Tumor Necrosis Factor-α Gene Polymorphisms in Korean Patients With Recurrent Spontaneous Abortion

被引:0
作者
Bo Eun Lee
Young Joo Jeon
Ji Eun Shin
Ji Hyang Kim
Dong Hee Choi
Yong Wook Jung
Sung Han Shim
Woo Sik Lee
Nam Keun Kim
机构
[1] CHA University,Institute for Clinical Research, CHA Bundang Medical Center
[2] College of Life Science,Department of Biomedical Science
[3] CHA University,Department of Obstetrics and Gynecology, CHA Bundang Medical Center
[4] CHA University,Department of Obstetrics and Gynecology, CHA Gangnam Medical Center
[5] CHA University School of Medicine,Fertility Center of CHA Gangnam Medical Center
[6] CHA University,undefined
来源
Reproductive Sciences | 2013年 / 20卷
关键词
tumor necrosis factor-α; recurrent spontaneous abortion; polymorphism; risk factor;
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中图分类号
学科分类号
摘要
The objective of this study was to investigate the contribution of the tumor necrosis factor-α (TNF-α) gene polymorphisms to recurrent spontaneous abortion (RSA). The study participants consisted of 357 Korean women with RSA and 236 fertile women controls. Four TNF-α gene variants of all participants were analyzed by polymerase chain reaction–restriction fragment length polymorphism assay. The TNF-α -1031T>C and TNF-α -238G>A variants increased the risk of RSA TNF-α -1031TC+CC; adjusted odds ratio [AOR], 2.292; 95% confidence interval [CI], 1.547-3.395; P < .001; TNF-α -238GA+AA; AOR, 2.327; 95% CI, 1.038-5.217; P = .040), and these data were not different in a stratified analysis according to the number of consecutive spontaneous abortions. Also, the mutant genotypes of TNF-α -1031 and TNF-α -238 showed synergistic effects on increased RSA risk (-1031TC+CC/-238GA+AA; AOR, 4.054; 95% CI, 1.520-10.812; P = .005). In haplotype analysis, there were similar trends of data for combination analysis. In conclusion, the TNF-α -1031T>C and TNF-α -238G>A variants are possible genetic risk factors for RSA.
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页码:408 / 413
页数:5
相关论文
共 133 条
[1]  
Sierra S(2006)Genetics of recurrent pregnancy loss Semin Reprod Med 24 17-24
[2]  
Stephenson M(1988)Incidence of early loss of pregnancy N Engl J Med 319 189-194
[3]  
Wilcox AJ(2010)Association between -238 but not -308 polymorphism of tumor necrosis factor alpha (TNF-alpha)v and unexplained recurrent spontaneous abortion (URSA) in Chinese population Reprod Biol Endocrinol 8 114-2226
[4]  
Weinberg CR(2001)TH1 and TH2 cytokine profiles in recurrent aborters with successful pregnancy and with subsequent abortions Hum Reprod 16 2219-356
[5]  
O’Connor JF(1993)Bidirectional cytokine interactions in the maternal-fetal relationship: is successful pregnancy a TH2 phenomenon Immunol Today 14 353-345
[6]  
Liu C(2005)Blockade of CD86 signaling facilitates a TH2 bias at the maternal-fetal interface and expands peripheral CD4þCD25þ regulatory T cells to rescue abortion-prone fetuses Biol Reprod 72 338-40
[7]  
Wang J(2001)The carriage of pro-inflammatory cytokine gene polymorphisms in recurrent pregnancy loss Am J Reprod Immunol 45 35-1936
[8]  
Zhou S(1995)T-Helper 1-type immunity to trophoblast in women with recurrent spontaneous abortion JAMA 273 1933-20
[9]  
Wang B(2005)The intriguing biology of the tumour necrosis factor/tumour necrosis factor receptor superfamily: players, rules and the games Immunology 115 1-27
[10]  
Ma X(2001)Cytokine promoter gene polymorphisms and idiopathic recurrent pregnancy loss J Reprod Immunol 51 21-CR610