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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.
Abstract:
We examined 179 patients with and without preterm rupture of fetal membranes. The mothers and their newborns have been genotyped by two polymorphic loci of estrogen receptor α (ESR1) gene: -397T > C[PvuII] (rs2234693) and -351A > G[XbaI] (rs9340799). The CG haplotype of the fetus should be regarded as a risk factor of preterm rupture of fetal membranes, while haplotype TA as a protective factor. Genotype -351A/A is a marker of the protective haplotype in the fetus, while genotype -397C/C is a marker of the risk haplotype, which can be used in combined analysis of both markers. These data attest to an important role of fetal genotype in the formation of genetic predisposition to preterm rupture of fetal membranes.
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