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Fetal Echocardiography and Pulsed-wave Doppler Ultrasound in a Rabbit Model of Intrauterine Growth Restriction
Published on: June 29, 2013
Fetal MMP2/MMP9 polymorphisms and intrauterine growth restriction risk
Sandrine Gremlich1, Daniel Nguyen, Danielle Reymondin
1Department of Gynecology and Obstetrics, CHUV Hospital, Av. Pierre-Decker 2, 1011 Lausanne, Switzerland.
Abstract:
Poor embryo implantation can lead to poor feto-maternal exchanges and intrauterine growth restriction. Matrix metalloproteinase-2 (MMP-2) and MMP-9 are highly involved in early embryo implantation and three functional polymorphisms have been described for these genes: MMP2 C-1306T, MMP9 C-1562T and MMP9 (CA)n repeat. We evaluated therefore the association between fetal genotype for these mutations and intrauterine growth retardation (IUGR). Amniotic fluid samples were obtained from 44 IUGR cases and 98 appropriate for gestational age (AGA) controls at 15-17 weeks gestation, and analyzed by PCR followed by restriction enzyme digestion or direct analysis on a Genetic Analyzer. Fetal MMP2 C-1306T mutation rate was higher within the IUGR than AGA population (P=0.001). The risk of IUGR occurrence was increased both in CT (OR=3.603; 95% CI=1.577-8.231; P=0.004) and TT carriers (OR=3.391; 95% CI=0.786-14.630; P=0.102), compared to the normal CC genotype. On the other side, fetal allele frequencies and genotype distributions for MMP9 C-1562T and MMP9 (CA)n were similar between the IUGR and AGA populations. We conclude that fetal MMP2 -1306 single nucleotide polymorphism (SNP) is associated with an increased risk for IUGR, but not MMP9 -1562 SNP nor MMP9 microsatellite.
Insights
Fetal MMP2 gene variations, specifically the C-1306T single nucleotide polymorphism (SNP), are linked to an increased risk of intrauterine growth restriction (IUGR). However, MMP9 gene mutations showed no association with IUGR.
Area of Science:
- Genetics
- Obstetrics
- Molecular Biology
Background:
- Poor embryo implantation can cause feto-maternal exchange issues and intrauterine growth restriction (IUGR).
- Matrix metalloproteinase-2 (MMP-2) and MMP-9 are crucial for early embryo implantation.
- Functional polymorphisms in MMP2 (C-1306T) and MMP9 (C-1562T, CA repeat) are known.
Purpose of the Study:
- To investigate the association between fetal genotypes of MMP2 and MMP9 gene polymorphisms and the occurrence of IUGR.
Main Methods:
- Amniotic fluid samples were collected from 44 IUGR cases and 98 appropriate for gestational age (AGA) controls.
- Fetal DNA was analyzed for MMP2 C-1306T, MMP9 C-1562T, and MMP9 (CA)n repeat polymorphisms using PCR and genetic analysis.
Main Results:
- The fetal MMP2 C-1306T mutation rate was significantly higher in the IUGR group compared to the AGA group (P=0.001).
- Carriers of CT (OR=3.603) and TT (OR=3.391) genotypes for MMP2 C-1306T had an increased risk of IUGR.
- No significant differences in allele frequencies or genotype distributions were observed for MMP9 C-1562T and MMP9 (CA)n between IUGR and AGA groups.
Conclusions:
- The fetal MMP2 -1306 single nucleotide polymorphism (SNP) is associated with an increased risk of intrauterine growth restriction (IUGR).
- MMP9 gene polymorphisms (-1562 SNP and CA repeat) are not associated with IUGR risk.
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