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Mol. Hum. Reprod. Advance Access published online on February 4, 2005

Molecular Human Reproduction, doi:10.1093/molehr/gah151
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Molecular Human Reproduction © European Society of Human Reproduction and Embryology 2005; all rights reserved
Received October 13, 2004
Accepted January 7, 2005

Article

An A>G polymorphism at position -670 in the Fas (TNFRSF6) gene in pregnant women with pre-eclampsia and intrauterine growth restriction

Istvan Sziller 1, Daniel Nguyen 2, Amrita Halmos 1, Petronella Hupuczi 1, Zoltan Papp 1, and Steven S. Witkin 2*

1 First Department of Obstetrics and Gynecology, Semmelweis University Medical School, Budapest, Hungary
2 Division of Immunology and Infectious Diseases, Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, New York, NY, USA

* To whom correspondence should be addressed.
Steven S. Witkin, E-mail: switkin{at}med.cornell.edu


   Abstract

Fas-mediated apoptosis of maternal lymphocytes during pregnancy has been postulated to prevent the development of pre-eclampsia. A single adenine (A) to guanine (G) polymorphism at position -670 in the Fas gene (TNFRSF6) results in decreased Fas synthesis. The association between this polymorphism and pre-eclampsia in Hungarian women was investigated. In a case-control study, buccal swabs from 38 pregnant women with pre-eclampsia and 89 normotensive controls were analysed for the TNFRSF6-670 polymorphism. Investigators were blinded to clinical outcomes. Maternal homozygosity for the TNFRSF6-670*A occurred in 33 (37.1%) normotensive pregnant women as compared to only 5 (16.1%) of 31 pre-eclamptic pregnant women who delivered at <37 weeks gestation (P=0.04). The carriage rate of the TNFRSF6-670*G variant was also higher among these patients (59.7%) than among normotensive controls (42.1%; P=0.01). There was no relation between the polymorphism and the pre-eclampsia diagnosed at ≥37 weeks. Among pre-eclamptic patients with an intrauterine growth restriction (IUGR) neonate, eight (57.2%) were TNFRSF6-670*G homozygous as opposed to 3 (17.6%) of 17 pre-eclamptics who did not have IUGR (P=0.03) and 19 (21.3%) normotensive controls (P=0.008). Carriage of the TNFRSF6-670 polymorphism in the neonate was not associated with pre-eclampsia or IUGR. Maternal possession of the TNFRSF6-670*G increases the risk for pre-eclampsia and pre-eclampsia-associated IUGR in women who deliver at <37 weeks.

Keywords: Fas; genetic polymorphism; intrauterine growth restriction; pre-eclampsia; TNFRSF6.
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