Document Detail


Gilbert's syndrome and hyperbilirubinaemia in ABO-incompatible neonates.
MedLine Citation:
PMID:  10968441     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We asked whether UDP glucuronosyltransferase (UGT) gene promoter polymorphism (Gilbert's syndrome) would increase hyperbilirubinaemia in direct Coombs' negative ABO-incompatible neonates, as seen in other combinations with this condition. 40 ABO-incompatible and 344 ABO-compatible controls had an allele frequency of 0.35 for the variant promoter gene. The incidence of hyperbilirubinaemia was significantly higher only in the former who were also homozygotes for the variant UGT promoter, compared with ABO-incompatible babies homozygous for the normal UGT promoter (43% vs 0, p=0.02), and with ABO-compatible controls of all UGT genotypes combined (relative risk 5.65, 95% CI 2.23-14.31). Gilbert's syndrome is a determining factor for neonatal hyperbilirubinaemia ABO incompatibility.
Authors:
M Kaplan; C Hammerman; P Renbaum; G Klein; E Levy-Lahad
Publication Detail:
Type:  Letter    
Journal Detail:
Title:  Lancet     Volume:  356     ISSN:  0140-6736     ISO Abbreviation:  Lancet     Publication Date:  2000 Aug 
Date Detail:
Created Date:  2000-09-20     Completed Date:  2000-09-20     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  2985213R     Medline TA:  Lancet     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  652-3     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
ABO Blood-Group System / genetics
Alleles
Blood Group Incompatibility / epidemiology*
Cohort Studies
Comorbidity
Coombs' Test
DNA Mutational Analysis
Gene Frequency
Gilbert Disease / epidemiology*,  genetics*
Glucuronosyltransferase / genetics
Heterozygote
Homozygote
Humans
Incidence
Infant, Newborn
Jaundice, Neonatal / epidemiology*
Polymerase Chain Reaction
Promoter Regions, Genetic / genetics
Risk
Chemical
Reg. No./Substance:
0/ABO Blood-Group System; EC 2.4.1.17/Glucuronosyltransferase

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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