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Antioxidant response genes sequence variants and BPD susceptibility in VLBW infants
Venkatesh Sampath1, Jeffery S Garland2, Daniel Helbling1
1Department of Pediatrics, Medical College of Wisconsin, and Children's Research Institute, Children's Hospital and Health Systems, Milwaukee, Wisconsin.
Insights
Genetic variants in antioxidant response elements (ARE) may influence bronchopulmonary dysplasia (BPD) risk in premature infants. Specific NQO1 and NFE2L2 gene variants were linked to BPD development and severity.
Area of Science:
- Genetics
- Neonatal Medicine
- Oxidative Stress Biology
Background:
- Oxidative stress-induced lung injury is a key factor in bronchopulmonary dysplasia (BPD) pathogenesis.
- The NFE2L2-ARE pathway regulates cellular defense against oxidative stress.
- Genetic variations in ARE-containing genes may affect infant susceptibility to BPD.
Purpose of the Study:
- To investigate the association between genetic variants in ARE-related genes and the risk/severity of BPD in very-low-birth-weight (VLBW) infants.
- To determine if specific single nucleotide polymorphisms (SNPs) in genes like NFE2L2, NQO1, and others influence BPD outcomes.
Main Methods:
- Genotyping of variants in SOD2, NFE2L2, GCLC, GSTP1, HMOX1, and NQO1 genes in VLBW infants.
- Utilized TaqMan probes for SNP genotyping and analyzed data with ABI HT7900.
- Employed genetic dominance and recessive models to assess SNP associations with BPD.
Main Results:
- A hypomorphic NQO1 SNP (rs1800566) in homozygous state was linked to increased BPD incidence.
- An NFE2L2 SNP (rs6721961) was associated with reduced severe BPD in the entire cohort and Caucasian infants.
- Adjusted regression models confirmed associations between NQO1 SNPs and BPD, and NFE2L2 SNPs and severe BPD.
Conclusions:
- Genetic variants within the NFE2L2-ARE pathway may contribute to BPD susceptibility variability in preterm infants.
- These findings suggest a potential genetic component influencing BPD development.
- Further validation in independent cohorts is necessary to confirm these associations.
Background:
Lung injury resulting from oxidative stress contributes to bronchopulmonary dysplasia (BPD) pathogenesis. Nuclear factor erythroid-2 related factor-2 (NFE2L2) regulates cytoprotective responses to oxidative stress by inducing enzymes containing antioxidant response elements (ARE). We hypothesized that ARE genetic variants will modulate susceptibility or severity of BPD in very-low-birth-weight (VLBW) infants.
Methods:
Blood samples obtained from VLBW infants were used for genotyping variants in the SOD2, NFE2L2, GCLC, GSTP1, HMOX1, and NQO1 genes. SNPs were genotyped utilizing TaqMan probes (Applied Biosystems (ABI), Grand Island, NY), and data were analyzed using the ABI HT7900. Genetic dominance and recessive models were tested to determine associations between SNPs and BPD.
Results:
In our cohort (n = 659), 284 infants had BPD; 135 of whom developed severe BPD. Presence of the hypomorphic NQO1 SNP (rs1800566) in a homozygous state was associated with increased BPD, while presence of the NFE2L2 SNP (rs6721961) was associated with decreased severe BPD in the entire cohort and in Caucasian infants. In regression models that adjusted for epidemiological confounders, the NQO1 and the NFE2L2 SNPs were associated with BPD and severe BPD, respectively.
Conclusion:
Genetic variants in NFE2L2-ARE axis may contribute to the variance in liability to BPD observed in preterm infants. These results require confirmation in independent cohorts.
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