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Published in: Child's Nervous System 8/2020

Open Access 01-08-2020 | Original Article

Role of Fibronectin-1 polymorphism genes with the pathogenesis of intraventricular hemorrhage in preterm infants

Authors: Dawid Szpecht, Salwan R. Al-Saad, Lukasz M. Karbowski, Katarzyna Kosik, Grażyna Kurzawińska, Marta Szymankiewicz, Krzysztof Drews, Agnieszka Seremak-Mrozikiewicz

Published in: Child's Nervous System | Issue 8/2020

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Abstract

Background/introduction

Intraventricular hemorrhage (IVH) is a dangerous complication facing a significant proportion of preterm infants. It is multifactorial in nature, and an observed fibronectin deficiency in the germinal matrix basal lamina is among the most prominent factors that influence such rupture. Better understanding of the FN1 gene polymorphisms and their role in IVH may further clarify the presence of a genetic susceptibility of certain babies to this complication. The aim of this study was to assess if 5 single nucleotide polymorphisms of the fibronectin gene may be linked to an increased incidence of IVH.

Material and methods

The study included 108 infants born between 24 and 32 weeks of gestation. IVH was diagnosed using cranial ultrasound performed on the 1st,3rd, and 7th day after birth and classified according to Papile et al. IVH classification. The 5 FN1 gene polymorphisms assessed in the study were the following: rs3796123; rs1968510; rs10202709; rs6725958; and rs35343655.

Results

IVH developed in 51 (47.2%) out of the 108 preterm infants. This includes, 18 (35.3%) with stage I IVH, 19 (37.3%) with stage II, 11 (21.6%) with stage III, and 3 (5.9%) with stage IV IVH. Incidence of IVH was higher in infants with lower APGAR scores, low gestational age, and low birthweight. Analysis showed that IVH stage II to IV was approximately seven times more likely to occur in infants with the genotype TT FN1 rs10202709 (OR 7237 (1046–79.59; p = 0,044)). No other significant association was found with the rest of the polymorphisms.

Conclusion

The results of our study indicate a sevenfold increased genetic susceptibility to IVH in preterm infants with the TT FN1 rs10202709 gene polymorphism. The fibronectin gene polymorphism may therefore be of crucial importance as a genetic risk factor for IVH in preterm infants. Further studies are warranted.
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Metadata
Title
Role of Fibronectin-1 polymorphism genes with the pathogenesis of intraventricular hemorrhage in preterm infants
Authors
Dawid Szpecht
Salwan R. Al-Saad
Lukasz M. Karbowski
Katarzyna Kosik
Grażyna Kurzawińska
Marta Szymankiewicz
Krzysztof Drews
Agnieszka Seremak-Mrozikiewicz
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 8/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04598-3

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