HOMOCYSTEINE, MTHFR GENE POLYMORPHISMS, AND PREGNANCY COMPLICATIONS


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Abstract

The review discusses the current views on the role of polymorphic variants of the MTHFR gene in the development of obstetric diseases in the light of the contradictory results of studies revealing the associations of markers of this locus with complicated pregnancy.

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About the authors

E. A TRIFONOVA

Research Institute of Medical Genetics, Siberian Branch, Russian Academy of Medical Sciences

Email: ekaterina.trifonova@medgenetics.ru

T. V GABIDULINA

Siberian State Medical University, Russian Agency for Health Care

T. A AGARKOVA

Research Institute of Obstetrics, Gynecology, and Perinatology, Siberian Branch, Russian Academy of Medical Sciences, Tomsk

N. A GABITOVA

Research Institute of Obstetrics, Gynecology, and Perinatology, Siberian Branch, Russian Academy of Medical Sciences, Tomsk

V. A STEPANOV

Research Institute of Medical Genetics, Siberian Branch, Russian Academy of Medical Sciences

References

  1. Аиметова А.Р., Мамедалиева Н.М., Святова Г.С., Березина Г.М. Роль полиморфизма генов фолатного обмена в генезе неразвивающейся беременности I триместра // Материалы X юбилейного Всероссийского научного форума «Мать и дитя». — М., 2009. — С. 6—7.
  2. Айламазян Э.К., Зайнулина М.С., Петрищев Н.Н. Роль тромбофилии в развитии акушерской патологии // Акуш. и гин. — 2007. — № 5. — С. 38—42.
  3. Беспалова О.Н. Генетика невынашивания беременности // Журн. акуш. и жен. бол. — 2007. — Т. 56, № 1. — С. 81—95.
  4. Доброхотова Ю.Э., Сухих Г.Т., Джобава Э.М. и др. Гипергомоцистеинемия и фолиевая кислота при невынашивании беременности // Рос. вестн. акуш.-гин. — 2007. — № 5. — С. 8—11.
  5. Калашникова Е. А. Ассоциация наследственных факторов тромбофилии с невынашиванием беременности у женщин в русской популяции // Мед. генетика. — 2005. — Т. 4, № 8. — С. 386-390.
  6. Малышева О.В., Беспалова О.Н., Иващенко Т.Э., Баранов B.С. Невынашивание беременности и полиморфизм генов системы свертывания крови // Журн. акуш. и жен. бол. — 2007. — Т. 56, № 1. — С. 21—27.
  7. Мухин М.А., Моисеев С.В., Фомин В.В. Гипергомоцистеинемия как фактор риска развития заболеваний сердечно-сосудистой системы // Клин. мед. —2001. — № 6. — C. 7—14.
  8. Мхеидзе Н. Тромбофилия и преждевременная отслойка нормально расположенной плаценты // Материалы VI Российского форума «Мать и дитя». — М., 2004. — C. 141.
  9. Назаренко М.С., Пузырев В.П., Лебедев И.Н. Частоты полиморфизмов С677Т и Ф1298С гена метилентетрагидрофолатредуктазы на раннем этапе индивидуального развития человека // Генетика. — 2006. — Т. 42, № 5. — С. 711—717.
  10. Низкомолекулярный гепарин и тромбофилические состояния в акушерстве / Макацария А.Д., Бицадзе В.О., Долгушина Н.В. и др.; Под ред. А.Д. Макацария. — М.: Адамант, 2002.
  11. Родионов Р.Н., Лентц С.Р. Современные представления о гипергомоцистеинемии как факторе риска сердечнососудистых заболеваний // Артериальная гипертензия. — 2008. — Т. 14, № 1. — С. 110—115.
  12. Спиридонова М. Г., Трифонова Е. А., Фадюшина С. В. и др. Молекулярно-генетический анализ полиморфных маркеров генов метилентетрагидрофолат-редуктазы, эндотелиальной синтазы окиси азота и ангиотензинпревращающего фермента у женщин с осложненным протеканием беременности // Сиб. мед. журн. — 2006. — № 4. — С. 21—25.
  13. Шаманова М.Б., Гоголевская И.К., Лебедева И.Г. и др. Роль мутаций в генах FII, FV и MTHFR у пациенток с привычным невынашиванием // Пробл. репрод. — 2009. — № 1. — С. 104—107.
  14. Abbate R., Sofi F., Gensini F. et al. Thrombophilias as risk factors for disorders of pregnancy and fetal damage // Pathophysiol. Haemost. Thromb. — 2002. — Vol. 32. — Р. 318—321.
  15. Alfirevic Z., Mousa H.A., Martlew V. et al. Postnatal screening for thrombophilia in women with severe pregnancy complications // Obstetr. Gynecol. — 2001. Vol. 97, № 5, pt 1. — P. 753—759.
  16. Ananth C.V., Peltier M.R., De Marco C. et al. Associations between 2 polymorphisms in the methylenetetrahydrofolate reductase gene and placental abruption // Am. J. Obstet. Gynecol. — 2007. — Vol. 197, № 4. — Р. 385.
  17. Bae J., Shin S.J., Cha S.H. et al. Prevalent genotypes of methylenetetrahydrofolate reductase (MTHFR C677T and A1298C) in spontaneously aborted embryos // Fertil. and Steril. — 2007. — Vol. 87. — P. 351—355.
  18. Bailey L., Gregory J. Polymorphisms of methylenetetrahydrofolate reductase and other enzymes: metabolic significance, risks and impact on folate requirement // J. Nutr. — 1999. — Vol. 129. — Р. 919—922.
  19. Behjati R., Modarressi M.H., Jeddi-Therani M. et al. Thrombophilic mutations in Iranian patients with infertility and recurrent spontaneous abortion // Ann. Hematol. — 2006. — № 1. — P. 1—4.
  20. Callejon G., Mayor-Olea A., Jimenez A.J. Genotypes of the C677T and A1298C polymorphisms of the MTHFR gene as a cause of human spontaneous embryo loss // Hum. Reprod. — 2007 — Vol. 22, № 12. — P. 3249—3254.
  21. Camilleri R.S., Peebles D., Portmann C. et al. -455G/A betafibrinogen gene polymorphism, factor V Leiden, prothrombin G20210A mutation and MTHFR C677T, and placental vascular complications // Blood Coagul. Fibrinolys. - 2004. — Vol. 15, № 2. — P. 139—147.
  22. Canto P., Canto-Cetina T., Judrez-Veldzquez R. et al. Methylenetetrahydrofolate reductase C677T and glutathione S-transferase P1 A313G are associated with a reduced risk of preeclampsia in Maya-Mestizo women // Hypertens. Res. — 2008. — Vol. 31, № 5. — P. 1015—1019.
  23. Carp H., Salomon O.,Seidman D. et al. Prevalence of genetic markers for thrombophilia in recurrent pregnancy loss // Hum. Reprod. — 2002. — Vol. 17, № 6. — P. 1633—1637.
  24. Chikosi A.B., Moodley J., Pegoraro R.J. et al. 5,10 methylenetetrahydrofolate reductase polymorphism in black South African women with pre-eclampsia // Br. J. Obstet. Gynaecol. № 1999. — Vol. 106, № 11. — P. 1219-1220.
  25. Coulam C.B., Wallis D., Weinstein J. et al. Comparison of thrombophilic gene mutations among patients experiencing recurrent miscarriage and deep vein thrombosis // Am. J. Reprod. Immunol. — 2008. — Vol. 60. — P. 426—431.
  26. Dalmdz C.A., Santos K.G., Botton M.R. et al. Relationship between polymorphisms in thrombophilic genes and preeclampsia in a Brazilian population // Blood Cells Mol. Dis. — 2006. — Vol. 37. — P. 107—110.
  27. Da'valosa I.P., Morana M.C., Martr'nez-Abundis E. et al. Methylenetetrahydrofolate reductase C677T polymorphism and factor V Leiden variant in Mexican women with preeclampsia/eclampsia // Blood Cells Mol. Dis. — 2005. — Vol. 35. - P. 66— 69.
  28. Driul L., Damante G., D’Elia A. et al. Genetic thrombophilias and uterine artery Doppler velocimetry and preeclampsia / // Int. J. Gynaecol. Obstet. — 2005. — Vol. 88. — P. 265—270.
  29. Friedman G., Goldschmidt N., Friedlander Y. et al. A common mutation A1298C in human methylenetetrahydrofolate reductase gene: association with plasma total homocysteine and folate concentrations // J. Nutr. — 1999. — Vol. 129. - Р. 1656—1661.
  30. Gebhardt G.S., Scholtz C.L., Hillermann R., Odendaal H.J. Combined heterozygosity for methylenetetrahydrofolate reductase (MTHFR) mutations C677T and A1298C is associated with abruptio placentae but not with Intrauterine growth restriction // Eur. J. Obstet. Gynaecol. Reprod. Biol. — 2001. — Vol. 97. — P. 174—177.
  31. Gershoni-Baruch R., Dagan E., Israeli D. et al. Association of the C677T polymorphism in the MTHFR gene with breast and/or ovarian cancer risk in Jewish women // Eur. J. Cancer. — 2000. — Vol. 36, № 18. — Р. 2313—2316.
  32. Gibson C.S., MacLennan A.H., Janssen N.G. et al. Associations between fetal inherited thrombophilia and adverse pregnancy outcomes // Am. J. Obstet. Gynecol. — 2006. — Vol. 194, № 4. — P. 947-957.
  33. Goddard A.B., Tromp G., Romero R. et al. Candidate-gene association study of mothers with preeclampsia, and their infants, analyzing 775 SNPs in 190 genes // Hum. Hered. — 2007. — Vol. 63. — P. 1—16.
  34. Hefler L., Jirecek S., Heim K. et al. Genetic polymorphisms associated with thrombophilia and vascular disease in women with unexplained late intrauterine fetal death: a multicenter study // J. Soc. Gynecol. Invest. — 2004. — Vol. 11, № 1. — P. 42—44.
  35. Herndndez-Diaz S., Wu X.F., Hayes C. et al. Methylenetetrahydrofolate reductase polymorphisms and the risk of gestational hypertension // Epidemiology. — 2005. — Vol. 6, № 5. — P. 628-634.
  36. Hira B., Pegoraro R.J., Rom L. et al. Polymorphisms in various coagulation genes in black South African women with placental abruption // Br.J.Obstet.Gynaecol. — 2002. — Vol. 109, № 5. — P. 574—575.
  37. Ivanov P., Komsa-Penkova R., Ivanov I. et al. Carriers of thrombophilic factor among women with preeclampsia (preliminary report) // Akush. Ginekol. (Sofia). — 2007. — Vol. 46, № 8. — P. 3—8.
  38. Ivanov P., Kovacheva K., Komsa-Penkova R. et al. Genetic variant C677T in the MTHFR in women with recurrent early fetal loss // Akush. Ginekol. (Sofiia). — 2007. — Vol. 46, № 4. — P. 19—22.
  39. Jääskeläinen E., Keski-Nisula L., Toivonen S. et al. MTHFR C677T polymorphism is not associated with placental abruption or preeclampsia in Finnish women // Hypertens. Pregnancy. — 2006. — Vol. 25, № 2. — P. 73—80.
  40. Kosmas I.P., Tatsioni A., Ioannidis J.P. Association of C677T polymorphism in the methylenetetrahydrofolate reductase gene with hypertension in pregnancy and preeclampsia: a meta-analysis // J. Hypertens. — 2004. — Vol. 22, № 9. — P. 1655—1662.
  41. Kupferminc M.J., Eldor A., Steinman N. et al. Increased frequency of genetic thrombophilia in women with complications of pregnancy // N. Engl. J. Med. — 1999. Vol. 340. — P. 9—13.
  42. Laraqui A., Allami A., Carné A. et al. Relation between plasma homocysteine, gene polymorphisms of homocysteine metabolism-related enzymes, and angiographically proven coronary artery disease // Eur. J. Int. Med. — 2007. — Vol. 18. — Р. 474—483.
  43. Leclerc D., Sibani S., Rozen R. Molecular biology of methylenetetrahydrofolate reductase (MTHFR) and overview of mutations/polymorphisms // Landes Biosci. — 2004. — Vol. 1. — P. 153—164.
  44. Lin J., August P. Genetic thrombophilias and preeclampsia: a meta-analysis // Obstet. and Gynecol. — 2005. — Vol. 105, № 1. — Р. 182-192.
  45. Livingston J.C., Barton J.R., Park V. et al. Maternal and fetal inherited thrombophilias are not related to the development of severe preeclampsia // Am. J. Obstet. Gynecol. — 2001. — Vol. 185, № 1. — P. 153—157.
  46. Meglic L., Stegnar M., Milanez T. et al. Factor V Leiden, prothrombin G 20210A, methylenetetrahydrofolate reductase C677T and plasminogen activator inhibitor 4G/5G polymorphism in women with pregnancy-related venous thromboembolism // Eur. J. Obstet. Gynaecol. Reprod. Biol. — 2003. — Vol. 111. — P. 157—163.
  47. Morrison E.R., Miedzybrodzka Z.H., Campbell D.M. et al. Prothrombotic genotypes are not associated with preeclampsia and gestational hypertension: results from a large populationbased study and systematic review // Thromb. Haemost. — 2002. — Vol. 87, № 5. — P. 777—778.
  48. Muetze S., Leeners B., Ortlepp J.R. et al. Maternal factor V Leiden mutation is associated with HELLP syndrome in Caucasian women // Acta Obstet. Gynecol. Scand. — 2008. — Vol. 87, № 6. — P. 635—642.
  49. Murakami S., Matsubara N., Saitoh M. et al. The relation between plasma homocysteine concentration and methylenetetrahydrofolate reductase gene polymorphism in pregnant women // J. Obstet. Gynaecol. Res. — 2001. — Vol. 27, № 6. — P. 349—352.
  50. Naidu C.A., Pegoraro R., Rom L., Moodley J. Methylenetetrahydrofolate (MTHFR) reductase gene polymorphism in African women with abruptio placentae // Eur. J. Obstet. Gynecol. Reprod. Biology. — 2007. —Vol. 132, № 2. — P. 241—243.
  51. Nurk E., Tell G.S., Refsum H. et al. Associations between maternal methylenetetrahydrofolate reductase polymorphisms and adverse outcomes of pregnancy: the Hordaland Homocysteine Study // Am. J. Med. — 2004. —Vol. 117, № 1. — P. 26—31.
  52. Parle-McDermott A., Mills J.L., Kirke P.N. et al. MTHFD1 R653Q polymorphism is a maternal genetic risk factor for severe abruptio placentae // Am. J. Med. Genet. — 2005. — Vol. 132. — P. 365—368.
  53. Pauer H.U., Voigt-Tschirschwitz T., Hinney B. et al. Analyzes of three common thrombophilic gene mutations in German women with recurrent abortions // Acta Obstet. Gynecol. Scand. — 2003. — Vol. 82, № 10. — P. 942—947.
  54. Prochdzka M., Krcovd V., Kudela M., Slavik L. Occurrence of gene mutations in factor V Leiden, prothrombin and methylenetetrahydrofolate reductase in patients with preeclampsia // Cs. Gynekol. — 2003. — Vol. 68, № 3. — P.162—166.
  55. Rodríguez-Guillén М., Torres-Sánchez L., Chen J. et al. Maternal MTHFR polymorphisms and risk of spontaneous abortion // Salud Publ. Mex. — 2009. — Vol. 51. — P. 19—25.
  56. Stiefel P., Miranda M.L., Bellido L.M. et al. Genotype of the CYBA promoter -930A/G, polymorphism C677T of the MTHFR and APOE genotype in patients with hypertensive disorders of pregnancy: An observational study // Med. Clin. (Barcelona). — 2009. — Vol. 133, № 17. — P. 657—561.
  57. Stonek F., Hafner E., Philipp K. et al. Methylenetetrahydrofolate reductase C677T polymorphism and pregnancy complications // Obstet. and Gynecol. — 2007. — Vol. 110, № 2, Pt 1. — P. 363—368.
  58. TothB., Vockel F., RogenhoferN. et al. Paternal thrombophilic gene mutations are not associated with recurrent miscarriage // Am. J. Reprod. Immunol. — 2008. — Vol. 60. — P. 325— 332.
  59. Trabetti E. Homocysteine, MTHFR gene polymorphisms, and cardio-cerebrovascular risk // J. Appl. Genet. — 2008. — Vol. 49, № 3. — P. 267—282.
  60. Tranquilli A.L., Giannubilo S.R., Dell’Uomoa B., Grandone E. Adverse pregnancy outcomes are associated with multiple maternal thrombophilic factors // Eur. J. Obstet. Gynfecol. Reprod. Biol. — 2004. — Vol. 117. — P. 144—147.
  61. Van der Molen E.F., Arends G.E., Nelen W.L. et al. A common mutation in the 5,10-methylenetetrahydrofolate reductase gene as a new risk factor for placental vasculopathy // Am. J. Obstet. Gynecol. — 2000. — Vol. 182, № 5. — P. 1258— 1263.
  62. Vefring H., Lie R.T., Degard R. et al. Maternal and fetal variants of genetic thrombophilias and the risk of preeclampsia // Epidemiology. — 2004. — Vol. 15, № 3. — P. 317-322.
  63. Williams M.A., Sanchez S.E., Zhang C., Bazul V. Methylenetetrahydrofolate reductase 677 C-->T polymorphism and plasma folate in relation to pre-eclampsia risk among Peruvian women // J. Matern. Fetal Neonatal Med. — 2004. — Vol. 15, № 5. — P. 337—344.
  64. Yalinkaya A., Erdemoglu M., Akdeniz N. et al. The relationship between thrombophilic mutations and preeclampsia: a prospective case-control study // Ann. Saudi Med. — 2006. — Vol. 26, № 2. — P. 105-109.
  65. Yilmaz H. Association of pre-eclampsia with hyperhomocysteinaemia and methylenetetrahydrofolate reductase gene C677T polymorphism in a Turkish population // Aust. N. Z. J. Obstet. Gynaecol. — 2004. — Vol. 44. — P. 423—427.
  66. Zetterberg H., Regland B., Palmer M. et al. Increased frequency of combined methylenetetrahydrofolate reductase C677T and A1298C mutated alleles in spontaneously aborted embryos // Eur. J. Hum. Genet. — 2002. — Vol. 10. — P. 113—118.
  67. Zusterzeel P.L., Visser W., Blom H.J. et al. Methylenetetrahydrofolate reductase polymorphisms in preeclampsia and the HELLP syndrome // Hypertens Pregnancy. — 2000. — Vol. 19, № 3. — P. 299—307.

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