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Published on: August 15, 2019
Are polymorphisms in the ACE and PAI-1 genes associated with recurrent spontaneous miscarriages?
Chelsi Goodman1, Jee Hur, Cyle S Goodman
1CARI Reproductive Institute, Chicago, IL, USA.
Genetic analysis revealed that neither the ACE D/D genotype nor the combined ACE D/D and PAI-1 4G/4G genotypes significantly increase the risk of recurrent pregnancy loss.
Area of Science:
- Reproductive genetics
- Human molecular genetics
Background:
- Recurrent pregnancy loss (RPL) affects a significant number of women.
- Genetic factors are implicated in RPL, prompting investigation into specific gene polymorphisms.
Purpose of the Study:
- To investigate the association between the Angiotensin-Converting Enzyme (ACE) D/D genotype and the Plasminogen Activator Inhibitor-1 (PAI-1) 4G/4G genotype with recurrent pregnancy loss.
Main Methods:
- DNA was extracted from buccal swabs of 120 women with RPL and 84 controls.
- Multiplex PCR was used to analyze ACE gene insertion/deletion (I/D) polymorphism and PAI-1 4G/4G genotype.
Main Results:
- No significant difference in ACE gene mutations was found between RPL patients and controls.
- The prevalence of combined ACE D/D and PAI-1 4G/4G genotypes did not differ significantly between groups.
Conclusions:
- Homozygosity for the ACE D allele is not a significant risk factor for recurrent miscarriage.
- The combination of ACE D/D and PAI-1 4G/4G genotypes is not associated with an increased risk of recurrent pregnancy loss.
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