Hartz, Annika, Pagel, Julia, Humberg, Alexander, Preuss, Michael ORCID: 0000-0001-5266-8465, Schreiter, Lena, Rupp, Jan, Figge, Julia, Karsten, Christian M., Nuernberg, Peter, Herting, Egbert, Goepel, Wolfgang and Haertel, Christoph (2017). The association of mannose-binding lectin 2 polymorphisms with outcome in very low birth weight infants. PLoS One, 12 (5). SAN FRANCISCO: PUBLIC LIBRARY SCIENCE. ISSN 1932-6203

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Abstract

Objectives Studies on the influence of mannose-binding lectin (MBL) deficiency on infection susceptibility in preterm infants have yielded controversial results. We investigated the association of genotype-based MBL levels with outcome in very-low-birth weight infants (VLBWI). Methods We genotyped 3 genetic variants of MBL2 (rs1800450, rs1800451, rs5030737) in 6878 VLBWI. MBL plasma levels were categorized as normal (wild type, A/A), low (heterozygotes, A/O) or undetectable (homozygotes, O/O). Primary outcome was the effect of genotype-based MBL2 levels on blood-culture proven and clinical sepsis during primary stay in hospital. We also evaluated burden of infection within 24 months after discharge. Results We found no association between MBL levels and sepsis risk in the whole cohort. Infants without measurable MBL levels born between 32 0/7 to 36 6/7 weeks of gestation, however, had a higher rate of Gram-negative sepsis than infants with normal or reduced MBL levels. In a follow-up investigation at 24 months (n = 1070 infants), infants without measurable MBL levels suffered more frequently from stomatitis and urinary tract infection. Conclusions In a large cohort of VLBWI MBL2 deficiency had no major impact on infection risk unless children were born between 32 0/7 and 36 6/7 weeks of gestation.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hartz, AnnikaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pagel, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Humberg, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Preuss, MichaelUNSPECIFIEDorcid.org/0000-0001-5266-8465UNSPECIFIED
Schreiter, LenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rupp, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Figge, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karsten, Christian M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Nuernberg, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herting, EgbertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Goepel, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haertel, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-230639
DOI: 10.1371/journal.pone.0178032
Journal or Publication Title: PLoS One
Volume: 12
Number: 5
Date: 2017
Publisher: PUBLIC LIBRARY SCIENCE
Place of Publication: SAN FRANCISCO
ISSN: 1932-6203
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
COMPLEMENT; PATHWAY; MBL; INFECTION; NEWBORNS; CHILDREN; FICOLIN; SEPSIS; GENEMultiple languages
Multidisciplinary SciencesMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/23063

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