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Published on: November 20, 2015
Genetic polymorphisms of antioxidant enzymes in preterm infants
Chiara Poggi1, Betti Giusti, Anna Vestri
1Department of Medical and Surgical Critical Care, Neonatology Section, Careggi University Hospital, Florence, Italy. chiarapoggi@inwind.it
Insights
Single nucleotide polymorphisms (SNPs) in antioxidant genes like superoxide dismutase (SOD) and catalase (CAT) may predict preterm infant morbidities. Certain SOD and CAT gene variants are linked to reduced risks of respiratory distress syndrome, intraventricular hemorrhage, and retinopathy of prematurity.
Area of Science:
- Neonatal medicine
- Genetics
- Oxidative stress research
Background:
- Oxidative stress (OS) is implicated in major preterm birth complications including respiratory distress syndrome (RDS), bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP), and intraventricular hemorrhage (IVH).
- Growing evidence suggests a link between single nucleotide polymorphisms (SNPs) in antioxidant response genes and neonatal morbidities.
Purpose of the Study:
- To investigate the correlation between SNPs in superoxide dismutase (SOD) and catalase (CAT) genes and the incidence of RDS, BPD, IVH, and ROP in preterm neonates.
- To identify specific genetic markers that may predict the risk of these complications.
Main Methods:
- Retrospective study design.
- Inclusion of neonates with gestational age less than 28 weeks.
- Analysis of single nucleotide polymorphisms (SNPs) and haplotype reconstruction in SOD and CAT genes.
Main Results:
- The rs8192287 SOD3 polymorphism was identified as an independent protective factor against IVH.
- Specific SOD2 polymorphisms (rs4880, rs5746136) were associated with lower gestational age and birth weight.
- Haplotype analysis revealed that certain SOD1, SOD2, SOD3, and CAT gene variants were associated with decreased or increased risks of RDS, BPD, IVH, and ROP.
Conclusions:
- SNPs and haplotype reconstruction in genes related to oxidative stress and antioxidant activity can aid in identifying preterm infants at high risk for specific morbidities.
- This genetic information may facilitate the development of targeted prevention strategies for preterm neonates.
Background:
Oxidative stress (OS) is significantly involved in the development of several complications associated with preterm birth, such as respiratory distress syndrome (RDS), bronchopulmonary dysplasia (BPD), retinopathy of prematurity (ROP) and intraventricular hemorrhage (IVH). Evidence is growing about the associations between single nucleotide polymorphisms (SNPs) in genes involved in OS or antioxidant response and the occurrence of neonatal morbidities.
Aim Of The Study:
To assess whether SNPs in genes of superoxide dismutase (SOD) and catalase (CAT), involved in antioxidant pathways, correlate with the occurrence of RDS, BPD, IVH and ROP in preterm neonates.
Methods:
We performed a retrospective study involving neonates <28 weeks of gestational age.
Results:
We demonstrated that rs8192287 SOD3 polymorphism is an independent protective factor for IVH, while rs4880 and rs5746136 SOD2 polymorphisms are associated with lower gestational age and birth weight. Haplotypes reconstruction showed that SOD1 (GG) decreased the risk of RDS, IVH and ROP; SOD2 (GT) increased the risk of BPD and decreased the risk of RDS, IVH, and ROP; SOD3 (TGC) decreased the risk of BPD and IVH; and CAT (CTC) decreased the risk of RDS.
Conclusions:
The study of SNPs or haplotypes reconstruction in genes involved in OS or scavenging activity may be helpful in identifying preterm newborns with a particularly high risk of morbidities, who may benefit from specific prevention strategies.
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