Institute of Biochemistry and Molecular Biology, Semmelweis University, 1094 Budapest, Hungary.
Nutrients. 2024 Sep 26;16(19):3248. doi: 10.3390/nu16193248.
: Preeclampsia is a leading cause of pregnancy-related maternal and fetal morbidity and mortality. Although its precise cause and prevention remain unclear, risk factors such as overweight and inadequate nutrient intake (e.g., calcium, folic acid, and vitamin D) are known to increase its incidence. Recent research has focused on the genetic predisposition to preeclampsia, identifying polymorphisms that may affect enzyme or receptor function. This study aims to review existing literature examining the relationship between genetic polymorphisms, BMI (body mass index), and nutrient levels in preeclampsia to develop more actionable therapeutic strategies. : A systematic review was conducted to analyze studies on the nutrigenetic relationship between BMI, micronutrients, and preeclampsia. : A total of 17 studies investigating 12 genes related to BMI and 10 studies exploring 3 genes in relation to micronutrient levels were included in the analysis. Several polymorphisms associated with preeclampsia were found to be influenced by maternal BMI or serum vitamin levels. The interactions between certain gene variants and these factors suggest that both BMI and micronutrient status may modify the risk of developing preeclampsia in genetically predisposed individuals. : Our findings emphasize the potential for reanalyzing existing data by categorizing based on genotype and nutrient levels. This approach could yield more personalized dietary and therapeutic recommendations for managing preeclampsia. In the future, genetic information may support the development of tailored nutritional counseling during pregnancy to mitigate preeclampsia risk.
子痫前期是导致与妊娠相关的母婴发病率和死亡率的主要原因。尽管其确切的病因和预防措施仍不清楚,但超重和营养摄入不足(例如钙、叶酸和维生素 D)等已知风险因素会增加其发病率。最近的研究集中在子痫前期的遗传易感性上,确定了可能影响酶或受体功能的多态性。本研究旨在综述现有文献,探讨遗传多态性、体重指数(BMI)和子痫前期营养水平之间的关系,以制定更具操作性的治疗策略。
进行了系统评价,以分析 BMI、微量营养素与子痫前期之间的营养遗传关系的研究。
共有 17 项研究调查了与 BMI 相关的 12 个基因,10 项研究探索了与微量营养素水平相关的 3 个基因。发现与子痫前期相关的几种多态性受母体 BMI 或血清维生素水平的影响。某些基因变异与这些因素之间的相互作用表明,BMI 和微量营养素状况都可能改变遗传易感性个体发生子痫前期的风险。
我们的研究结果强调了通过基于基因型和营养水平进行分类来重新分析现有数据的潜力。这种方法可能会为管理子痫前期提供更个性化的饮食和治疗建议。在未来,遗传信息可能支持在怀孕期间制定个性化的营养咨询,以降低子痫前期的风险。