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1828G>A polymorphism of the UDP-glucuronosyltransferase gene (UGT1A1) for neonatal hyperbilirubinemia in Koreans

Korean Journal of Pediatrics 2006;49(1):34-39.
Published online January 15, 2006.
1828G>A polymorphism of the UDP-glucuronosyltransferase gene (UGT1A1) for neonatal hyperbilirubinemia in Koreans
Ja Young Kim1, Mi Yeoun Kim1, Ji Sook Kim1, Eun Ryoung Kim1, Seo Hyun Yoon2, Hee Jae Lee3, Joo Ho Chung2
1Department of Pediatrics, Sung-Ae General Hospital, Seoul
2Department of Pharmacology, College of Medicine, Kyunghee University, Seoul
3Department of Pharmacology, College of Medicine, Kangwon National University, Chuncheon, Korea
한국인 신생아 황달에서 UGT1A1 유전자의 1828G>A 단일염기다형성에 관한 연구
김자영1, 김미연1, 김지숙1, 김은령1, 윤서현2, 이희제3, 정주호2
1성애병원 소아과
2경희대학교 의과대학 약리학교실
3강원대학교 의과대학 약리학교실
Correspondence: 
Eun Ryoung Kim, Email: eunicu@hotmail.com
Abstract
Purpose
: The incidence of neonatal hyperbilirubinemia is twice as high in East Asians as in Caucasians. However, its metabolic basis has not been clearly explained. The UDP-glucuronosyltransferase gene(UGT1A1) mutation was found to be a risk factor of neonatal hyperbilirubinemia. We studied whether neonatal hyperbilirubinemia is associated with the 1828G>A(rs 10929303) polymorphism of the UGT1A1 gene, which encodes for a key enzyme of bilirubin metabolism.
Methods
: The genomic DNA was isolated from 80 Korean full term neonates who had greater than a 12 mg/dL level of serum bilirubin with no obvious cause, and the genomic DNA was also isolated from 164 Korean neonates of the control population. We studied a single nucleotide polymorphism (SNP) of 1828G>A in the untranslated region of the UGT1A1 gene by direct sequencing.
Results
: Three of the 80 neonates with a serum bilirubin level above 12 mg/dL had homozygous mutations and 10 of the 80 neonates with a serum bilirubin level above 12 mg/dL had heterozygous mutations. Thirteen of the 164 neonates of the control group had homozygous mutations and 16 neonates of the control group had heterozygous mutations. The allele frequency of 1828G>A polymorphism of UGT1A1 in the hyperbilirubinemia group was 10.0 percent, which was not significantly different from the allele frequency of 12.8 percent in the control group.
Conclusion
: In this study, the 1828G>A polymorphism of the UGT1A1 gene was detected in the Korean neonates with neonatal hyperbilirubinemia. Our results indicated that this SNP is not associated with the prevalence of hyperbilirubinemia in Koreans.
Key Words: UDP-glucuronosyltransferase gene(UGT1A1) , Neonatal hyperbilirubinemia , Polymorphism


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