Genetic variants in microRNA machinery genes are associated [corrected] with idiopathic recurrent pregnancy loss risk
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Published on: July 11, 2025
Yong Wook Jung1, Young Joo Jeon2, HyungChul Rah2
1Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, South Korea.
Objective:
Key molecules involved in microRNA (miRNA) biogenesis, such as DROSHA, XPO5, and DICER, have been identified in trophoblast cells, confirming that the miRNA biogenesis pathway is active in human placenta. In addition, miRNAs regulate uterine gene expression associated with inflammatory responses during the peri-implantation period and participate in maternal-fetal immune tolerance. The purpose of this study was to demonstrate whether genetic polymorphisms in miRNA machinery genes show an association with idiopathic recurrent pregnancy loss (RPL) in Korean women.
Study Design:
We performed a case-control study with 238 controls and 338 women who had experienced at least two consecutive pregnancy losses between 1999 and 2010. Genotypes of miRNA machinery genes, including DICER rs3742330, DROSHA rs10719, RAN GTPase (RAN) rs14035, and exportin-5 (XPO5) rs11077 were analyzed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) assay. The logistic odds ratios (ORs) of RPL were estimated with a 95% confidence interval (CI) in multivariate analysis after maternal age adjustment. Gene-gene interactions among the loci of the four gene polymorphisms were evaluated using the multifactor dimensionality reduction (MDR) method.
Results:
The RAN rs14035 CC genotype and DICER rs3742330/DROSHA rs10719 GG/TC+CC, rs3742330/RAN rs14035 GG/CC, and DICER rs3742330/XPO5 rs11077 GG/AC+CC combinations were significantly associated with increased RPL risk, whereas the RAN rs14035 CT, DICER rs3742330/RAN rs14035 AA+AG/CT+TT, DROSHA rs10719/RAN rs14035 TC+CC/CT+TT, and RAN rs14035/XPO5 rs11077 CT+TT/AA combinations reduced RPL risk. The A-T-T-C and G-C-T-A allele combinations (DICER/DROSHA/RAN/XPO5) were 20 times more frequent in the RPL group than in the control group.
Conclusion:
Our study demonstrates the relationship between RPL development and the polymorphism of the miRNA machinery gene RAN and combined genotype of DROSHA/DICER.
Insights
Genetic variations in miRNA machinery genes like RAN and DROSHA/DICER are linked to recurrent pregnancy loss (RPL) risk in Korean women. These findings highlight potential genetic factors influencing reproductive health.
Area of Science:
- Reproductive biology
- Genetics
- Molecular biology
Background:
- MicroRNA (miRNA) biogenesis pathways, involving key molecules like DROSHA, XPO5, and DICER, are active in the human placenta.
- miRNAs play crucial roles in regulating uterine gene expression during the peri-implantation period and in maintaining maternal-fetal immune tolerance.
Purpose of the Study:
- To investigate the association between genetic polymorphisms in miRNA machinery genes and idiopathic recurrent pregnancy loss (RPL) in Korean women.
Main Methods:
- A case-control study was conducted with 338 women experiencing RPL and 238 controls.
- Genotyping of DICER, DROSHA, RAN GTPase (RAN), and exportin-5 (XPO5) gene polymorphisms was performed using PCR-RFLP.
- Logistic regression analysis and multifactor dimensionality reduction (MDR) were used to assess associations and gene-gene interactions.
Main Results:
- Specific genotypes of RAN (rs14035) and combined genotypes of DICER/DROSHA, DICER/RAN, and DICER/XPO5 were significantly associated with altered RPL risk.
- Certain allele combinations (DICER/DROSHA/RAN/XPO5) were found to be significantly more frequent in the RPL group.
Conclusions:
- The study establishes a relationship between RPL development and polymorphisms in the miRNA machinery gene RAN, as well as combined genotypes of DROSHA and DICER.
- These findings suggest that genetic variations in miRNA biogenesis genes may contribute to the etiology of idiopathic RPL.
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