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Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients

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Resumo:Gilbert syndrome (GS, OMIM 606785) is an autosomal recessive condition characterized by unconjugated hiperbilirubinemia in the absence of hemolysis or underlying liver disease due to the reduced activity of the uridine diphosphate-glucuronosyltransferase (UGT1A1). This enzyme is mainly expressed in the liver and has an important role in the glucuronidation of bilirubin, 17β-estradiol, some therapeutic drugs and mutagenic xenobiotics. Absence or severe reductions of UGT1A1 activity are associated with Crigler-Najjar syndrome type I and type II, respectively. Heterozygous carriers of Crigler-Najjar syndrome also present a high incidence of mild hyperbilirubinemia, a feature of GS. Aim: This work investigated the effect of UGT1A1 variants on total bilirubin levels in Gilbert patients (n=45) and healthy controls (n=161). Total bilirubin levels were determined using a colorimetric method. Molecular analysis of exons 1-5 and two UGT1A1 promoter regions were performed by direct sequencing and automatic analysis of fragments. Five in silico methods predicted the effect of new identified variants. A significant different allelic distribution, in Gilbert patients and in controls, was found for two promoter polymorphisms. Among patients, 82.2% were homozygous and 17.8% heterozygous for the c.-41_-40dupTA allele; in control group, 9.9% were homozygous and 43.5% heterozygous for this promoter variant, while 46.6% (n=75) presented the [A(TA)6TAA]. For the T>G transition at c.-3279 promoter region, in patients, 86.7% were homozygous and 13.3% heterozygous; in control group, 33.5% were homozygous for the wild type allele, 44.1% were heterozygous and 22.4% homozygous for the mutated allele. The two polymorphisms were in Hardy-Weinberg equilibrium in both groups. Sequencing of UGT1A1 coding region identified nine novel variants, five in patients and four in controls. In silico analysis of these amino acids replacements predicted four of them as benign and three as damaging. Conclusions: We demonstrated that total bilirubin levels are manly determined by the TA duplication in the TATA-box promoter and by the c.-3279T>G variant. Alterations in the UGT1A1 coding region seem to be associated with increased bilirubin levels, and therefore with Gilbert Syndrome.
Autores principais:Rodrigues, Carina
Outros Autores:Vieira, Emília; Santos, Rosário; Carvalho, João; Santos-Silva, Alice; Costa, Elísio; Bronze-da-Rocha, Elsa
Assunto:UGT1A1 variants Gilbert syndrome
Ano:2012
País:Portugal
Tipo de documento:póster em conferência
Tipo de acesso:acesso aberto
Instituição associada:Instituto Politécnico de Bragança
Idioma:inglês
Origem:Biblioteca Digital do IPB
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author Rodrigues, Carina
author2 Vieira, Emília
Santos, Rosário
Carvalho, João
Santos-Silva, Alice
Costa, Elísio
Bronze-da-Rocha, Elsa
author2_role author
author
author
author
author
author
author_facet Rodrigues, Carina
Vieira, Emília
Santos, Rosário
Carvalho, João
Santos-Silva, Alice
Costa, Elísio
Bronze-da-Rocha, Elsa
author_role author
contributor_name_str_mv Biblioteca Digital do IPB
country_str PT
creators_json_str [{\"Person.name\":\"Rodrigues, Carina\",\"Person.identifier.orcid\":\"0000-0001-9773-1413\"},{\"Person.name\":\"Vieira, Emília\"},{\"Person.name\":\"Santos, Rosário\"},{\"Person.name\":\"Carvalho, João\"},{\"Person.name\":\"Santos-Silva, Alice\"},{\"Person.name\":\"Costa, Elísio\"},{\"Person.name\":\"Bronze-da-Rocha, Elsa\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Biblioteca Digital do IPB
datacite.creators.creator.creatorName.fl_str_mv Rodrigues, Carina
Vieira, Emília
Santos, Rosário
Carvalho, João
Santos-Silva, Alice
Costa, Elísio
Bronze-da-Rocha, Elsa
datacite.date.Accepted.fl_str_mv 2012-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2014-10-30T16:38:18Z
datacite.date.embargoed.fl_str_mv 2014-10-30T16:38:18Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv UGT1A1 variants
Gilbert syndrome
datacite.titles.title.fl_str_mv Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
dc.contributor.none.fl_str_mv Biblioteca Digital do IPB
dc.creator.none.fl_str_mv Rodrigues, Carina
Vieira, Emília
Santos, Rosário
Carvalho, João
Santos-Silva, Alice
Costa, Elísio
Bronze-da-Rocha, Elsa
dc.date.Accepted.fl_str_mv 2012-01-01T00:00:00Z
dc.date.available.fl_str_mv 2014-10-30T16:38:18Z
dc.date.embargoed.fl_str_mv 2014-10-30T16:38:18Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10198/11260
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Universidade de Coimbra, Faculdade de Medicina
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv UGT1A1 variants
Gilbert syndrome
dc.title.fl_str_mv Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6670
description Gilbert syndrome (GS, OMIM 606785) is an autosomal recessive condition characterized by unconjugated hiperbilirubinemia in the absence of hemolysis or underlying liver disease due to the reduced activity of the uridine diphosphate-glucuronosyltransferase (UGT1A1). This enzyme is mainly expressed in the liver and has an important role in the glucuronidation of bilirubin, 17β-estradiol, some therapeutic drugs and mutagenic xenobiotics. Absence or severe reductions of UGT1A1 activity are associated with Crigler-Najjar syndrome type I and type II, respectively. Heterozygous carriers of Crigler-Najjar syndrome also present a high incidence of mild hyperbilirubinemia, a feature of GS. Aim: This work investigated the effect of UGT1A1 variants on total bilirubin levels in Gilbert patients (n=45) and healthy controls (n=161). Total bilirubin levels were determined using a colorimetric method. Molecular analysis of exons 1-5 and two UGT1A1 promoter regions were performed by direct sequencing and automatic analysis of fragments. Five in silico methods predicted the effect of new identified variants. A significant different allelic distribution, in Gilbert patients and in controls, was found for two promoter polymorphisms. Among patients, 82.2% were homozygous and 17.8% heterozygous for the c.-41_-40dupTA allele; in control group, 9.9% were homozygous and 43.5% heterozygous for this promoter variant, while 46.6% (n=75) presented the [A(TA)6TAA]. For the T>G transition at c.-3279 promoter region, in patients, 86.7% were homozygous and 13.3% heterozygous; in control group, 33.5% were homozygous for the wild type allele, 44.1% were heterozygous and 22.4% homozygous for the mutated allele. The two polymorphisms were in Hardy-Weinberg equilibrium in both groups. Sequencing of UGT1A1 coding region identified nine novel variants, five in patients and four in controls. In silico analysis of these amino acids replacements predicted four of them as benign and three as damaging. Conclusions: We demonstrated that total bilirubin levels are manly determined by the TA duplication in the TATA-box promoter and by the c.-3279T>G variant. Alterations in the UGT1A1 coding region seem to be associated with increased bilirubin levels, and therefore with Gilbert Syndrome.
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eu_rights_str_mv openAccess
format conferencePoster
fulltext.url.fl_str_mv https://bibliotecadigital.ipb.pt/bitstreams/f86b250c-3a0c-47ce-877a-2e9dd36a4ed1/download
id ipb_4deaed5d6f24eff80e91502d975ca751
identifier.url.fl_str_mv http://hdl.handle.net/10198/11260
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instname_str Instituto Politécnico de Bragança
language eng
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oai_identifier_str oai:bibliotecadigital.ipb.pt:10198/11260
organization_str_mv urn:organizationAcronym:ipb
person_str_mv Rodrigues, Carina
Rodrigues, Carina
https://www.ciencia-id.pt/C415-C677-0253
C415-C677-0253
http://orcid.org/0000-0001-9773-1413
0000-0001-9773-1413
Vieira, Emília
Santos, Rosário
Carvalho, João
Santos-Silva, Alice
Costa, Elísio
Bronze-da-Rocha, Elsa
publishDate 2012
publisher.none.fl_str_mv Universidade de Coimbra, Faculdade de Medicina
reponame_str Biblioteca Digital do IPB
repository_id_str urn:repositoryAcronym:ipb
service_str_mv urn:repositoryAcronym:ipb
spelling engUniversidade de Coimbra, Faculdade de MedicinaporGilbert syndrome (GS, OMIM 606785) is an autosomal recessive condition characterized by unconjugated hiperbilirubinemia in the absence of hemolysis or underlying liver disease due to the reduced activity of the uridine diphosphate-glucuronosyltransferase (UGT1A1). This enzyme is mainly expressed in the liver and has an important role in the glucuronidation of bilirubin, 17β-estradiol, some therapeutic drugs and mutagenic xenobiotics. Absence or severe reductions of UGT1A1 activity are associated with Crigler-Najjar syndrome type I and type II, respectively. Heterozygous carriers of Crigler-Najjar syndrome also present a high incidence of mild hyperbilirubinemia, a feature of GS. Aim: This work investigated the effect of UGT1A1 variants on total bilirubin levels in Gilbert patients (n=45) and healthy controls (n=161). Total bilirubin levels were determined using a colorimetric method. Molecular analysis of exons 1-5 and two UGT1A1 promoter regions were performed by direct sequencing and automatic analysis of fragments. Five in silico methods predicted the effect of new identified variants. A significant different allelic distribution, in Gilbert patients and in controls, was found for two promoter polymorphisms. Among patients, 82.2% were homozygous and 17.8% heterozygous for the c.-41_-40dupTA allele; in control group, 9.9% were homozygous and 43.5% heterozygous for this promoter variant, while 46.6% (n=75) presented the [A(TA)6TAA]. For the T>G transition at c.-3279 promoter region, in patients, 86.7% were homozygous and 13.3% heterozygous; in control group, 33.5% were homozygous for the wild type allele, 44.1% were heterozygous and 22.4% homozygous for the mutated allele. The two polymorphisms were in Hardy-Weinberg equilibrium in both groups. Sequencing of UGT1A1 coding region identified nine novel variants, five in patients and four in controls. In silico analysis of these amino acids replacements predicted four of them as benign and three as damaging. Conclusions: We demonstrated that total bilirubin levels are manly determined by the TA duplication in the TATA-box promoter and by the c.-3279T>G variant. Alterations in the UGT1A1 coding region seem to be associated with increased bilirubin levels, and therefore with Gilbert Syndrome.application/pdfporUgt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patientsPersonalRodrigues, CarinaDSpacehttp://dspace.org/items/ef666665-6593-48be-bc48-6a1bb58bedbdDSpacehttp://dspace.org/items/ef666665-6593-48be-bc48-6a1bb58bedbdRodriguesCarinaCiência IDhttps://www.ciencia-id.ptC415-C677-0253ORCIDhttp://orcid.org0000-0001-9773-1413Vieira, EmíliaSantos, RosárioCarvalho, JoãoSantos-Silva, AliceCosta, ElísioBronze-da-Rocha, ElsaHostingInstitutionOrganizationalBiblioteca Digital do IPBe-mailmailto:dspace@ipb.ptdspace@ipb.pt2014-10-30T16:38:18Z20122012-01-01T00:00:00ZHandlehttp://hdl.handle.net/10198/11260http://purl.org/coar/access_right/c_abf2open accessUGT1A1 variantsGilbert syndrome4443309 bytesother research producthttp://purl.org/coar/resource_type/c_6670conference posterhttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://bibliotecadigital.ipb.pt/bitstreams/f86b250c-3a0c-47ce-877a-2e9dd36a4ed1/downloadWorkshop Bioquímica ClínicaCoimbra
spellingShingle Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
Rodrigues, Carina
UGT1A1 variants
Gilbert syndrome
subject.fl_str_mv UGT1A1 variants
Gilbert syndrome
title Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
title_full Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
title_fullStr Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
title_full_unstemmed Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
title_short Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
title_sort Ugt1a1 gene variants and total bilirubin levels in healthy subjects and in Gilbert syndrome patients
topic UGT1A1 variants
Gilbert syndrome
topic_facet UGT1A1 variants
Gilbert syndrome
url http://hdl.handle.net/10198/11260
visible 1