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Mol. Hum. Reprod. Advance Access published online on October 13, 2006

Molecular Human Reproduction, doi:10.1093/molehr/gal084
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received August 8, 2006
Accepted September 7, 2006

Article

Association of -592C/A, -819C/T and -1082A/G interleukin-10 promoter polymorphisms with idiopathic recurrent spontaneous abortion

W. Zammiti 1, N. Mtiraoui 1, E. Cochery-Nouvellon 2, T. Mahjoub 1, W.Y. Almawi 3 *, and J.-C. Gris 2

1 Research unit of Haematological and Autoimmune diseases, Faculty of Pharmacy, Monastir, Center University, Montpellier, France
2 Faculty of Biological and Pharmaceutical Sciences, Montpellier-1 University, Montpellier, France
3 Department of Medical Biochemistry, Arabian Gulf University, Manama, Bahrain

* To whom correspondence should be addressed.
W.Y. Almawi, E-mail: wyalmawi{at}yahoo.co.uk


   Abstract

Increasing evidence supports a role for altered T helper 1 (Th1)-Th2 cytokine balance in idiopathic recurrent spontaneous abortion (RSA). The aim of this study was to investigate the association of the interleukin 10 (IL-10) promoter polymorphisms -592C/A, -819C/T and -1082A/G with RSA. Women (n = 350) with at least three consecutive spontaneous abortions (RSA cases) and 200 control women with at least two successful pregnancies were included. The frequency of the -819T allele [P = 0.05, odds ratio (OR) = 1.51], but not other single-nucleotide polymorphisms (SNPs), was higher among RSA patients. Complete linkage disequilibrium (LD) was seen between -592C and -819C and -1082G alleles, as well as between -592A and -819T and between -819C and -1082G alleles only among patients. Although the genotype frequencies (except for -819C/C) of the three polymorphisms were comparable between patients and controls, higher frequency of -592A/-819T/-1082A haplotype (OR = 4.01, 95% CI = 1.83-7.95) was seen in cases versus controls. Regression analysis indicated that, after adjusting for potential variables, -592C/A (OR = 3.32, 95% CI = 1.76-6.27) and -819C/T (OR = 5.06, 95% CI = 2.59-9.91) were associated with exclusively early but not exclusively late RSA, where negative association for both was noted. This supports the notion of involvement of IL-10-592C/A and -819C/T polymorphisms as inherited risk factors of idiopathic RSA.

Keywords: autoimmunity/autoantibodies/IL-10/recurrent abortion.
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E. Cochery-Nouvellon, P. Nguyen, R. Attaoua, P. Cornillet-Lefebvre, E. Mercier, F. Vitry, and J.-C. Gris
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