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Published on: April 2, 2021
Polymorphisms of Vascular Endothelial Growth Factor and Retinopathy of Prematurity
Insights
The VEGF 634 C/G gene variant is linked to an increased risk of retinopathy of prematurity (ROP) in preterm infants. This genetic marker, along with clinical factors, may aid in ROP screening.
Area of Science:
- Ophthalmology
- Genetics
- Neonatology
Background:
- Retinopathy of prematurity (ROP) is a significant cause of vision impairment in premature infants.
- Retinal neovascularization in ROP is influenced by factors like vascular endothelial growth factor (VEGF).
Purpose of the Study:
- To investigate the association between VEGF gene polymorphisms and ROP in preterm infants.
- To identify clinical risk factors for ROP in a neonatal intensive care unit population.
Main Methods:
- Genotyping of VEGF 634 C/G and 936 C/T polymorphisms using PCR-RFLP in 102 preterm infants.
- Logistic regression analysis to determine significant risk factors for ROP.
Main Results:
- The VEGF 634 CG genotype was more frequent in infants with ROP.
- Low birth weight, maternal disease, respiratory distress syndrome, hypotension, and the VEGF 634 CG genotype were significant ROP risk factors.
- VEGF 634 G allele distribution differed significantly between ROP and control groups.
Conclusions:
- The VEGF 634 C/G polymorphism carrier state impacts ROP risk in infants.
- VEGF 634 C/G may serve as a potential screening marker for ROP in high-risk infants.
Purpose:
Retinopathy of prematurity (ROP) is a major problem among preterm survivors of neonatal intensive care. Neovascularization of the retina is prominent in the proliferative stages of ROP and is under the control of factors such as vascular endothelial growth factor (VEGF). The authors investigated the association of ROP with VEGF genetic polymorphisms and clinical (maternal, perinatal, neonatal) risk factors among preterm infants admitted to the neonatal intensive care unit.
Methods:
The frequencies of VEGF 634 C/G and VEGF 936 C/T polymorphisms were determined in DNA from 102 preterm infants by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) technique.
Results:
The frequency of the VEGF 634 CG genotype was significantly higher, whereas the frequency of the VEGF 634 CC genotype was significantly lower among neonates with ROP. The frequencies of the VEGF 634 GG, VEGF 936 CC, and VEGF 936 CT genotypes were similar in both groups. The distribution of VEGF 634 G allele was significantly different between the two groups. By logistic regression analysis, low birth weight, presence of maternal disease, respiratory distress syndrome, hypotension, and VEGF 634 CG genotype remained significant risk factors for the development of ROP.
Conclusions:
The results support the hypothesis that the carrier state of VEGF 634 C/G polymorphism has an impact on the risk of ROP in infants. A broader study may suggest that this marker could be used as an indicator in the screening for ROP.
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