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Published on: August 12, 2020
Selectin polymorphisms and perinatal morbidity in low-birthweight infants
László Derzbach1, Géza Bokodi, András Treszl
1First Department of Paediatrics, Semmelweis University, Budapest, Hungary. derla@gyer1.sote.hu
Insights
Functional polymorphisms in selectin genes were investigated for links to perinatal conditions. L-selectin gene variants, specifically the 213Ser allele, were more common in low-birthweight infants, suggesting a role in bronchopulmonary dysplasia.
Area of Science:
- Perinatal medicine
- Genetics
- Immunology
Background:
- Altered selectin expression is linked to premature birth, sepsis, and bronchopulmonary dysplasia.
- Selectins play a role in inflammatory and immune responses during pregnancy and in neonates.
Purpose of the Study:
- To investigate the association between functional polymorphisms in E-, P-, and L-selectin genes and perinatal morbidity.
- To determine if specific selectin gene variants increase the risk of premature birth, sepsis, or bronchopulmonary dysplasia.
Main Methods:
- Genotype distribution of E-selectin (Ser128Arg), P-selectin (Thr715Pro), and L-selectin (Pro213Ser) polymorphisms was compared between 125 low-birthweight infants and 156 healthy term neonates.
- The association between these genotypes and the risk of sepsis and bronchopulmonary dysplasia was analyzed.
Main Results:
- No association was found between E-selectin or P-selectin polymorphisms and premature birth, early sepsis, or bronchopulmonary dysplasia.
- Carriers of the L-selectin 213Ser allele were more prevalent in low-birthweight infants, particularly those with bronchopulmonary dysplasia.
- No association was observed between L-selectin polymorphism and early postnatal sepsis.
Conclusions:
- L-selectin appears to play a significant role in perinatal pathology.
- Further research is needed to understand the impact of L-selectin levels in 213Ser allele carriers on premature birth and bronchopulmonary dysplasia.
Background:
Studies have shown an association between altered expression of selectins and premature birth, early sepsis and bronchopulmonary dysplasia.
Aim:
To investigate the possible link between functional polymorphisms of the E-, P- and L-selectin genes and perinatal morbidity.
Methods:
We compared the genotype distribution of the E-selectin Ser128Arg, P-selectin Thr715Pro and L-selectin Pro213Ser polymorphisms in 125 low-birthweight singleton infants with those of 156 healthy term neonates. We also analysed the association of genotype with risk of sepsis and bronchopulmonary dysplasia.
Results:
We found no association between E-selectin or P-selectin polymorphisms and premature birth, nor did we find any association between E-selectin or P-selectin and early postnatal sepsis or bronchopulmonary dysplasia. Carriers of the 213Ser L-selectin allele were found to be more prevalent in low-birthweight infants, particularly in those with bronchopulmonary dysplasia. We found no association between the L-selectin polymorphism and early postnatal sepsis.
Conclusion:
Our results underline the importance of L-selectin in perinatal pathology, but further studies are needed to evaluate the alteration of L-selectin levels in carriers of the 213Ser allele and their possible contribution to premature birth and bronchopulmonary dysplasia.
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