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Thrombophilic mutations and susceptibility to preeclapmsia in Western Iran

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Abstract

The aim of the present study was to investigate the frequency and the possible association between thrombophilic mutations of factor V Leiden (FVL) and prothrombin G20210A with preeclampsia among Kurdish population of Western Iran. We studied 198 women with preeclampsia including 128 women with mild and 70 women with severe forms and 101 healthy pregnant women with uncomplicated pregnancy. Among cases there were 23 women with early onset preeclampsia and 175 cases with late-onset preeclampsia. The sample was genotyped by polymerase chain reaction-restriction fragment-length polymorphism using Mnl I and Hind III for FVL and prothrombin G20210A, respectively. The frequency of heterozygous FVL mutation was 7.6% among all preeclamptic women (8.6% in mild and 5.7% in severe preeclamptic women) and 7.9% in controls (P > 0.05). However, the prevalence of heterozygous FVL were 10.5 and 3.9% among severe preeclamptic women with early onset and late-onset preeclampsia, respectively (P > 0.05). The prevalence of prothrombin G20210A were 1.6, 2.9, and 3% among women with mild preeclamsia, severe preeclampsia and controls, respectively (P > 0.05). The level of serum triglycerides (TG) was significantly higher among women with preeclampsia compared to healthy pregnant women that was not associated with the two thrombophilic mutations. Our results indicate that neither FVL nor prothrombin G20210A could be a risk factor for preeclampsia in our population. However, high prevalence of FVL in preeclamptic women with early onset compared to those with late-onset preeclampsia may suggest a role for this mutation in predisposition to early onset preeclampsia that need to be confirmed with larger sample size.

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References

  1. Sohda S, Arinami T, Hamada H, Yamada N, Hamaguchi H, Kubo T (1997) Methylenetetrahydrofolate reductase polymorphism and pre-eclampsia. J Med Genet 34:525–526

    Article  PubMed  CAS  Google Scholar 

  2. Kaiser T, Brennecke SP, Moses EK (2001) C677T Methylenetetrahydrofolate reductase polymorphism is not a risk factor for pre-eclampsia/eclampsia among Australian women. Hum Hered 51:20–22

    Article  PubMed  CAS  Google Scholar 

  3. Goddard KAB, Tromp G, Romero R et al (2007) Candidate-gene association study of mothers with pre-eclampsia, and their infants, analyzing 775 SNPs in 190 genes. Hum Hered 63:1–16

    Article  PubMed  CAS  Google Scholar 

  4. De Maat MPM, Jansen MWJC, Hille ETM et al (2004) Preeclampsia and its interaction with common variants in thrombophilia genes. J Thromb Haemost 2:1588–1593

    Article  PubMed  Google Scholar 

  5. O’Shaughnessy KM, Fu B, Ferraro F, Lewis I, Downing S, Morris NH (1999) Factor V Leiden and thermolabile methylenetetrahydrofolate reductase gene variants in an East Anglian preeclampsia cohort. Hypertension 33:1338–1341

    PubMed  Google Scholar 

  6. Vormittag R, Pabinger I (2006) Thrombophilia and pregnancy complications. Hamostaseologie 26:59–62

    PubMed  CAS  Google Scholar 

  7. Rahimi Z, Vaisi-Raygani A, Nagel RL, Muniz A (2008) Thrombophilic mutations among Southern Iranian patients with sickle cell disease: high prevalence of factor V Leiden. J Thromb Thrombolysis 25:288–292

    Article  PubMed  CAS  Google Scholar 

  8. Rahimi Z, Mozafari H, Shariari-Ahmadi A et al (2010) Deep venous thrombosis and thrombophilic mutations in Western Iran: association with factor V Leiden. Blood Coagul Fibrinolysis 21:385–388

    Article  PubMed  CAS  Google Scholar 

  9. Rahimi Z, Mozafari H, Amiri Bigvand AH et al (2010) Cerebral venous and sinus thrombosis and thrombophilic mutations in Western Iran: association with factor V Leiden. Clin Appl Thromb Hemost 16:430–434

    Article  PubMed  CAS  Google Scholar 

  10. Silver RM, Zhao Y, Spong CY, Sibai B, Wendel G Jr, Wenstrom K (2010) Prothrombin gene G20210A mutation and obstetric complications. Obstet Gynecol 115:14–20

    Article  PubMed  CAS  Google Scholar 

  11. Mello G, Parretti E, Marozio L et al (2005) Thrombophilia is significantly associated with severe preeclampsia results of a large-scale, case-controlled study. Hypertension 46:1270–1274

    Article  PubMed  CAS  Google Scholar 

  12. Jarvenpaa J, Pakkila M, Savolainen ER, Perheentupa A, Jarvela I, Ryynanen M (2006) Evaluation of factor V Leiden, prothrombin and methylenetetrahydrofolate reductase gene mutations in patients with severe pregnancy complications in northern Finland. Gynecol Obstet Invest 62:28–32

    Article  PubMed  CAS  Google Scholar 

  13. Grandone E, Margaglione M, Colaizzo D et al (1997) Factor V Leiden, C > T MTHFR polymorphism and genetic susceptibility to preeclampsia. Thromb Haemost 77:1052–1054

    PubMed  CAS  Google Scholar 

  14. Omar SZ, Qvist R, Khaning SL, Muniandy S, Bhalla S (2008) Thrombophilic mutations in pre-eclampsia and pregnancy-induced hypertension. J Obstet Gynaecol Res 34:174–178

    Article  PubMed  Google Scholar 

  15. Carty DM, Delles C, Dominiczak AF (2008) Novel biomarkers for predicting preeclampsia. Trends Cardiovasc Med 18:186–194

    Article  PubMed  CAS  Google Scholar 

  16. Sibai BM, Stella CL (2009) Diagnosis and management of atypical preeclampsia-eclampsia. Am J Obstet Gynecol 200:e1–e7

    Google Scholar 

  17. Rahimi Z, Muniz A, Parsian A (2010) Detection of responsible mutations for beta thalassemia in the Kermanshah Province of Iran using PCR-based techniques. Mol Biol Rep 37:149–154

    Article  PubMed  CAS  Google Scholar 

  18. Rahimi Z, Vaisi-Raygani A, Mozafari H, Kharrazi H, Rezaei M, Nagel RL (2008) Prevalence of factor V Leiden (G1691A) and prothrombin (G20210A) among Kurdish population from Western Iran. J Thromb Thrombolysis 25:280–283

    Article  PubMed  CAS  Google Scholar 

  19. Zintzaras E (2010) The generalized odds ratio as a measure of genetic risk effect in the analysis and meta-analysis of association studies. Stat Appl Genet Mol Biol 9:1–12

    Google Scholar 

  20. Livingston JC, Barton JR, Park V, Haddad B, Phillips O, Sibai BM (2001) Maternal and fetal inherited thrombophilias are not related to the development of severe preeclampsia. Am J Obstet Gynecol 85:153–157

    Article  Google Scholar 

  21. Best LG, Dorsam ST, Nadeau M, Burd L, Anderson CM (2009) Genetic thrombophilia variants and risk for preeclampsia among American Indians. Hypertens Pregnancy 28:85–94

    Article  PubMed  CAS  Google Scholar 

  22. Morrison ER, Miedzybrodzka ZH, Campbell DM et al (2002) Prothrombotic genotypes are not associated with pre-eclampsia and gestational hypertension: results from a large population-based study and systematic review. Thromb Haemost 87:779–785

    PubMed  CAS  Google Scholar 

  23. Kahn SR, Platt R, McNamara H et al (2009) Inherited thrombophilia and preeclampsia within a multicenter cohort: the montreal preeclampsia study. Am J Obstet Gynecol 200:151.e1–151.e9

    Article  Google Scholar 

  24. Dusse LM, Carvalho MG, Bragança WF et al (2007) Inherited thrombophilias and pre-eclampsia in Brazilian women. Eur J Obstet Gynecol Reprod Biol 134:20–23

    Article  PubMed  CAS  Google Scholar 

  25. Dalmáz CA, Santos KG, Botton MR, Tedoldi CL, Roisenberg I (2006) Relationship between polymorphisms in thrombophilic genes and preeclampsia in a Brazilian population. Blood Cells Mol Dis 37:107–110

    Article  PubMed  Google Scholar 

  26. Dizon-Townson D, Miller C, Sibai B et al (2005) National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. The relationship of the factor V Leiden mutation and pregnancy outcomes for mother and fetus. Obstet Gynecol 106:517–524

    Article  PubMed  CAS  Google Scholar 

  27. D’Elia AV, Driul L, Giacomello R et al (2002) Frequency of factor V, prothrombin and methylenetetrahydrofolate reductase gene variants in preeclampsia. Gynecol Obstet Invest 53:84–87

    Article  PubMed  Google Scholar 

  28. Dávalos IP, Moran MC, Martínez-Abundis E et al (2005) Methylenetetrahydrofolate reductase C677T polymorphism and Factor V Leiden variant in Mexican women with preeclampsia/eclampsia. Blood Cells Mol Dis 35:66–69

    Article  PubMed  Google Scholar 

  29. Seremak-Mrozikiewicz A, Drews K, Wender-Ozegowska E, Mrozikiewicz PM (2010) The significance of genetic polymorphisms of factor V leiden and prothrombin in the preeclamptic polish women. J Thromb Thrombolysis 30:97–104

    Article  PubMed  CAS  Google Scholar 

  30. Prasmusinto D, Skrablin S, Fimmers R, van der Ven K (2004) Ethnic differences in the association of factor V Leiden mutation and the C677T methylenetetrahydrofolate reductase gene polymorphism with preeclampsia. Eur J Obstet Gynecol repord Biol 112:162–169

    Article  CAS  Google Scholar 

  31. Lin J, Auqust P (2005) Genetic thrombophilias and preeclampsia: a meta-analysis. Obstet Gynecol 105:182–192

    Article  PubMed  Google Scholar 

  32. Dudding T, Heron J, Thakkinstian A et al (2008) Factor V Leiden is associated with pre-eclampsia but not with fetal growth restriction: a genetic association study and meta-analysis. J Thromb Haemost 6:1869–1875

    Article  PubMed  CAS  Google Scholar 

  33. Robertson L, Wu O, Langhorne P et al (2006) Thrombophilia in pregnancy: a systematic review. Br J Haematol 132:171–196

    Article  PubMed  CAS  Google Scholar 

  34. Nurk E, Tell GS, Refsum H, Ueland PM, Vollset SE (2006) Factor V Leiden, pregnancy complications and adverse outcomes: the Hordaland Homocysteine Study. Q J Med 99:289–298

    Article  CAS  Google Scholar 

  35. Makkonen N, Heinonen S, Hiltunen M (2001) Apolipoprotein E alleles in women with pre-eclampsia. J Clin Pathol 54:652–654

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This work was performed in partial fulfillment of the requirements for MD of Dr. Faranak Jalilvand, Kermanshah University of Medical Sciences, Kermanshah, Iran.

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Correspondence to Zohreh Rahimi.

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Malek-Khosravi, S., Rahimi, Z., Rahimi, Z. et al. Thrombophilic mutations and susceptibility to preeclapmsia in Western Iran. J Thromb Thrombolysis 33, 109–115 (2012). https://doi.org/10.1007/s11239-011-0653-y

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