Chen Peng, Gong Yunhui, Pu Yan, Wang Yanyun, Zhou Bin, Song Yaping, Wang Tao, Zhang Lin
Department of Forensic Biology, West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, PR China.
Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, PR China.
Placenta. 2016 Jan;37:61-4. doi: 10.1016/j.placenta.2015.11.003. Epub 2015 Nov 14.
Pre-eclampsia is a complex pregnancy-specific hypertensive syndrome, and it is a leading cause of maternal and neonatal death worldwide. We aimed to evaluate the associations between polymorphisms of IL-27 gene and pre-eclampsia susceptibility in Han Chinese women.
663 pregnant women were enrolled in a case-control study (212 cases and 451 normal pregnancies). The rs153109 and rs17855750 variants were discriminated using Polymerase Chain Reaction - Restriction Fragment Length Polymorphism (PCR-RFLP) methods.
A significantly reduced risk of pre-eclampsia was observed in the rs153109 GG genotype compared with the AA or AA/AG genotypes (GG versus AA: OR = 0.51, 95%CI = 0.30-0.86; GG versus
AA/AG: OR = 0.60, 95%CI = 0.37-0.98). Significantly reduced pre-eclampsia susceptibility was also associated with the AG/GG genotypes of rs153109 (OR = 0.68, 95%CI = 0.49-0.94) in dominant model. After stratification analysis, the different distribution of AG/GG genotypes was particular significant in the severe pre-eclampsia subgroup (OR = 0.65, 95%CI = 0.45-0.92) and the early-onset severe pre-eclampsia subgroup (OR = 0.51, 95%CI = 0.30-0.87). Additionally, significantly increased mild pre-eclampsia risk was observed associated with rs17855750 GT/GG and GT genotypes when compared with TT and TT/GG genotypes (GT/GG versus TT: OR = 2.27, 95%CI = 1.12-4.55; GT versus TT/GG: OR = 2.56, 95%CI = 1.28-5.26).
It is biologically plausible that SNPs in IL-27 may have effect on individual susceptibility to pre-eclampsia. The results suggest the presence IL-27 rs153109, rs17855750 variants may be able to be used as markers for the genetic susceptibility to pre-eclampsia.
子痫前期是一种复杂的妊娠特异性高血压综合征,是全球孕产妇和新生儿死亡的主要原因。我们旨在评估汉族女性白细胞介素27(IL-27)基因多态性与子痫前期易感性之间的关联。
663名孕妇参与了一项病例对照研究(212例病例和451例正常妊娠)。使用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)方法鉴别rs153109和rs17855750变异。
与AA或AA/AG基因型相比,rs153109 GG基因型的子痫前期风险显著降低(GG与AA相比:比值比[OR]=0.51,95%置信区间[CI]=0.30-0.86;GG与AA/AG相比:OR=0.60,95%CI=0.37-0.98)。在显性模型中,rs153109的AG/GG基因型也与子痫前期易感性显著降低相关(OR=0.68,95%CI=0.49-0.94)。分层分析后,AG/GG基因型的不同分布在重度子痫前期亚组(OR=0.65,95%CI=0.45-0.92)和早发型重度子痫前期亚组(OR=0.51,95%CI=0.30-0.87)中尤为显著。此外,与TT和TT/GG基因型相比,rs17855750 GT/GG和GT基因型与轻度子痫前期风险显著增加相关(GT/GG与TT相比:OR=2.27,95%CI=1.12-4.55;GT与TT/GG相比:OR=2.56,95%CI=1.28-5.26)。
IL-27基因单核苷酸多态性(SNP)可能影响个体对子痫前期的易感性,这在生物学上是合理的。结果表明,IL-27 rs153109、rs17855750变异可能可以用作子痫前期遗传易感性的标志物。