Possible association of IL-4 VNTR polymorphism with susceptibility to preeclampsia

Saeedeh Salimi1, Milad Mohammadoo-Khorasani1, Minoo Yaghmaei2

  • 1Cellular and Molecular Research Center, Zahedan University of Medical Sciences, Zahedan 9816743111, Iran ; Department of Clinical Biochemistry, School of Medicine, Zahedan University of Medical Sciences, Zahedan 9816743111, Iran.

Insights

Interleukin-4 VNTR polymorphism significantly increases preeclampsia risk in Iranian women. Carriage of the IL-4 VNTR RP2 allele is associated with higher susceptibility to this pregnancy-specific disorder.

Area of Science:

  • Obstetrics and Gynecology
  • Immunogenetics
  • Reproductive Medicine

Background:

  • Preeclampsia (PE) is a significant cause of maternal mortality and morbidity worldwide.
  • Cytokines are increasingly recognized for their role in PE pathogenesis.
  • Interleukin-4 (IL-4) gene polymorphism, specifically VNTR, is a potential factor influencing PE risk.

Purpose of the Study:

  • To investigate the association between Interleukin-4 (IL-4) VNTR polymorphism and preeclampsia susceptibility in the Iranian population.
  • To be the first study to examine this genetic link in this demographic.

Main Methods:

  • Polymerase chain reaction (PCR) was used to genotype the IL-4 VNTR polymorphism.
  • The study included 192 women diagnosed with preeclampsia and 186 healthy pregnant women as controls.

Main Results:

  • A significant association was found between IL-4 VNTR polymorphism and increased preeclampsia risk.
  • Carriage of the RP2/RP1 genotype showed a 2.8-fold increased risk (OR, 2.8 [95% CI, 1.7 to 8.8]; P = 0.0001).
  • The RP2/RP2 genotype also demonstrated a significant association with preeclampsia (P = 0.002), indicating higher susceptibility with the RP2 allele.

Conclusions:

  • The VNTR polymorphism of the Interleukin-4 gene is significantly associated with preeclampsia susceptibility in the Iranian population.
  • The presence of the IL-4 VNTR RP2 allele is linked to an elevated risk of developing preeclampsia.