Saijo Y, Sata F, Yamada H, Suzuki K, Sasaki S, Kondo T, Gong Y Y, Kato E H, Shimada S, Morikawa M, Minakami H, Kishi R
Department of Public Health and Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan.
Mol Hum Reprod. 2004 Oct;10(10):729-33. doi: 10.1093/molehr/gah096. Epub 2004 Aug 6.
The etiology of recurrent pregnancy loss (RPL) remains unclear, but it may be related to a possible genetic predisposition together with involvement of environmental factors. We examined the relation between RPL and polymorphisms in four genes, human aryl hydrocarbon (Ah) receptor, cytochrome P450 (CYP) 1A1, CYP1A2 and CYP1B1, which are involved in the metabolism of a wide range of environmental toxins and carcinogens. All cases and controls were women resident in Sapporo, Japan and the surrounding area. The Ah receptor, CYP1A1, CYP1A2 and CYP1B1 genotypes were assessed in 113 Japanese women with recurrent pregnancy loss (RPL) and 203 ethnically matched women experiencing at least one live birth and no spontaneous abortion (control). No significant differences in Ah receptor, CYP1A1, CYP1A2 and CYP1B1 genotype frequencies were found between the women with RPL and the controls [Ah receptor: Arg/Arg (reference); Arg/Lys and Lys/Lys, odds ratio (OR)=0.67; 95% confidence interval (CI)=0.40-1.11, CYP1A1: m1m1 (reference); m1m2 and m2m2, OR = 0.86; 95% CI = 0.53-1.40, CYP1A2: C/C and C/A (reference); A/A, OR = 1.16; 95% CI = 0.71-1.88, CYP1B1: Leu/Leu (reference); Leu/Val and Val/Val, OR = 1.18; 95% CI = 0.68-2.02]. The present study suggests that the Ah receptor, CYP1A1, CYP1A2 and CYP1B1 gene polymorphisms are not major genetic regulators in RPL.
复发性流产(RPL)的病因尚不清楚,但可能与潜在的遗传易感性以及环境因素的参与有关。我们研究了RPL与四个基因(人类芳烃(Ah)受体、细胞色素P450(CYP)1A1、CYP1A2和CYP1B1)多态性之间的关系,这些基因参与多种环境毒素和致癌物的代谢。所有病例和对照均为居住在日本札幌及其周边地区的女性。对113名复发性流产的日本女性和203名种族匹配的至少有一次活产且无自然流产的女性(对照)进行了Ah受体、CYP1A1、CYP1A2和CYP1B1基因型评估。复发性流产女性与对照组之间在Ah受体、CYP1A1、CYP1A2和CYP1B1基因型频率上未发现显著差异[Ah受体:Arg/Arg(参照);Arg/Lys和Lys/Lys,优势比(OR)=0.67;95%置信区间(CI)=0.40-1.11,CYP1A1:m1m1(参照);m1m2和m2m2,OR = 0.86;95%CI = 0.53-1.40,CYP1A2:C/C和C/A(参照);A/A,OR = 1.16;95%CI = 0.71-1.88,CYP1B1:Leu/Leu(参照);Leu/Val和Val/Val,OR = 1.18;95%CI = 0.68-2.02]。本研究表明,Ah受体、CYP1A1、CYP1A2和CYP1B1基因多态性不是RPL的主要遗传调节因素。