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子痫前期和胎儿生长受限孕妇的妊娠相关血浆蛋白A基因多态性

Pregnancy-associated plasma protein A gene polymorphism in pregnant women with preeclampsia and intrauterine growth restriction.

作者信息

Ozkan Sultan, Sanhal Cem Yasar, Yeniel Ozgur, Arslan Ates Esra, Ergenoglu Mete, Bınbır Birol, Onay Huseyin, Ozkınay Ferda, Sagol Sermet

机构信息

Department of Obstetrics and Gynecology, Ege University Faculty of Medicine, Izmir, Turkey.

Department of Obstetrics and Gynaecology, Akdeniz University Faculty of Medicine, Antalya, Turkey.

出版信息

Kaohsiung J Med Sci. 2015 Oct;31(10):518-22. doi: 10.1016/j.kjms.2015.08.005. Epub 2015 Sep 28.

Abstract

Preeclampsia (PE) and intrauterine growth restriction (IUGR) are still among the most commonly researched titles in perinatology. To shed light on their etiology, new prevention and treatment strategies are the major targets of studies. In this study, we aimed to investigate the relation between gene polymorphism of one of the products of trophoblasts, pregnancy-associated plasma protein A (PAPP-A) and PE/IUGR.A total of 147 women (IUGR, n = 61; PE, n = 47; IUGR + PE, n = 37; eclampsia, n = 2) were compared with 103 controls with respect to the sequencing of exon 14 of the PAPP-A gene to detect (rs7020782) polymorphism. Genotypes "AA" and "CC" were given in the event of A or C allele homozygosity and "AC" in A and C allele heterozygosity. Our findings revealed that the rate of AA, CC homozygotes, and AC heterozygotes did not differ between groups. Moreover, there was no difference in the distribution of PAPP-A genotypes among the patients with IUGR, PE, IUGR + PE, or eclampsia. Finally, birth weight, rate of the presence of proteinuria, and total protein excretion on 24-hour urine were similar in the subgroups of AA, AC, and CC genotypes in the study group. Our study demonstrated no association between PAPP-A gene rs7020782 polymorphism and PE/IUGR.

摘要

子痫前期(PE)和胎儿宫内生长受限(IUGR)仍然是围产医学领域研究最为广泛的课题。为了阐明其病因,新的预防和治疗策略是研究的主要目标。在本研究中,我们旨在探讨滋养层细胞产物之一妊娠相关血浆蛋白A(PAPP-A)的基因多态性与PE/IUGR之间的关系。

总共147名女性(IUGR组61例;PE组47例;IUGR + PE组37例;子痫组2例)与103名对照组在PAPP-A基因第14外显子测序方面进行比较,以检测(rs7020782)多态性。若为A或C等位基因纯合,则基因型为“AA”和“CC”;若为A和C等位基因杂合,则基因型为“AC”。我们的研究结果显示,各基因型在组间无差异。此外,IUGR、PE、IUGR + PE或子痫患者中PAPP-A基因型分布也无差异。最后,研究组中AA、AC和CC基因型亚组的出生体重、蛋白尿发生率及24小时尿总蛋白排泄量相似。我们的研究表明,PAPP-A基因rs7020782多态性与PE/IUGR之间无关联。

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