The impact of the UGT1A1*60 allele on bilirubin serum concentrations

Amy L Pasternak1, Kristine R Crews1, Kelly E Caudle1

  • 1Department of Pharmaceutical Sciences, St. Jude Children's Research Hospital, Memphis, TN, USA.

Pharmacogenomics
|December 15, 2016
PubMed

Insights

The uridine-diphosphate glucuronyl transferase 1A1 (UGT1A1) -3279T>G (*60) variant is not linked to higher bilirubin levels in children. This finding impacts understanding of UGT1A1 genetic variations and bilirubin metabolism.

Area of Science:

  • Pharmacogenomics
  • Genetics
  • Biochemistry

Background:

  • The UGT1A1 gene plays a crucial role in bilirubin metabolism.
  • Genetic variations in UGT1A1, such as the -3279T>G (*60) variant, can affect enzyme activity.
  • Understanding these variations is important for predicting drug responses and disease risk.

Purpose of the Study:

  • To determine the functional impact of the UGT1A1 -3279T>G (*60) variant on serum bilirubin concentrations.
  • To investigate the association between the UGT1A1 -3279T>G (*60) variant and bilirubin levels in pediatric patients.
  • To assess the linkage disequilibrium between the UGT1A1 -3279T>G (*60) and A(TA)7TAA (*28) variants.

Main Methods:

  • Retrospective review of serum bilirubin concentrations in pediatric patients.
  • Genotyping for UGT1A1 -3279T>G (*60) and A(TA)7TAA (*28) variants.
  • Statistical analysis to evaluate associations and linkage disequilibrium.

Main Results:

  • No significant difference in total bilirubin concentration was observed between patients with UGT1A1*1/*1 and UGT1A1*60/*60 genotypes.
  • Total bilirubin concentrations were lower in patients homozygous for the UGT1A1 -3279T>G (*60/*60) variant compared to those homozygous for the A(TA)7TAA (*28/*28) variant (p < 0.01).
  • Strong incomplete linkage disequilibrium was found between the -3279T>G (*60) and A(TA)7TAA (*28) variants in both black and white populations.

Conclusions:

  • The UGT1A1 -3279T>G (*60) variant is not associated with elevated serum bilirubin concentrations.
  • The findings suggest that the *60 variant may have a different functional impact than previously assumed.
  • Further research is needed to fully elucidate the role of this variant in bilirubin metabolism and clinical outcomes.
Abstract

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