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Association between 49 infant gene polymorphisms and preterm delivery
Brian H Chen1, Suzan L Carmichael, Gary M Shaw
1California Birth Defects Monitoring Program, March of Dimes Foundation, Berkeley, California 94710, USA.
Insights
Preterm delivery is rising. Genetic factors, particularly in the SERPINE1 gene related to blood clotting, may influence preterm birth risk, suggesting a link between coagulation and premature birth.
Area of Science:
- Genetics
- Obstetrics
- Molecular Biology
Background:
- Preterm delivery rates are increasing in the U.S.
- Genetic factors are suspected contributors to preterm birth.
- Previous research indicates potential genetic influences on preterm delivery.
Purpose of the Study:
- To investigate the association between genetic polymorphisms and preterm delivery.
- To compare the frequencies of 49 genetic polymorphisms in preterm and term infants.
- To identify specific genetic variants that may increase the risk of preterm birth.
Main Methods:
- A case-control study design was employed.
- Genetic polymorphisms in pathways including xenobiotic metabolism, blood pressure, coagulation, inflammation, cell-cell interaction, and folate-homocysteine metabolism were analyzed.
- Frequencies of 49 polymorphisms were compared between 62 preterm infants and 553 term infants.
Main Results:
- Univariate analysis identified a statistically significant association for the SERPINE1 11053G > T polymorphism.
- Variant genotypes of SERPINE1 11053G > T showed a protective effect (OR = 0.4, 95% CI = 0.2-0.8) compared to wildtype genotypes.
- No other significant associations were found among the individual polymorphisms examined.
Conclusions:
- The coagulation/thrombophilic pathway, specifically involving the SERPINE1 gene, may play a role in the development of preterm delivery.
- Further research is warranted to elucidate the mechanisms by which SERPINE1 influences preterm birth.
- Genetic variations can impact obstetric outcomes, highlighting the need for personalized risk assessment.
Abstract:
The occurrence of preterm delivery has been increasing in the U.S. Previous studies have identified risk factors for preterm delivery that may have genetic influences. We conducted a case-control study comparing the frequencies of 49 genetic polymorphisms among 62 preterm infants and 553 term infants. The polymorphisms that we examined were involved in xenobiotic-metabolism, blood pressure, coagulation, the inflammatory response, cell-cell interaction, or folate-homocysteine metabolism. Univariate analyses on the individual polymorphisms revealed a statistically significant effect for the variant genotypes compared to the wildtype genotypes in SERPINE1 11053G > T (OR = 0.4, 95% CI = 0.2-0.8). This finding suggests the coagulation/thrombophilic pathway may influence the development of preterm delivery.
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