santos, R
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Areias, A
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Journal
Vol. 6
ISSN: 1359-8635
Scientific classification
FOS: Medical and Health sciences > Clinical medicine
Other information
Authenticus ID: P-000-W1N
Abstract (EN): This study analyzed the role of the UDP-glucuronosyltransferase (UCT1A1) promoter polymorphism (mutant A[TA](7)TAA versus wild-type A[TA](6)TAA) in the pathophysiology of non-physiological hyperbilirubinemia, in Caucasian Portuguese neonates. Typing for the TATA box polymorphism was carried out in a study group consisting of 77 jaundiced neonates (19 with physiological and 58 with non-physiological hyperbilirubinemia) and in a background control population consisting of 100 healthy non-jaundiced Caucasian neonates. In the hyperbilirubinemic group without identified risk factors (n = 54), we found 50% normal homozygotes ([TA](6)/[TA](6)), 33.4% heterozygotes ([TA](6)/ [TA](7)), 14.8% mutant homozygotes ([TA](7)/[TA](7)) and a single heterozygote with a TA deletion ([TA](5)/[TA](6)). No statistically significant difference was found between this genotype distribution and that observed in the control group (chi (2) =1.585; p > 0.05). There was also no significant difference in genotype distribution between neonates with physiological and non-physiological hyperbilirubinemia (chi (2) = 3.156; p > 0.05), neither were peak jaundice levels significantly different among the various genotypic groups (chi (2) = 1.469; p > 0.05) except in the jaundiced population with associated risk factors. Our results indicate that the TATA box polymorphism did not seem to be a major contributing factor to the development of neonatal hyperbilirubinemia in our population but, when associated with other risk factors, seemed to influence the peak jaundice levels.
Language: English
Type (Professor's evaluation): Scientific
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