1. MMP-3 (-1171 5A/6A) gene polymorphism and risk of preeclampsia

Nguyen Thi Ngoc Thao, Pham Thi Tam, Nguyen Thanh Thuy, Le Ngoc Anh

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Abstract

Preeclampsia (PE) is a serious pregnancy-related disorder associated with abnormal placental development. Matrix Metalloproteinase-3 (MMP-3) plays a critical role in trophoblast invasion and spiral artery remodeling. The MMP-3 (-1171 5A/6A) gene polymorphism may influence gene expression and has been implicated in PE susceptibility. This case-control study, conducted on 70 PE patients and 72 normotensive pregnant women at Hanoi Obstetrics and Gynecology Hospital, aimed to investigate the association between the MMP-3 (-1171 5A/6A) gene polymorphism and the risk of preeclampsia among Vietnamese pregnant women. Genotyping of the MMP-3 polymorphism was performed using the PCR-RFLP technique. The results showed that the genotype frequencies of 5A/5A, 5A/6A, and 6A/6A were 0%, 38.6%, and 61.4% in the PE group, and 0%, 15.3%, and 84.7% in the control group, respectively. Pregnant women with the 5A/6A genotype had a significantly increased risk of PE (OR = 3.5; 95% CI: 1.6 - 7.8; p = 0.002), particularly for late-onset PE (OR = 4.5; 95% CI: 1.9 - 11.1; p = 0.001). In conclusion, the MMP-3 (-1171 5A/6A) polymorphism may represent a genetic risk factor for preeclampsia, especially in cases of late-onset disease. These findings contribute to a better understanding of the genetic basis of PE.

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References

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