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Genetic variants associated with severe retinopathy of prematurity in extremely low birth weight infants
Journal article   Open access   Peer reviewed

Genetic variants associated with severe retinopathy of prematurity in extremely low birth weight infants

M Elizabeth Hartnett, Margaux A Morrison, Silvia Smith, Tammy L Yanovitch, Terri L Young, Tarah Colaizy, Allison Momany, John Dagle, Waldemar A Carlo, Erin A S Clark, …
Investigative ophthalmology & visual science, Vol.55(10), pp.6194-6203
08/12/2014
DOI: 10.1167/iovs.14-14841
PMCID: PMC4188045
PMID: 25118269
url
https://doi.org/10.1167/iovs.14-14841View
Published (Version of record) Open Access

Abstract

To determine genetic variants associated with severe retinopathy of prematurity (ROP) in a candidate gene cohort study of US preterm infants. Preterm infants in the discovery cohort were enrolled through the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network, and those in the replication cohort were from the University of Iowa. All infants were phenotyped for ROP severity. Because of differences in the durations of enrollment between cohorts, severe ROP was defined as threshold disease in the discovery cohort and as threshold disease or type 1 ROP in the replication cohort. Whole genome amplified DNA from stored blood spot samples from the Neonatal Research Network biorepository was genotyped using an Illumina GoldenGate platform for candidate gene single nucleotide polymorphisms (SNPs) involving angiogenic, developmental, inflammatory, and oxidative pathways. Three analyses were performed to determine significant epidemiologic variables and SNPs associated with levels of ROP severity. Analyses controlled for multiple comparisons, ancestral eigenvalues, family relatedness, and significant epidemiologic variables. Single nucleotide polymorphisms significantly associated with ROP severity from the discovery cohort were analyzed in the replication cohort and in meta-analysis. Eight hundred seventeen infants in the discovery cohort and 543 in the replication cohort were analyzed. Severe ROP occurred in 126 infants in the discovery and in 14 in the replication cohort. In both cohorts, ventilation days and seizure occurrence were associated with severe ROP. After controlling for significant factors and multiple comparisons, two intronic SNPs in the gene BDNF (rs7934165 and rs2049046, P < 3.1 × 10(-5)) were associated with severe ROP in the discovery cohort and were not associated with severe ROP in the replication cohort. However, when the cohorts were analyzed together in an exploratory meta-analysis, rs7934165 increased in associated significance with severe ROP (P = 2.9 × 10(-7)). Variants in BDNF encoding brain-derived neurotrophic factor were associated with severe ROP in a large candidate gene study of infants with threshold ROP.
Brain-Derived Neurotrophic Factor - genetics United States - epidemiology Follow-Up Studies Humans Male Retinopathy of Prematurity - genetics Incidence Genetic Variation Ethnic Groups - genetics Infant, Premature, Diseases - ethnology Retinopathy of Prematurity - ethnology Infant, Premature, Diseases - genetics Female Brain-Derived Neurotrophic Factor - metabolism Retrospective Studies Infant, Newborn Infant, Extremely Low Birth Weight Severity of Illness Index Risk Factors Gestational Age Linkage Disequilibrium Polymorphism, Genetic DNA - genetics Infant, Premature Infant, Premature, Diseases - metabolism Retinopathy of Prematurity - metabolism

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