Evidence map›Paper›PMID 25521918›Full record

ArticlePediatric research2015

Genetic variation in CYB5R3 is associated with methemoglobin levels in preterm infants receiving nitric oxide therapy.

Tyson D Fuller, Cassandra N Spracklen, Kelli K Ryckman, Lindsey A Knake, Tamara D Busch, Allison M Momany, Jeffrey C Murray, John M Dagle

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Tyson D FullerDepartment of Pediatrics, University of Iowa, Iowa City, Iowa.
Cassandra N SpracklenDepartment of Epidemiology, University of Iowa, Iowa City, Iowa.ORCID 0000000335907182
Kelli K RyckmanDepartment of Epidemiology, University of Iowa, Iowa City, Iowa.
Lindsey A KnakeDepartment of Pediatrics, University of Iowa, Iowa City, Iowa.
Tamara D BuschDepartment of Pediatrics, University of Iowa, Iowa City, Iowa.
Allison M MomanyDepartment of Pediatrics, University of Iowa, Iowa City, Iowa.
Jeffrey C MurrayDepartment of Pediatrics, University of Iowa, Iowa City, Iowa.
John M DagleDepartment of Pediatrics, University of Iowa, Iowa City, Iowa.
University of Iowa · US

Funding

University of Iowa Clinical and Translational Science ProgramUL1TR000442 · NCATS · UNIVERSITY OF IOWA · PI ROSENTHAL, GARY E · 2012 to 2013
$10.0M
Maternal and fetal genetic factors in preterm birthR01HD052953 · NICHD · UNIVERSITY OF IOWA · PI MURRAY, JEFFREY C · 2006 to 2010
$2.8M
A Family and Population Approach to Gene Discovery for Preterm BirthR01HD057192 · NICHD · UNIVERSITY OF IOWA · PI MURRAY, JEFFREY C · 2009 to 2011
$1.8M
NCATS NIH HHS UL1 TR000442NICHD NIH HHS R01 HD052953NICHD NIH HHS R01 HD057192
6 · The paper itself

Abstract

backgroundIn recent years, increasing numbers of preterm infants have been exposed to inhaled nitric oxide (iNO). This population has decreased methemoglobin (MetHb) reductase activity in their erythrocytes, which may increase the risk of MetHb toxicity. We sought to determine if genetic factors are associated with the observed variance in MetHb levels.

methodsA population of 127 preterm infants was genotyped for five single-nucleotide polymorphisms (SNPs) in the CYB5A and CYB5R3 genes. iNO dose and levels of MetHb were obtained by chart abstraction. ANOVA was performed to identify genetic associations with MetHb levels.

resultsAn association was found between the heterozygous genotype (GA) of rs916321 in the CYB5R3 gene and the mean of the first recorded MetHb levels in Caucasian infants (P = 0.01). This result remained significant after adjustment for the iNO dose (P = 0.009), gender (P = 0.03), multiple gestation (P = 0.03), birth weight (P = 0.02), and gestational age (P = 0.02). No significant associations were found with the other SNPs.

conclusionWe demonstrate a novel genetic association with neonatal MetHb levels. Identification of genetic risk factors may be useful in determining which preterm infants are most at risk of developing MetHb toxicity with the use of iNO.

Indexed as

Analysis of VarianceCytochrome-B(5) ReductaseCytochromes b5ErythrocytesHumansInfant, NewbornInfant, PrematureMethemoglobinNitric OxidePolymorphism, Single NucleotideCYB5A protein, humanCYB5R3 protein, humanCytochrome-B(5) ReductaseCytochromes b5MethemoglobinNitric Oxide

Identifiers

PMID25521918
PMCPMC4518542
OpenAlexW2057008428

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.