Association of FBLN5 gene polymorphism with a risk for pelvic organ prolapse in women with soft tissue injuries in the generative passage


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Objective. To search for polymorphic FBLN5 gene variants associated with a risk for POP in women. Subjects and methods. The investigation enrolled 502 women, including 210 patients diagnosed with grade 2-4 POP (POP-Q) and 292 without prolapse. Results and discussion. The minor alleles rs12586948-A, rs2018736-С, and rs2474028-Т were more frequently found in the women with POP than in the control group. The minor allele rs12589592-A was more common in the healthy women. The haplotype consisting of the risky alleles rs12586948(A) - rs2018736(C) - rs12589592(G) - rs2474028(T) with a frequency of 16.12% was characterized by the importance of its effect: P=0.0079, OR=3.51, 95% CI, 1.40-8.78. Conclusion. The genetic status detected by carriage of the found risky and protective alleles in the FBLN5 gene permits the risk of POP to be diagnosed in women with a history of soft tissue injuries in the generative passage.

Full Text

Restricted Access

About the authors

Oleg V. Makarov

N.I. Pirogov Russian National Research Medical University

Email: profmakarov@mail.ru
MD, professor, head of Obstetrics and Gynecology Department One, Faculty of Therapeutics

Svetlana V. Kamoeva

N.I. Pirogov Russian National Research Medical University

Email: sv02016@yandex.ru
PhD, docent of Obstetrics and Gynecology Department One, Faculty of Therapeutics

Mariam B. Khadzhieva

N.I. Vavilov Institute of General Genetics, Russian Academy of Sciences

Email: m.had@mail.ru
postgraduate student, Junior Researcher, Laboratory of Ecological Genetics

Anastasia V. Ivanova

N.I. Pirogov Russian National Research Medical University

Email: doc.av.ivanova@gmail.com
postgraduate student, Obstetrics and Gynecology Department One, Faculty of Therapeutics

Anastasia G. Chumachenko

N.I. Vavilov Institute of General Genetics, Russian Academy of Sciences

Email: a_chumachenko@mail.ru
PhD, Researcher, Laboratory of Ecological Genetics

Serikbay K. Abilev

N.I. Vavilov Institute of General Genetics, Russian Academy of Sciences

Email: serikbai@mail.ru
MD, professor Deputy Director for Science

Lyubov E. Salnikova

N.I. Vavilov Institute of General Genetics, Russian Academy of Sciences

Email: salnikova@vigg.ru
MD, Leading Researcher, Laboratory of Ecological Genetics Chief Researcher

References

  1. Kim C.M., Jeon M.J., Chung D.J., Kim S.K., Kim J.W., Bai S.W. Risk factors for pelvic organ prolapse. Int. J. Gynecol. Obstet. 2007; 98: 248-51.
  2. Rortveit G., Brown J.S., Thom D.H., Van Den Eeden S.K., Creasman J.M., Subak L.L. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet. Gynecol. 2007; 109(6): 1396-403.
  3. Fritel X., Ringa V., Varnoux N., Zins M., Bréart G. Mode of delivery and fecal incontinence at midlife: a study of 2,640 women in the Gazel cohort. Obstet. Gynecol. 2007; 110(1): 31-8.
  4. Handa V.L., Blomquist J.L., McDermott K.C., Friedman S., Muñoz A. Pelvic floor disorders after vaginal birth: effect of episiotomy, perineal laceration, and operative birth. Obstet. Gynecol. 2012; 119: 233-9.
  5. Memon H.U., Handa V.L. Vaginal childbirth and pelvic floor disorders. Womens Health (Lond Engl) 2013; 9: 265-77.
  6. Nguyen A.D., Itoh S., Jeney V., Yanagisawa H., Fujimoto M., Ushio-Fukai M., Fukai T. Fibulin-5 is a novel binding protein for extracellular superoxide dismutase. Circ. Res. 2004; 95(11): 1067-74.
  7. Mecham R.P., Davis E.C. Elastic fiber structure and assembly. In: Urchenco P.D., Birk D.E., Mecham R.P., eds. Extracellular matrix assembly and structure. San Diego: Academic Press; 1994: 281-310.
  8. Wagenseil J.E., Mecham R.P. New insights into elastic fiber assembly. Birth Defects Res. C Embryo Today. 2007; 81(4): 229-40.
  9. Kluivers K.B., Dijkstra J.R., Hendriks J.C., Lince S.L., Vierhout M.E., van Kempen L.C. COL3A1 2209G>A is a predictor of pelvic organ prolapse. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2009; 20(9): 1113-8.
  10. Bortolini M.A., Rizk D.E. Genetics of pelvic organ prolapse: crossing the bridge between bench and bedside in urogynecologic research. Int. Urogynecol. J. 2011; 22(10): 1211-9.
  11. Jones R.P., Ridley C., Jowitt T.A., Wang M.C., Howard M., Bobola N. et al. Structural effects of fibulin-5 missense mutations associated with age-related macular degeneration and cutis laxa. Invest. Ophthalmol. Vis. Sci. 2010; 51(5): 2356-62. Available at: http://omim.org/entry/604580
  12. Drewes P.G., Yanagisawa H., Starcher B., Hornstra I.K., Csiszar K., Marinis S.I. et al. Pelvic organ prolapse in fibulin-5 knockout mice: pregnancy changes in elastic fiber homeostasis in mouse vagina. Am. J. Pathol. 2007; 170(2): 578-89.
  13. Badger S.A., Soong C.V., O’Donnell M.E., Sharif M.A., Makar R.R., Hughes A.E. Common polymorphisms of fibulin-5 and the risk of abdominal aortic aneurysm development. Vasc. Med. 2010; 15(2): 113-7.
  14. Brion M., Sanchez-Salorio M., Corton M., de la Fuente M., Pazos B., Othman M. et al.; Spanish multi-centre group of AMD. Genetic association study of age-related macular degeneration in the Spanish population. Acta Ophthalmol. 2011; 89(1): e12-22.
  15. Малхасян В.А., Абрамян К.Н. Эпидемиология, патогенез и факторы риска пролапса гениталий у женщин: обзор зарубежной литературы. Тихоокеанский медицинский журнал. 2011; 1: 9-13. [Malhasyan V.A., Abramyan K.N. Epidemiology, pathogenesis and risk factors for genital prolapse in women: a review of foreign literature. Tihookeanskiy meditsinskiy zhurnal. 2011; 1: 9-13. (in Russian)]
  16. Сухих Г.Т., Данилов А.Ю., Боташева Д.А. Роль иммуногистохимических и генетических факторов в уточнении этиологии и патогенеза пролапса гениталий у женщин. Российский вестник акушера-гинеколога. 2012; 2: 47-50. [Sukhih G.T., Danilov A.Yu., Botasheva D.A The role of immunohistochemical and genetic factors to clarify the etiology and pathogenesis of genital prolapse in women. Rossiyskiy vestnik akushera-ginekologa. 2012; 2: 47-50. (in Russian)]
  17. Klutke J., Ji Q., Campeau J., Starcher B., Felix J.C., Stanczyk F.Z., Klutke C. Decreased endopelvic fascia elastin content in uterine prolapse. Acta Obstet. Gynecol. Scand. 2008; 87(1): 111-5.
  18. Northington G.M. Fibulin-5: two for the price of one maintaining pelvic support. J. Clin. Invest. 2011; 121(5): 1688-91.
  19. Budatha M., Roshanravan S., Zheng Q., Weislander C., Chapman S.L., Davis E.C. et al. Extracellular matrix proteases contribute to progression of pelvic organ prolapse in mice and humans. J. Clin. Invest. 2011; 121(5): 2048-59.
  20. Zhao B.H., Zhou J.H. Decreased expression of elastin, fibulin-5 and lysyl oxidase-like 1 in the uterosacral ligaments of postmenopausal women with pelvic organ prolapse. J. Obstet. Gynaecol. Res. 2012; 38: 925-31.
  21. Zhou Y., Ling O., Bo L. Expression and significance of lysyl oxidase-like 1 and fibulin-5 in the cardinal ligament tissue of patients with pelvic floor dysfunction. J. Biomed. Res. 2013; 27: 23-8.
  22. Alperin M., Abromovitch S., Debes K. LOXL1 deficiency negatively impacts the biomechanical properties of the mouse vagina and supportive tissues. Int. Urogynecol. J. Pelvic Floor Dysfunct. 2008; 19(7): 977-86.
  23. Ferrell G., Lu M., Stoddard P. A single nucleotide polymorphism in the promoter of the LOXL1 gene and its relationship to pelvic organ prolapse and preterm premature rupture of membranes. Reprod. Sci. 2009; 16(5): 438-46.
  24. Liu X., Zhao Y., Gao J., Pawlyk B., Starcher B., Spencer J.A. et al. Elastic fiber homeostasis requires lysyl oxidase-like 1 protein. Nat. Genet. 2004; 36: 178-82.
  25. Moalli P.A., Shand S.H., Zyczynski H.M., Gordy S.C., Meyn L.A. Remodeling of vaginal connective tissue in patients with prolapse. Obstet. Gynecol. 2005; 106(5): 953-63.
  26. Закрытная О.С., Ящук А.Г. Молекулярно-генетические факторы развития пролапса гениталий и недержания мочи у женщин. В кн.: Сборник научных работ «Естествознание и гуманизм». Томск; 2007; т.4,вып.1: 28-9. [Zakrytnaya O.S., Yashchuk A.G. Molecular genetic factors of genital prolapse and urinary incontinence in women. In: Collection of scientific papers “Natural history and humanism”. Tomsk; 2007; v.4, Issue 1: 28-9. (in Russian)]
  27. Kerkhof M.H., Hendriks L., Brolmann H.A. Changes in connective tissue in patients with pelvic organ prolapse-a review of the current literature. Int. Urogynecol. J. Pelvic Floor Dysfunct 2009; 20(4): 461-74.
  28. Skorupski P., Jankiewicz K., Miotla P., Marczak M., Kulik-Rechberger B., Rechberge T. The polymorphisms of the MMP-land the MMP-3genes and the risk of pelvic organ prolapse. Int. Urogynecol. J. 2013; 24: 1033-8.
  29. Дегтярева Ю.А., Иващенко Т.Э., Насыхова Ю.А., Беженарь В.Ф., Баранов В.С. Гены «предрасположенности» пролапса тазовых органов. Журнал акушерства и женских болезней. 2010; 59(3): 15-22. [Degtyareva Yu.A., Ivaschenko T.E., Nasyihova Yu.A., Bezhenar V.F., Baranov V.S. Genes of ‘predisposition’ of pelvic organ prolapse. Zhurnal akusherstva i zhenskih bolezney. 2010; 59(3): 15-22. (in Russian)]
  30. Ward R.M., Velez Edwards D.R., Edwards T., Giri A., Jerome R.N., Wu J.M. Genetic epidemiology of pelvic organ prolapse: a systematic review. Am. J. Obstet. Gynecol. 2014; 211(4): 326-35. doi: 10.1016/j. ajog.2014.04.006.
  31. Allen-Brady K., Cannon-Albright L., Farnham J.M., Teerlink C., Vierhout M.E., van Kempen L.C. et al. Identification of six loci associated with pelvic organ prolapse using genome-wide association analysis. Obstet. Gynecol. 2011; 118(6): 1345-53.
  32. Handa V.L., Blomquist J.L., Knoepp L.R., Hoskey K.A., McDermott K.C., Munoz A. Pelvic floor disorders 5-10 years after vaginal or cesarean childbirth. Obstet. Gynecol.2011; 118(4): 777-84.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2015 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies