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.
Abstract

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