The role of gene polymorphism in the development of critical conditions of newborns of different etiology (literature review)

Authors

  • E.A. Gasimova Science-Research Institute of Pediatrics named after K. Faradjeva, Baku, Azerbaijan
  • S.Z. Garaeva Azerbaijan Medical University, Azerbaijan

DOI:

https://doi.org/10.15574/SP.2025.1(145).8587

Keywords:

newborn, neonatal mortality, diagnostics, genetic markers

Abstract

In recent years, a key achievement of medical science in diagnostic and prognostic aspects has been the study of molecular-genetic mechanisms involved in developing critical conditions and various diseases in children, especially newborns.

The aim of the study was to evaluate modern concepts about the role of gene polymorphism in the development of critical conditions of newborns of various etiologies, as well as issues of early prediction of these pathological conditions.

This article presents a literature review addressing key issues related to the determination of a significant relationship between gene polymorphism and neonatal pathologies. The study of gene polymorphisms affecting the development of various diseases is currently considered relevant due to the lack of scientific research in this area among the pediatric population. Special attention is given to studies conducted using the Genome-Wide Association Studies (GWAS) method to identify gene loci associated with various pathological conditions occurring in the neonatal period. Understanding the genetic factors influencing fetal development is critical for comprehending diseases’ complexities and severities. Summarizing the theories and hypotheses presented in the article, it can be concluded that studying gene polymorphism and applying an individualized approach to diagnosing neonatal diseases is of great importance.

Conclusions. According to modern concepts presented in the literature, it should be emphasized that the need for early genetic testing of newborns, especially those with risk factors for perinatal asphyxia, can play a decisive role in the timely detection of severe conditions. Various genetic loci and gene mutations contribute to the detailing of clinical manifestations of diseases and risk factors, indicating the importance of identifying gene polymorphisms.

The authors declare no conflict of interest.

References

Abdelwahed M, Benoit V, Maalej B et al. (2024, Nov 15). Genetic insights into fetal kidney development: Variants in HNF1A and PKHD1 genes. Gene. 927: 148625. https://doi.org/10.1016/j.gene.2024.148625; PMid:38830515

An AY, Acton E, Idoko OT et al. (2024). Predictive gene expression signature diagnoses neonatal sepsis before clinical presentation. EBioMedicine. 110(8): 105411. https://doi.org/10.1016/j.ebiom.2024.105411; PMid:39472236 PMCid:PMC11663757

Cui Z, Shen W, Sun X, Li Y, Liu Y, Sun Z. (2024, Feb 29). Developing and evaluating a predictive model for neonatal hyperbilirubinemia based on UGT1A1 gene polymorphism and clinical risk factors. Front Pediatr. 12: 1345602. https://doi.org/10.3389/fped.2024.1345602; PMid:38487473 PMCid:PMC10937529

Dehghan A. (2018). Genome-Wide Association Studies Methods Mol Biol. 1793: 37-49. https://doi.org/10.1007/978-1-4939-7868-7_4; PMid:29876890

Golshan-Tafti M, Bahrami R, Dastgheib SA et al. (2024, Sep-Oct). A Comprehensive Compilation of Data on the Relationship Between Surfactant Protein-B (SFTPB) Polymorphisms and Susceptibility to Neonatal Respiratory Distress Syndrome. Fetal Pediatr Pathol. 43(5): 399-418. https://doi.org/10.1080/15513815.2024.2390932; PMid:39159013

Kadivnik M, Plečko D, Kralik K et al. (2024, Apr). Role of IL-6, IL-10 and TNFα Gene Variants in Preterm Birth J Clin Med. 13(8): 2429. Published online 2024 Apr 21. https://doi.org/10.3390/jcm13082429; PMid:38673702 PMCid:PMC11051338

Kastsiukevich L, Romanova O, Mikhalenko A, Mazur O, Malyshava V et al. (2024). Molecular Genetic Analysis in Pediatric Patients with Inflammatory Intestinal Diseases. Pediatrics Eastern Europe. 12; 4: 544-554. URL: https://deti.recipe.by/en/?editions=2024-volume-12-number-4. https://doi.org/10.34883/PI.2024.12.4.002

Liang J, Su Y, Wang N, Wang X et al. (2024, Jun 7). A meta-analysis of the association between inflammatory cytokine polymorphism and n eonatal sepsis. PLoS One. 19(6): e0301859. https://doi.org/10.1371/journal.pone.0301859; PMid:38848433 PMCid:PMC11161124

Paradis H, Werdyani S, Zhai G et al. (2024, Jul). Genetic Variants of the Beta-Adrenergic Receptor Pathways as Both Risk and Protective Factors for Retinopathy of Prematurity. Am J Ophthalmol. 263: 179-187. https://doi.org/10.1016/j.ajo.2023.12.017; PMid:38224928

Sanchez-Pinto LN, Stroup EK, Pendergrast T et al. (2020). Derivation and Validation of Novel Phenotypes of Multiple Organ Dysfunction Syndrome in Critically Ill Children. JAMA Netw Open. 3(8): e209271. https://doi.org/10.1001/jamanetworkopen.2020.9271; PMid:32780121 PMCid:PMC7420303

Shimchenko EV, Klesnenko EI. (2017). Physical development disorders of children with different outcomes of perinatal brain lesions. Kuban Scientific Medical Bulletin. 1: 142-144. https://doi.org/10.25207/1608-6228-2017-1-142-144

Wang Y, Xu Y, Zhou C, Cheng Y et al. (2024, May). Exome sequencing reveals genetic heterogeneity and clinically actionable findings in children with cerebral palsy. Nat Med. 30(5): 1395-1405. https://doi.org/10.1038/s41591-024-02912-z; PMid:38693247

WHO. (2024). Newborn mortality. 14 march 2024. URL: https://www.who.int/ru/news-room/fact-sheets/detail/newborn-mortality.

World Health Organization. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organization. Geneva: 86.

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Published

2025-02-27