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Search for an association between V249I and T280M CX3CR1 genetic polymorphisms, endothelial injury and preeclampsia:
Alain Stepanian1, Soraya Benchenni, Tiphaine Beillat-Lucas
1AP-HP, Hôpital Louis Mourier, Service d'Hématologie Biologique, Colombes, France.
Insights
Maternal CX3CR1 gene variants V249I and T280M are not associated with preeclampsia. However, soluble CX3CL1 levels may be elevated in preeclampsia patients, particularly in early-onset cases.
Area of Science:
- Cardiovascular Biology
- Reproductive Medicine
- Immunogenetics
Background:
- Preeclampsia and coronary artery disease share risk factors, indicating common inflammatory pathways.
- The CX3CR1/CX3CL1 system influences leukocyte behavior and is implicated in inflammatory conditions.
- Specific CX3CR1 variants (M280/I249) show atheroprotective effects and reduce endothelial dysfunction.
Purpose of the Study:
- To investigate the association between CX3CR1 gene polymorphisms (V249I and T280M) and preeclampsia.
- To examine the relationship between these polymorphisms and endothelial dysfunction in pregnant women.
Main Methods:
- A case-control study involving 184 white women with preeclampsia and 184 matched controls.
- Real-time polymerase chain reaction was used to analyze CX3CR1 polymorphisms.
- Endothelial dysfunction biomarkers (von Willebrand factor, VCAM-1, thrombomodulin) and soluble CX3CL1 were quantified using ELISA.
Main Results:
- No association was found between I249 and M280 alleles and preeclampsia or endothelial injury.
- A trend towards increased soluble CX3CL1 levels was observed in preeclampsia patients.
- Elevated CX3CL1 levels were more pronounced in early-onset preeclampsia compared to late-onset cases.
Conclusions:
- Maternal CX3CR1 V249I and T280M polymorphisms do not appear to increase susceptibility to preeclampsia.
- This is the first study to analyze these CX3CR1 polymorphisms in preeclampsia.
- Further research is needed to clarify the role of soluble CX3CL1 in preeclampsia pathophysiology.
Background:
Preeclampsia and coronary-artery disease share risk factors, suggesting common pathophysiological mechanisms. CX3CR1/CX3CL1 mediates leukocyte migration and adhesion and has been implicated in the pathophysiology of several inflammatory diseases. M280/I249 variants of CX3CR1 are associated with an atheroprotective effect and reduced endothelial dysfunction. The aim of this study was to search for an association between V249I and T280M polymorphisms of CX3CR1, preeclampsia and endothelial dysfunction.
Methodology/Principal Findings:
We explored these polymorphisms with real-time polymerase chain reaction in a case-control study (184 white women with preeclampsia and 184 matched normotensive pregnant women). Endothelial dysfunction biomarkers including von Willebrand factor, VCAM-1 and thrombomodulin, as well as the soluble form of CX3CL1 were measured by enzyme-linked immunosorbent assays (ELISA). The I249 and M280 alleles were associated neither with preeclampsia, nor with its more severe form or with endothelial injury. In contrast, we found a trend toward increased CX3CL1 levels in preeclampsia patients, especially in early-onset- preeclampsia as compared to its level in later-onset- preeclampsia.
Conclusions/Significance:
This is the first study to characterize the CX3CR1 gene polymorphisms in patients with preeclampsia. We found no differences in genotype or haplotype frequencies between patients with PE and normal pregnancies, suggesting that maternal CX3CR1 V249I and T280M polymorphisms do not increase susceptibility to preeclampsia. Further studies should be performed to directly evaluate the pathophysiological role of CX3CL1, a molecule abundantly expressed in endometrium, which has been shown to stimulate human trophoblast migration.
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