Distribution of Haptoglobin Phenotype in Septic and Non Septic Pre-term Neonates (PTSH)
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Purpose
The Haptoglobin (Hp) gene locus at chromosome 16q22 is polymorphic with two alleles denoted 1 and 2 .The gene product exists in three phenotypes: 1-1, 2-1, and 2-2.
The Haptoglobin 2 allele is found only in man and is believed to have arisen from the Haptoglobin 1 allele by a partial intragenic duplication. Haptoglobin 2 allele frequency is higher than the Haptoglobin 1 allele. It has been hypothesized that the Haptoglobin 2 allele was spread in man due to its selective advantage against life-threatening infections.
In vitro, only the Haptoglobin 2 allele protein, binds to the streptococcus T antigen, resulting in its aggregation and slowing its growth .
Individuals homozygous for the Haptoglobin 1 allele (1-1 genotype) are more prone to the streptococcal infection than individuals with the Haptoglobin 2 allele(2-1 or 2-2 genotype).
The investigators wish to explore the linkage between Hp phenotype and sepsis in pre-term neonates, considering that in this early stage in life, genetic properties which provide a defense against infectious agents will be of heightened importance.
| Condition |
|---|
|
Neonatal Sepsis |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Prospective Assessment of the Distribution of Haptoglobin Phenotype in Septic and Non Septic Pre-term Neonates (PTSH) |
Hp phenotype in blood test.
| Enrollment: | 133 |
| Study Start Date: | August 2007 |
| Study Completion Date: | September 2011 |
| Primary Completion Date: | March 2011 (Final data collection date for primary outcome measure) |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 24 Weeks to 35 Weeks |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All preterm neonates ( a total of 150 preterm babies, 35 weeks or younger) admitted to the NICU in Carmel hospital.
Inclusion Criteria:
- Preterm babies born at 35 week gestational age and younger being admitted to the preterm unit in Carmel Medical Center over a period of one year.
Exclusion Criteria:
- Pre-term neonates with serious congenital defects.
Contacts and Locations| Israel | |
| Carmel Medical Center | |
| Haifa, Israel, 34362 | |
| Principal Investigator: | Irena Kessel, MD | Carmel Medical Center |
More Information
No publications provided
| Responsible Party: | Irina Kessel, MD, Carmel Medical Center |
| ClinicalTrials.gov Identifier: | NCT00800449 History of Changes |
| Other Study ID Numbers: | PTSH001 |
| Study First Received: | November 30, 2008 |
| Last Updated: | February 13, 2012 |
| Health Authority: | Israel: Ministry of Health |
Keywords provided by Carmel Medical Center:
|
Haptoglobin sepsis premature babies |
Additional relevant MeSH terms:
|
Sepsis Infection Systemic Inflammatory Response Syndrome Inflammation Pathologic Processes |
ClinicalTrials.gov processed this record on May 16, 2013