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白细胞介素-3 多态性与新鲜体外受精周期流产有关。

Interleukin-3 Polymorphism is Associated with Miscarriage of Fresh in Vitro Fertilization Cycles.

机构信息

Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.

Women's Health Research Laboratory, Changhua Christian Hospital, Changhua 50006, Taiwan.

出版信息

Int J Environ Res Public Health. 2019 Mar 19;16(6):995. doi: 10.3390/ijerph16060995.

Abstract

The aim of this study was to examine the association between interleukin (IL) genes polymorphisms and in vitro fertilization (IVF) outcome. A prospective cohort analysis was performed at a Women's Hospital IVF centre of 1015 female patients undergoing fresh non-donor IVF cycles. The effects of the following six single nucleotide polymorphisms (SNPs) in five IL genes on IVF outcomes were explored: IL-1α (rs1800587 C/T), IL-3 (rs40401 C/T), IL-6 (rs1800795 C/G), IL-15 (rs3806798 A/T), IL-18 (rs187238 C/G) and IL-18 (rs1946518 G/T). The main outcome measures included clinical pregnancy, embryo implantation, abortion and live birth rates. There were no statistically significant differences in clinical pregnancy, embryo implantation and live birth rates in the analysis of 1015 patients attempting their first cycle of IVF. Infertile women with IL-3 homozygous major genotype had a higher abortion rate than those with heterozygous and homozygous minor genotype (16.5% vs. 7.9%, P = 0.025). In conclusion, our results indicated that the IL-3 rs40401 polymorphism is associated with increased risk of abortion of IVF patients. Future studies with inclusion of other ethnic populations must be conducted to confirm the findings of this study.

摘要

本研究旨在探讨白细胞介素(IL)基因多态性与体外受精(IVF)结局之间的关系。采用前瞻性队列分析,对 1015 名接受新鲜非供体 IVF 周期的女性患者在一家妇女医院的 IVF 中心进行了分析。探讨了五个 IL 基因中的六个单核苷酸多态性(SNP)对 IVF 结局的影响:IL-1α(rs1800587 C/T)、IL-3(rs40401 C/T)、IL-6(rs1800795 C/G)、IL-15(rs3806798 A/T)、IL-18(rs187238 C/G)和 IL-18(rs1946518 G/T)。主要观察指标包括临床妊娠率、胚胎着床率、流产率和活产率。在分析首次 IVF 周期的 1015 名患者时,临床妊娠率、胚胎着床率和活产率无统计学差异。IL-3 纯合主要基因型的不孕女性流产率高于杂合和纯合次要基因型(16.5% vs. 7.9%,P=0.025)。总之,我们的研究结果表明,IL-3 rs40401 多态性与 IVF 患者流产风险增加有关。必须进行包括其他种族人群的未来研究来证实本研究的发现。

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