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Primary habitual abortions are associated with high frequency of factor V Leiden mutation.

作者信息

Wramsby M L, Sten-Linder M, Bremme K

机构信息

Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden.

出版信息

Fertil Steril. 2000 Nov;74(5):987-91. doi: 10.1016/s0015-0282(00)01545-4.

DOI:10.1016/s0015-0282(00)01545-4
PMID:11056246
Abstract

OBJECTIVE

To analyze the prevalence of the mutation G1691A in factor V gene (Leiden mutation), of mutation C677T in the methylenetetrahydrofolate reductase (MTHFR) gene, and of polymorphism in G20210A in the prothrombin gene in women with recurrent abortions; further, to identify a subgroup at higher risk of being carriers of these mutations.

DESIGN

Prospective case control evaluation.

SETTING

University clinic.

PATIENT(S): Eighty-four women with 3 or more consecutive miscarriages were compared with 69 controls.

INTERVENTION(S): None.

MAIN OUTCOME MEASURE(S): Polymerase chain reactions were performed to identify the mutations G1691A in factor V and C677T in MTHFR genes and the polymorphism G20210A in the prothrombin gene.

RESULT(S): In women with primary habitual abortions, 27.8% carried the Leiden mutation. No difference was observed in the prevalence of mutation C677T in the MTHFR gene or in polymorphism G20210A in the prothrombin gene.

CONCLUSION(S): The Leiden mutation may play a considerable role for women having primary recurrent abortions.

摘要

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