Association of ESR1 gene polymorphism with preterm rupture of fetal membranes

N E Kan1, V L Tyutyunnik, A E Donnikov

  • 1V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, The Ministry of Health of the Russian Federation, Moscow, Russia, kan-med@mail.ru.

Insights

Fetal genetic factors influence preterm rupture of membranes. Specific estrogen receptor alpha (ESR1) gene variations, like the CG haplotype, increase risk, while the TA haplotype offers protection.

Area of Science:

  • Genetics
  • Obstetrics
  • Molecular Biology

Background:

  • Preterm rupture of membranes (PROM) is a significant obstetric complication.
  • The genetic predisposition to PROM is not fully understood.
  • Estrogen receptor alpha (ESR1) gene polymorphisms are potential candidates for influencing PROM risk.

Purpose of the Study:

  • To investigate the association between ESR1 gene polymorphisms and PROM.
  • To identify specific fetal genotypes and haplotypes as risk or protective factors for PROM.

Main Methods:

  • Genotyping of 179 mothers and newborns for two ESR1 gene polymorphic loci: -397T > C (rs2234693) and -351A > G (rs9340799).
  • Analysis of genotype and haplotype frequencies in cases with and without PROM.
  • Combined analysis of specific genotypes (-351A/A and -397C/C) as markers.

Main Results:

  • The CG haplotype in the fetus was identified as a risk factor for PROM.
  • The TA haplotype in the fetus was identified as a protective factor against PROM.
  • The fetal genotype -351A/A is a marker for the protective TA haplotype, and -397C/C is a marker for the risk CG haplotype.

Conclusions:

  • Fetal genotype plays a crucial role in the genetic predisposition to PROM.
  • Specific ESR1 haplotypes (CG and TA) and associated genotypes are significant risk and protective factors for PROM.
  • These findings highlight the importance of fetal genetic factors in PROM etiology.

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