FUT 2 polymorphism and outcome in very-low-birth-weight infants
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FUT 2 polymorphism and outcome in very-low-birth-weight infants. / Demmert, Martin; Schaper, Anne; Pagel, Julia; Gebauer, Corinna; Emeis, Michael; Heitmann, Friedhelm; Kribs, Angela; Siegel, Jens; Müller, Dirk; Keller-Wackerbauer, Annette; Gerleve, Hubert; Wieg, Christian; Herting, Egbert; Göpel, Wolfgang; Härtel, Christoph.
in: PEDIATR RES, Jahrgang 77, Nr. 4, 04.2015, S. 586-90.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - FUT 2 polymorphism and outcome in very-low-birth-weight infants
AU - Demmert, Martin
AU - Schaper, Anne
AU - Pagel, Julia
AU - Gebauer, Corinna
AU - Emeis, Michael
AU - Heitmann, Friedhelm
AU - Kribs, Angela
AU - Siegel, Jens
AU - Müller, Dirk
AU - Keller-Wackerbauer, Annette
AU - Gerleve, Hubert
AU - Wieg, Christian
AU - Herting, Egbert
AU - Göpel, Wolfgang
AU - Härtel, Christoph
PY - 2015/4
Y1 - 2015/4
N2 - BACKGROUND: To determine whether the secretor gene fucosyltransferase (FUT)2 polymorphism G428A is predictive for adverse outcomes in a large cohort of very-low-birth weight (VLBW) infants.METHODS: We prospectively enrolled 2,406 VLBW infants from the population-based multicenter cohort of the German Neonatal network cohort (2009-2011). The secretor genotype (rs601338) was assessed from DNA samples extracted from buccal swabs. Primary study outcomes were clinical sepsis, blood-culture confirmed sepsis, intracerebral hemorrhage (ICH), necrotizing enterocolitis (NEC) or focal intestinal perforation requiring surgery, and death.RESULTS: Based on the assumption of a recessive genetic model, AA individuals had a higher incidence of ICH (AA: 19.0% vs.GG/AG: 14.9%, P = 0.04) which was not significant in the additive genetic model (multivariable logistic regression analysis; allele carriers: 365 cases, 1,685 controls; OR: 1.2; 95% CI: 0.99-1.4; P = 0.06). Other outcomes were not influenced by FUT2 genotype in either genetic model.CONCLUSION: This large-scale multicenter study did not confirm previously reported associations between FUT2 genotype and adverse outcomes in preterm infants.
AB - BACKGROUND: To determine whether the secretor gene fucosyltransferase (FUT)2 polymorphism G428A is predictive for adverse outcomes in a large cohort of very-low-birth weight (VLBW) infants.METHODS: We prospectively enrolled 2,406 VLBW infants from the population-based multicenter cohort of the German Neonatal network cohort (2009-2011). The secretor genotype (rs601338) was assessed from DNA samples extracted from buccal swabs. Primary study outcomes were clinical sepsis, blood-culture confirmed sepsis, intracerebral hemorrhage (ICH), necrotizing enterocolitis (NEC) or focal intestinal perforation requiring surgery, and death.RESULTS: Based on the assumption of a recessive genetic model, AA individuals had a higher incidence of ICH (AA: 19.0% vs.GG/AG: 14.9%, P = 0.04) which was not significant in the additive genetic model (multivariable logistic regression analysis; allele carriers: 365 cases, 1,685 controls; OR: 1.2; 95% CI: 0.99-1.4; P = 0.06). Other outcomes were not influenced by FUT2 genotype in either genetic model.CONCLUSION: This large-scale multicenter study did not confirm previously reported associations between FUT2 genotype and adverse outcomes in preterm infants.
KW - Cerebral Hemorrhage/genetics
KW - Enterocolitis, Necrotizing/genetics
KW - Female
KW - Fucosyltransferases/genetics
KW - Genes, Recessive
KW - Genetic Predisposition to Disease
KW - Genotype
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Infant, Premature
KW - Infant, Premature, Diseases
KW - Infant, Very Low Birth Weight
KW - Intestinal Perforation/genetics
KW - Intestines/abnormalities
KW - Male
KW - Polymorphism, Genetic
KW - Prospective Studies
KW - Sepsis/genetics
U2 - 10.1038/pr.2015.1
DO - 10.1038/pr.2015.1
M3 - SCORING: Journal article
C2 - 25642664
VL - 77
SP - 586
EP - 590
JO - PEDIATR RES
JF - PEDIATR RES
SN - 0031-3998
IS - 4
ER -