Department of Obstetrics and Gynaecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Department of Pharmaceutical Sciences, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.
J Obstet Gynaecol. 2021 Oct;41(7):1062-1066. doi: 10.1080/01443615.2020.1837757. Epub 2021 Jan 16.
gene polymorphism may cause increased blood pressure in preeclampsia in pregnancy; however, the evidence remains controversial. This study investigated the association between AGT M235T and preeclampsia in Thai pregnant women. A case-control study was conducted to compare the distributions of AGT M235T genotypes and alleles between 142 normotensive pregnancies as controls and 61 preeclampsia pregnancies as cases in a tertiary-care university hospital in Chiang Mai, Thailand. The results show that the distribution of AGT M235T genotypes (MM, MT and TT) of both groups were not significantly different (preeclampsia: 0.0, 16.4, 83.6%; control: 2.1, 22.5, 75.4%, respectively; = .30). Additionally, there was no statistical difference in the distribution of AGT M235T alleles (M and T alleles) (preeclampsia: 8.2 and 91.8% control: 13.4 and 86.6%, respectively; = .14). In this study, the distributions of AGT M235T were not different in both groups. Therefore, AGT M235T polymorphism may not play a significant role in preeclampsia pathophysiology in Thai population.Impact statement Preeclampsia is one of the major complications during pregnancy; it significantly affects maternal and perinatal morbidity and mortality. Effort has been made to find markers and predictors that are associated with the pathophysiology of preeclampsia. gene polymorphism may cause increased blood pressure in preeclampsia pregnancy; however, evidences are still controversial. We conducted a case-control study to compare the distributions of AGT M235T genotypes and alleles between 142 normotensive pregnancies as controls and 61 preeclampsia pregnancies as cases. The results show that preeclamptic women are more likely to deliver at an earlier gestational age and have a smaller baby in comparison with the normotensive group. In addition, women with preeclampsia had a higher chance of having an operative delivery and caesarean section. However, the distribution of AGT M235T polymorphism of preeclampsia women and the control group were not significantly different. AGT M235T polymorphism may not play a significant role in preeclampsia pathophysiology in Thai population.
基因多态性可能导致妊娠子痫前期的血压升高;然而,证据仍存在争议。本研究旨在探讨泰国孕妇血管紧张素原 M235T 与子痫前期的关系。采用病例对照研究,比较了泰国一所三级教学医院 142 例正常妊娠孕妇(对照组)和 61 例子痫前期孕妇(病例组)的血管紧张素原 M235T 基因型和等位基因分布。结果表明,两组血管紧张素原 M235T 基因型(MM、MT 和 TT)的分布无显著差异(子痫前期:0.0、16.4、83.6%;对照组:2.1、22.5、75.4%, = .30)。此外,血管紧张素原 M235T 等位基因(M 和 T 等位基因)的分布也无统计学差异(子痫前期:8.2 和 91.8%;对照组:13.4 和 86.6%, = .14)。在本研究中,两组的血管紧张素原 M235T 分布无差异。因此,血管紧张素原 M235T 多态性在泰国人群子痫前期发病机制中可能不起重要作用。
影响陈述
子痫前期是妊娠期间的主要并发症之一;它显著影响母婴围产期发病率和死亡率。已经努力寻找与子痫前期发病机制相关的标志物和预测因子。基因多态性可能导致妊娠子痫前期的血压升高;然而,证据仍存在争议。我们进行了一项病例对照研究,比较了 142 例正常妊娠孕妇(对照组)和 61 例子痫前期孕妇(病例组)的血管紧张素原 M235T 基因型和等位基因分布。结果表明,与正常血压组相比,子痫前期孕妇更有可能早产,胎儿更小。此外,子痫前期妇女剖宫产和剖宫产的几率更高。然而,子痫前期妇女和对照组的血管紧张素原 M235T 多态性分布无显著差异。血管紧张素原 M235T 多态性在泰国人群子痫前期发病机制中可能不起重要作用。