Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants

Preterm delivery is associated with neurodevelopmental impairment caused by environmental and genetic factors. Dysfunction of the excitatory amino acid transporter 2 (EAAT2) and the resultant impaired glutamate uptake can lead to neurological disorders. In this study, we investigated the role of sin...

Full description

Bibliographic Details
Main Authors: Rajatileka, S, Odd, D, Robinson, M, Spittle, A, Dwomoh, L, Williams, M, Harding, D, Wagstaff, M, Owen, M, Crosby, C, Ching, J, Molnár, E, Luyt, K, Váradi, A
Format: Journal article
Published: Springer US 2017
_version_ 1826296959445499904
author Rajatileka, S
Odd, D
Robinson, M
Spittle, A
Dwomoh, L
Williams, M
Harding, D
Wagstaff, M
Owen, M
Crosby, C
Ching, J
Molnár, E
Luyt, K
Váradi, A
author_facet Rajatileka, S
Odd, D
Robinson, M
Spittle, A
Dwomoh, L
Williams, M
Harding, D
Wagstaff, M
Owen, M
Crosby, C
Ching, J
Molnár, E
Luyt, K
Váradi, A
author_sort Rajatileka, S
collection OXFORD
description Preterm delivery is associated with neurodevelopmental impairment caused by environmental and genetic factors. Dysfunction of the excitatory amino acid transporter 2 (EAAT2) and the resultant impaired glutamate uptake can lead to neurological disorders. In this study, we investigated the role of single nucleotide polymorphisms (SNPs; g.-200C>A and g.-181A>C) in the EAAT2 promoter in susceptibility to brain injury and neurodisability in very preterm infants born at or before 32-week gestation. DNA isolated from newborns’ dried blood spots were used for pyrosequencing to detect both SNPs. Association between EAAT2 genotypes and cerebral palsy, cystic periventricular leukomalacia and a low developmental score was then assessed. The two SNPs were concordant in 89.4% of infants resulting in three common genotypes all carrying two C and two A alleles in different combinations. However, in 10.6% of cases, non-concordance was found, generating six additional rare genotypes. The A alleles at both loci appeared to be detrimental and consequently, the risk of developing cerebral palsy increased four- and sixfold for each additional detrimental allele at -200 and -181 bp, respectively. The two SNPs altered the regulation of the EAAT2 promoter activity and glutamate homeostasis. This study highlights the significance of glutamate in the pathogenesis of preterm brain injury and subsequent development of cerebral palsy and neurodevelopmental disabilities. Furthermore, the described EAAT2 SNPs may be an early biomarker of vulnerability to neurodisability and may aid the development of targeted treatment strategies.
first_indexed 2024-03-07T04:24:20Z
format Journal article
id oxford-uuid:cc1ae17a-ca0e-4ec4-8fbf-2f6d38f50ff7
institution University of Oxford
last_indexed 2024-03-07T04:24:20Z
publishDate 2017
publisher Springer US
record_format dspace
spelling oxford-uuid:cc1ae17a-ca0e-4ec4-8fbf-2f6d38f50ff72022-03-27T07:19:33ZVariants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infantsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:cc1ae17a-ca0e-4ec4-8fbf-2f6d38f50ff7Symplectic Elements at OxfordSpringer US2017Rajatileka, SOdd, DRobinson, MSpittle, ADwomoh, LWilliams, MHarding, DWagstaff, MOwen, MCrosby, CChing, JMolnár, ELuyt, KVáradi, APreterm delivery is associated with neurodevelopmental impairment caused by environmental and genetic factors. Dysfunction of the excitatory amino acid transporter 2 (EAAT2) and the resultant impaired glutamate uptake can lead to neurological disorders. In this study, we investigated the role of single nucleotide polymorphisms (SNPs; g.-200C>A and g.-181A>C) in the EAAT2 promoter in susceptibility to brain injury and neurodisability in very preterm infants born at or before 32-week gestation. DNA isolated from newborns’ dried blood spots were used for pyrosequencing to detect both SNPs. Association between EAAT2 genotypes and cerebral palsy, cystic periventricular leukomalacia and a low developmental score was then assessed. The two SNPs were concordant in 89.4% of infants resulting in three common genotypes all carrying two C and two A alleles in different combinations. However, in 10.6% of cases, non-concordance was found, generating six additional rare genotypes. The A alleles at both loci appeared to be detrimental and consequently, the risk of developing cerebral palsy increased four- and sixfold for each additional detrimental allele at -200 and -181 bp, respectively. The two SNPs altered the regulation of the EAAT2 promoter activity and glutamate homeostasis. This study highlights the significance of glutamate in the pathogenesis of preterm brain injury and subsequent development of cerebral palsy and neurodevelopmental disabilities. Furthermore, the described EAAT2 SNPs may be an early biomarker of vulnerability to neurodisability and may aid the development of targeted treatment strategies.
spellingShingle Rajatileka, S
Odd, D
Robinson, M
Spittle, A
Dwomoh, L
Williams, M
Harding, D
Wagstaff, M
Owen, M
Crosby, C
Ching, J
Molnár, E
Luyt, K
Váradi, A
Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
title Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
title_full Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
title_fullStr Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
title_full_unstemmed Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
title_short Variants of the EAAT2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
title_sort variants of the eaat2 glutamate transporter gene promoter are associated with cerebral palsy in preterm infants
work_keys_str_mv AT rajatilekas variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT oddd variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT robinsonm variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT spittlea variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT dwomohl variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT williamsm variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT hardingd variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT wagstaffm variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT owenm variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT crosbyc variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT chingj variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT molnare variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT luytk variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants
AT varadia variantsoftheeaat2glutamatetransportergenepromoterareassociatedwithcerebralpalsyinpreterminfants