title: UGT1A1*28 Genotypes and Respiratory Disease in Very Preterm Infants: A Cohort Study.
abstract: BACKGROUND
  Respiratory disease in the very preterm infant is frequent and often severe. Bilirubin is both a potent neurotoxin and antioxidant, and may have a clinical impact on preterm respiratory disease. The Gilbert genotype, the UGT1A1*28 allele, is the major known genetic cause of variation in bilirubin.
  
  
  OBJECTIVE
  To study the association between respiratory disease in the very preterm infant and the UGT1A1*28 allele.
  
  
  METHODS
  This is a cohort study of 1,354 very preterm infants (gestational age <32 weeks) born in Jutland, Denmark in 1997-2011. Genotypes were obtained from the Danish Neonatal Screening Biobank, and clinical information was obtained from the databases of two tertiary neonatal intensive care units. Outcomes were the need for surfactant therapy, any need for and duration of supplementary oxygen and bronchopulmonary dysplasia (BPD).
  
  
  RESULTS
  Per UGT1A1*28 allele, odds were increased for any need of supplementary oxygen (odds ratio 1.26; 1.05-1.50) and for BPD (odds ratio 1.71; 1.23-2.39), the need of supplementary oxygen increased by 6.38 days (1.87-10.89), and chance per day of no longer needing supplementary oxygen was reduced (hazard rate 0.84; 0.76-0.93). No effect was observed for need of surfactant treatment (odds ratio 1.08; 0.91-1.28). Hardy-Weinberg equilibrium was unlikely for the cohort (p < 0.012). This could be explained by death prior to genotype sampling. In tests of robustness this failed to explain the primary results.
  
  
  CONCLUSIONS
  Compared to the common genotype, UGT1A1*28 genotypes were associated with an increased need of oxygen supplementation and risk of BPD in very preterm newborns.
authors.affiliation: Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
authors.forename: Jesper Padkær
authors.initials: JP
authors.lastname: Petersen
authors.forename: Finn
authors.initials: F
authors.lastname: Ebbesen
authors.forename: Mads Vilhelm
authors.initials: MV
authors.lastname: Hollegaard
authors.forename: Sofia
authors.initials: S
authors.lastname: Andersson
authors.forename: David Michael
authors.initials: DM
authors.lastname: Hougaard
authors.forename: Ole
authors.initials: O
authors.lastname: Thorlacius-Ussing
authors.forename: Tine Brink
authors.initials: TB
authors.lastname: Henriksen
mesh_terms: D001997:Bronchopulmonary Dysplasia / Q000201:enzymology / Q000235:genetics* / Q000628:therapy; D015331:Cohort Studies; D045422:Continuous Positive Airway Pressure; D003718:Denmark; D020022:Genetic Predisposition to Disease; D005838:Genotype; D014453:Glucuronosyltransferase / Q000235:genetics*; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000201:enzymology / Q000235:genetics*; D011663:Pulmonary Surfactants / Q000627:therapeutic use; D012120:Respiration Disorders / Q000201:enzymology / Q000235:genetics*; D012720:Severity of Illness Index; D000099148:UGT1A1 Enzyme
chemical_list: D014453:Glucuronosyltransferase; D011663:Pulmonary Surfactants; D000099148:UGT1A1 Enzyme