Maternal and neonatal leptin and leptin receptor polymorphisms associated with preterm birth
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Published on: November 20, 2015
Hagit Salem1, Talya Rosenfeld2, Gheona Altarescu3
1Department of Nutrition, Faculty of Health Sciences, Ariel University, Israel.
Insights
Genetic variations in leptin (LEP) and leptin receptor (LEPR) are linked to preterm birth (PTB). Specific LEP and LEPR gene polymorphisms in mothers and newborns increase the risk of PTB.
Area of Science:
- Reproductive biology
- Genetics
- Perinatology
Background:
- Leptin (LEP) and leptin receptor (LEPR) are crucial for female reproduction and pregnancy.
- Both LEP and LEPR are produced by the mother and embryo during gestation.
- The association between LEP and LEPR genetic variations and preterm birth (PTB) remains largely unexplored.
Purpose of the Study:
- To investigate the relationship between maternal and neonatal genetic polymorphisms of LEP and LEPR and the incidence of PTB.
- To identify specific LEP and LEPR genotypes associated with an increased risk of preterm birth.
Main Methods:
- DNA was collected from Israeli mothers and their preterm newborns (n=102) and control term newborns (n=158).
- Maternal and neonatal LEP (rs7799039) and LEPR (rs1137101) polymorphisms were analyzed using restriction fragment length polymorphism analysis.
- Genotype-phenotype associations were evaluated using SPSS software.
Main Results:
- Women with the homozygous AA LEP genotype had a 2.53-fold increased risk of PTB compared to other genotypes.
- Neonates with the AA LEP genotype showed a 2.8-fold increased risk for PTB.
- Maternal LEPR polymorphisms (AA and AG genotypes) were significantly associated with a 4.32 to 4.76-fold increased risk for severe PTB compared to the GG genotype.
Conclusions:
- Maternal and neonatal LEP polymorphisms are significantly associated with an increased risk of preterm birth.
- LEPR gene variations in mothers are linked to a higher risk of severe preterm birth.
- These findings highlight the role of LEP and LEPR genetics in PTB risk.
Unlabelled:
Leptin (LEP) and leptin receptor (LEPR) are suggested to play a role in female reproduction and especially in pregnancy Both LEP and LEPR are synthesized by the pregnant female and embryo. The link between genetic polymorphisms of LEP and LEPR and preterm birth (PTB) is unknown. We studied maternal and neonatal LEP and LEPR genetic polymorphisms and the association with PTB. Blood for DNA analysis was collected from Israeli mothers and from venous umbilical of their respected idiopathic preterm newborns (24-36weeks, n=102) and control term newborns (>37weeks, n=158). Genotypes of maternal and neonatal LEP (rs7799039) and LEPR (rs1137101) polymorphisms were analyzed by restriction fragment length polymorphism analysis. Genotype-phenotype association was assayed using SPSS program. We found a significant independent increased risk of PTB for women and neonates bearing the homozygous AA form of LEP genotype; where women carrying AA LEP genotype had 2.53 fold ([CI] 1.367-4.685, p=0.03) and 2.38 fold ([CI] 1.150-4.915, p=0.019) increased risk for PTB compared to AG and GG genotypes, respectively. Neonates carrying the LEP AA genotype had a significant 2.8 fold increased risk for PTB compared to the AG genotype (CI11.040-7.577, p=0.042). Maternal LEPR polymorphism was significantly associated with severe PTB; where women carrying the AA and AG genotypes had a significant 4.32 and 4.76 fold increased risk for severe PTB compared to women carrying the GG genotype (CI=1.090-17.112 and 1.332-17.027, respectively p=0.035).
In Conclusion:
maternal and neonatal LEP and LEPR polymorphisms are significantly associated with increased risk for PTB.
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