BMC Medical Genetics | |
Progesterone Receptor (PGR) gene polymorphism is associated with susceptibility to preterm birth | |
Zahurin Mohamed1  Siti Zawaih Omar2  Yamunah Devi Apalasamy1  Immaculate Mbongo Langmia1  | |
[1] Department of Pharmacology, Pharmacogenomics Laboratory, Faculty of Medicine, University of Malaya, Kuala Lumpur, 50603, Malaysia;Department of Obstetrics and Gynecology, University of Malaya, Kuala Lumpur, 50603, Malaysia | |
关键词: Ethnicity; Susceptibility; Progesterone receptor; Preterm birth; Genetic polymorphisms; | |
Others : 1223191 DOI : 10.1186/s12881-015-0202-1 |
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received in 2014-12-30, accepted in 2015-07-14, 发布年份 2015 | |
【 摘 要 】
Background
Preterm birth (PTB) is the major cause of death in newborn and the second major cause of death in children less than 5 years old worldwide. Genetic polymorphism has been implicated as a factor for the occurrence of preterm birth. The aim of this study is to evaluate whether polymorphism in the progesterone receptor (PGR) is associated with susceptibility to preterm birth.
Methods
A total of 135 women with preterm and 532 women with term deliveries were genotyped for PGR gene polymorphisms (rs660149, rs471767, rs10895068) using Sequenom MassARRAY platform.
Results
The G allele of PGR rs660149 polymorphism was significantly associated with susceptibility to PTB in the Malay women. The odds of G allele occurring among Malay women with preterm delivery was twice that of Malay women with term delivery (OR 2.3, 95 % CI (1.2–4.5, P = 0.011). Alternatively, no significant association was observed between PGR rs660149 polymorphisms and susceptibility to PTB in Chinese and Indian women.
Conclusions
This study shows that variability in the occurrence of PTB across ethnicities in Malaysia is partly due to differences in genetic background. We therefore suggest that in addition to life style and environmental factors, genetic factor should be greatly considered in this population. Prior information on the genetic composition of women may help in the identification and management of women at risk of preterm birth complication.
【 授权许可】
2015 Langmia et al.
【 预 览 】
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【 参考文献 】
- [1]Born too soon; the global action report on preterm birth. 2012.
- [2]Ananth CV, Vintzileos AM. Maternal-fetal conditions necessitating a medical intervention resulting in preterm birth. Am J Obstet Gynecol. 2006; 2006(195):1557-1563.
- [3]Goldenberg RL, Jones B, Griffin JB, Rouse DJ, Kamath-Rayne BD, Trivedi N, McClure EM. Reducing maternal mortality from preeclampsia and eclampsia in low-resource countries - what should work? Acta Obstet Gynecol Scand. 2015; 94(2):148-55.
- [4]Reveret M, Boivin A, Guigonnis V, Audibert F, Nuyt AM. Preeclampsia: effect on newborn blood pressure in the 3 days following preterm birth: a cohort study. J Hum Hypertens. 2014; 3:50.
- [5]Gawlik S, Muller M, Kuon RJ, Szabo AZ, Keller D, Sohn C. Timing of elective repeat caesarean does matter: importance of avoiding early-term delivery especially in diabetic patients. J Obstet Gynaecol. 2014; 30:1-6.
- [6]Vogel J, Lee A, Souza J. Maternal morbidity and preterm birth in 22 low- and middle-income countries: a secondary analysis of the WHO Global Survey dataset. BMC Pregnancy Childbirth. 2014; 14:56. BioMed Central Full Text
- [7]Kim J, Stirling KJ, Cooper ME, Ascoli M, Momany AM, McDonald EL, Ryckman KK, Rhea L, Schaa KL et al.. Sequence variants in oxytocin pathway genes and preterm birth: a candidate gene association study. BMC Med Genet. 2013; 14:1471-2350.
- [8]Ward RM, Beachy JC. Neonatal complications following preterm birth. BJOG. 2001; 20:8-16.
- [9]Anum EA, Springel EH, Shriver MD, Strauss JF. Genetic contributions to disparities in preterm birth. Pediatr Res. 2009; 65:1-9.
- [10]Jaffe S, Normand N, Jayaram A, Orfanelli T, Doulaveris G, Passos M. Unique variation in genetic selection among Black North American women and its potential influence on pregnancy outcome. Med Hypotheses. 2013; 81:919-922.
- [11]Frey H, Stout M, Tuuli M, Cahill A, Allsworth J, Macones G. Genetic variation associated with preterm birth in black women. Am J Obstet Gynecol. 2013; 208:S8-S9.
- [12]Bhavnani S, Dang B, Caro M, Saade G, Visweswaran S. Genetic differences reveal heterogeneity in spontaneous preterm birth pathophysiology: a visual analytical approach. Am J Obstet Gynecol. 2014; 210:S343-S344.
- [13]Byrns MC. Regulation of progesterone signaling during pregnancy: implications for the use of progestins for the prevention of preterm birth. J Steroid Biochem Mol Biol. 2014; 139:173-181.
- [14]Pařízek A, Koucký M, Dušková M. Progesterone, inflammation and preterm labor. J Steroid Biochem Mol Biol. 2014; 139:159-165.
- [15]Wetendorf M, DeMayo FJ. Progesterone receptor signaling in the initiation of pregnancy and preservation of a healthy uterus. Int J Dev Biol. 2014; 58:95-106.
- [16]Behrman RE, Butler AS. Preterm birth: causes, consequences and prevention. National Academies Press (US), Wasshington (DC); 2007.
- [17]Yellon SM, Dobyns AE, Beck HL, Kurtzman JT, Garfield RE, Kirby MA. Loss of progesterone receptor-mediated actions induces preterm cellular and structural remodeling of the cervix and premature birth. PLoS One. 2013; 8:12.
- [18]Condon JC, Jeyasuria P, Faust JM, Wilson JW, Mendelson CR. A decline in the levels of progesterone receptor coactivators in the pregnant uterus at term may antagonize progesterone receptor function and contribute to the initiation of parturition. Proc Natl Acad Sci U S A. 2003; 100:9518-9523.
- [19]Ehn NL, Cooper ME, Orr K, Shi M, Johnson MK, Caprau D. Evaluation of fetal and maternal genetic variation in the progesterone receptor gene for contributions to preterm birth. Pediatr Res. 2007; 62:630-635.
- [20]Norwitz ER, Caughey AB. Progesteron supplementation and the prevention of preterm birth. Rev Obstet Gynecol. 2011; 4:60-27.
- [21]Mesiano S, Wang Y, Norwitz ER. Progesterone receptors in the human pregnancy uterus: do they hold the key to birth timing? Reprod Sci. 2011; 18:6-19.
- [22]Ransom CE, Murtha AP. Progesterone for preterm birth prevention. Obstet Gynecol Clin North Am. 2012; 39:1-16.
- [23]Romero R, Friel LA, Velez Edwards DR, Kusanovic JP, Hassan SS, Mazaki-Tovi S. A genetic association study of maternal and fetal candidate genes that predispose to preterm Prelabor Rupture Of Membranes (PROM). Am J Obstet Gynecol. 2010; 203:361.e361-361.e330.
- [24]Okabe H, Makino S, Kato K, Matsuoka K, Seki H, Takeda S. The effect of progesterone on genes involved in preterm labor. J Reprod Immunol. 2014; 105:80-91.
- [25]Manuck TA, Major HD, Varner MW, Chettier R, Nelson L, Esplin MS. Progesterone receptor genotype, family history, and spontaneous preterm birth. Obstet Gynecol. 2010; 115:765-70.