{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:45:00Z","timestamp":1788669900034,"version":"build-2803163510"},"reference-count":18,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1999,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective.<\/jats:title>\n                  <jats:p>The incidence of nonphysiologic neonatal hyperbilirubinemia is twice as high in East Asians as in whites. We studied whether the condition was associated with mutations in the gene for bilirubin uridine 5\u2032-diphosphate-glucuronosyltransferase (UGT1A1), a key enzyme of bilirubin catabolism.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design.<\/jats:title>\n                  <jats:p>We analyzed the UGT1A1 gene in 25 Japanese neonates who had nonphysiologic hyperbilirubinemia (serum bilirubin &amp;gt;257 \u03bcmol\/L) with no obvious cause. They had all received phototherapy. The background control population consisted of 50 Japanese neonates whose transcutaneous jaundice index was monitored during the first week of life. We detected mutations by direct sequencing of polymerase chain reaction-amplified fragments of the gene.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results.<\/jats:title>\n                  <jats:p>We found a polymorphism for UGT1A1in exon 1; a G\u2192A transition at nucleotide 211 caused arginine to replace glycine at position 71 of corresponding protein product (G71R). The frequency of the mutated allele in the hyperbilirubinemic group (0.34) was significantly higher (\u03c72 = 5.56) than in the control group (0.16). In the control group the peak transcutaneous jaundice index of the carriers of G71R was significantly higher than it was in the normal infants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions.<\/jats:title>\n                  <jats:p>The missense mutation causing G71R is the first reported polymorphism for UGT1A1, and the mutation is a risk factor for nonphysiologic neonatal hyperbilirubinemia. The high incidence of hyperbilirubinemia in the Japanese may be attributable to the high frequency of this missense mutation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.103.6.1224","type":"journal-article","created":{"date-parts":[[2004,8,13]],"date-time":"2004-08-13T23:45:45Z","timestamp":1092440745000},"page":"1224-1227","source":"Crossref","is-referenced-by-count":135,"title":["Association of Neonatal Hyperbilirubinemia With Bilirubin UDP-Glucuronosyltransferase Polymorphism"],"prefix":"10.1542","volume":"103","author":[{"given":"Yoshihiro","family":"Maruo","sequence":"first","affiliation":[{"name":"From the Departments of Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kashiro","family":"Nishizawa","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Ohmi-Hachiman Municipal Hospital, Ohmi-Hachiman, Shiga, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Sato","sequence":"additional","affiliation":[{"name":"Biology, Shiga University of Medical Science, Otsu, Shiga, Japan; and the"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukio","family":"Doida","sequence":"additional","affiliation":[{"name":"Biology, Shiga University of Medical Science, Otsu, Shiga, Japan; and the"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morimi","family":"Shimada","sequence":"additional","affiliation":[{"name":"From the Departments of Pediatrics and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[1999,6,1]]},"reference":[{"key":"2021121002531422600_B1"},{"key":"2021121002531422600_B2","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1001\/archpedi.1990.02150270114039","article-title":"Laboratory evaluation of jaundice in newborn.","volume":"144","author":"Newman","year":"1990","journal-title":"Am J Dis Child"},{"key":"2021121002531422600_B3","first-page":"377A","article-title":"Comparison of bilirubin production in Japanese and Caucasian infants.","volume":"21","author":"Stevenson","year":"1987","journal-title":"Pediatr Res"},{"key":"2021121002531422600_B4","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1016\/S0021-9258(17)35280-8","article-title":"Cloning of two human liver bilirubin UDP-glucuronosyltransferase cDNAs with expression in COS-1 cells.","volume":"266","author":"Ritter","year":"1991","journal-title":"J Biol Chem"},{"key":"2021121002531422600_B5","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/0928-4346(96)00313-1","article-title":"Genetic background of constitutional unconjugated hyperbilirubinemia.","volume":"5","author":"Adachi","year":"1996","journal-title":"Int Hepatol Commun"},{"key":"2021121002531422600_B6","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1203\/00006450-199406000-00002","article-title":"A new type of defect in the gene for bilirubin uridine 5\u2032-diphosphate-glucuronosyltransferase in a patient with Crigler-Najjar syndrome type I.","volume":"35","author":"Aono","year":"1994","journal-title":"Pediatr Res"},{"key":"2021121002531422600_B7","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/S0140-6736(96)91273-8","article-title":"Genetic variation in bilirubin UDP-glucuronosyltransferase gene promoter and Gilbert's syndrome.","volume":"347","author":"Monaghan","year":"1996","journal-title":"Lancet"},{"key":"2021121002531422600_B8","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/BF00220463","article-title":"Molecular analysis of five independent Japanese mutant genes responsible for hypoxanthine guanine phosphoribosyltransferase (HPRT) deficiency.","volume":"90","author":"Yamada","year":"1992","journal-title":"Hum Genet"},{"key":"2021121002531422600_B9","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1111\/j.1442-200X.1989.tb01271.x","article-title":"Transcutaneous bilirubinometry in neonatal Japanese infants.","volume":"31","author":"Yamauchi","year":"1989","journal-title":"Acta Pediatr Jpn"},{"key":"2021121002531422600_B10","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1056\/NEJM199511023331802","article-title":"The genetic basis of the reduced expression of bilirubin UDP-glucuronosyltransferase 1 in Gilbert's syndrome.","volume":"333","author":"Bosma","year":"1995","journal-title":"N Engl J Med."},{"key":"2021121002531422600_B11","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1042\/bj1840705","article-title":"Postnatal development of uridine diphosphate glucuronosyl transferase activity toward bilirubin and o-aminophenol in human liver.","volume":"194","author":"Onishi","year":"1979","journal-title":"Biochem J"},{"key":"2021121002531422600_B12","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/S0022-3476(79)80231-0","article-title":"Pulmonary excretion of carbon monoxide in the human infant as an index of bilirubin production. l. 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