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Candidate Gene Testing in Clinical Cohort Studies with Multiplexed Genotyping and Mass Spectrometry
Published on: June 21, 2018
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.
Abstract:
Preeclampsia (PE) is a pregnancy-specific disorder that results in maternal mortality and morbidity. Growing evidence indicated that cytokines are involved in the pathogenesis of PE and interleukin-4 VNTR polymorphism could be implicated in altering the PE risk. The aim of this study was to evaluate the possible association between IL-4 VNTR polymorphism and susceptibility to PE in Iranian population for the first time. Genetic polymorphism was evaluated in 192 PE and 186 healthy control women by polymerase chain reaction method. We found that the VNTR polymorphism of IL-4 gene has significantly increased the risk of preeclampsia (RP2/RP1 versus RP1/RP1, OR, 2.8 [95% CI, 1.7 to 8.8]; P = 0.0001 and RP2/RP2 versus RP1/RP1; P = 0.002). The results showed that carriage of IL-4 VNTR RP2 allele has positive association with preeclampsia susceptibility.
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