Heino Sanna, Kaare Milja, Andersson Sture, Laivuori Hannele
Department of Medical Genetics, Haartman Institute, FI-00014 University of Helsinki, Finland.
BMC Med Genet. 2008 Nov 3;9:96. doi: 10.1186/1471-2350-9-96.
Reduced placental perfusion predisposes to the maternal syndrome pre-eclampsia characterized by systemically reduced perfusion. Considerable data support the role of angiogenic factors in the development of the maternal syndrome. Hypoxia-inducible factor (HIF-1) mediates the cellular responses to hypoxia e.g. by promoting angiogenesis.
Here we studied whether two single nucleotide sequence variants, c.1744 C>T that changes residue 582 of HIF-1alpha from proline to serine (P582S) and c.1762 G>A that changes residue 588 of HIF-1alpha from alanine to threonine (A588T) in the exon 12 of the HIF1A gene, are associated with pre-eclampsia. We studied 108 women with pre-eclampsia in their first pregnancy, and 101 controls with normotensive pregnancies. Pre-eclampsia was defined as a blood pressure level of at least 140/90 mmHg in a woman who was normotensive before 20 weeks of gestation, and proteinuria at least of 0.3 g per 24-hour urine collection. The patients and controls were genotyped for variations in the exon 12 of HIF1A gene by sequencing
The frequencies of the c.1744 C>T and c.1762G>A sequence variants were not significantly different between women with pre-eclamptic first pregnancies and women with normotensive pregnancies. In addition, two synonymous variants (c.1740G>A and c.1800A>T) were detected at comparable levels in the two groups. All variants were identified in the heterozygous form.
The sequence variants in the exon 12 of the HIF1A gene were not associated with pre-eclampsia in the Finnish population.
胎盘灌注减少易引发以全身灌注降低为特征的母体综合征——子痫前期。大量数据支持血管生成因子在该母体综合征发展过程中的作用。缺氧诱导因子(HIF - 1)介导细胞对缺氧的反应,例如通过促进血管生成。
在此,我们研究了HIF1A基因第12外显子中的两个单核苷酸序列变异,即c.1744 C>T(该变异使HIF - 1α的582位氨基酸由脯氨酸变为丝氨酸,即P582S)和c.1762 G>A(该变异使HIF - 1α的588位氨基酸由丙氨酸变为苏氨酸,即A588T)是否与子痫前期相关。我们研究了108例首次怀孕并发子痫前期的女性,以及101例血压正常的怀孕对照者。子痫前期的定义为:妊娠20周前血压正常的女性,血压水平至少为140/90 mmHg,且每24小时尿蛋白至少0.3 g。通过测序对患者和对照者的HIF1A基因第12外显子变异进行基因分型。
首次怀孕并发子痫前期的女性与血压正常的怀孕女性之间,c.1744 C>T和c.1762G>A序列变异的频率无显著差异。此外,在两组中检测到两个同义变异(c.1740G>A和c.1800A>T)的水平相当。所有变异均以杂合形式被鉴定出来。
在芬兰人群中,HIF1A基因第12外显子的序列变异与子痫前期无关。