UCL logo

UCL Discovery

UCL home » Library Services » Electronic resources » UCL Discovery

Does interleukin-6 genotype influence cerebral injury or developmental progress after preterm birth?

Harding, DR; Dhamrait, S; Whitelaw, A; Humphries, SE; Marlow, N; Montgomery, HE; (2004) Does interleukin-6 genotype influence cerebral injury or developmental progress after preterm birth? PEDIATRICS , 114 (4) 941 - 947. 10.1542/peds.2003-0494-F.

Full text not available from this repository.

Abstract

Objective. The severity of the proinflammatory response may determine outcome in the critically ill. Genetic variation in the promoter region of the gene encoding the proinflammatory cytokine interleukin-6 (IL-6; -174 CC genotype) may encode enhanced production of IL-6. Our objective was to determine whether the CC genotype is associated with worse early illness severity, neurologic injury, and lower developmental scores among surviving preterm children.Methods. Genotype was determined from dried blood spots that were taken for neonatal screening tests 7 days or more after birth; outcome was independently assessed as part of a longitudinal study of children of less than or equal to32 weeks' gestational age.Results. CC genotype was associated with worse intensive care indices. Significant hemorrhagic brain injuries occurred in 5 (19%) of 27 children with CC genotype compared with 7 (6%) of 121 children with GC or GG genotype, and images consistent with white matter damage (ventriculomegaly or cystic periventricular leukomalacia) occurred in 9 (26%) of CC patients compared with 9 (7%) in GC/GG children. Disability occurred significantly more often in CC children: 8 (31%) compared with 16 (13%). A similar trend was also noted in children with cerebral palsy (15% compared with 7%, respectively). Developmental, cognitive, and motor scores at 2 years and 5.5 years were independent of genotype among children with or without disability.Conclusions. In a population of surviving children who were born at less than or equal to32 weeks' gestational age, variation of the gene that may increase IL-6 synthesis is associated with disabling brain injury but not cognitive development despite association with worse early critical care indices.

Type: Article
Title: Does interleukin-6 genotype influence cerebral injury or developmental progress after preterm birth?
DOI: 10.1542/peds.2003-0494-F
Keywords: interleukin-6, polymorphism, infant premature, neurodevelopment, NECROSIS-FACTOR-ALPHA, RESPIRATORY-DISTRESS-SYNDROME, WHITE-MATTER LESIONS, PERIVENTRICULAR LEUKOMALACIA, INTRAVENTRICULAR HEMORRHAGE, PROMOTER POLYMORPHISM, INFLAMMATORY CYTOKINES, PERINATAL ASPHYXIA, PREMATURE-INFANT, BRAIN-DAMAGE
URI: http://discovery.ucl.ac.uk/id/eprint/122332
Downloads since deposit
0Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item