Tumor Necrosis Factor Alpha SNP Variant in Promoter Region G308a, cause Preeclampsia during Pregnancy in Pakistani Women, A Case Control Study

Aziza Ziauddin, S. Ahmad, Asad Iqbal, A. Khan, S. Mahmood
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Abstract

Preeclampsia (PE) is a very common critical condition during pregnancy. As PE is a high-risk condition during pregnancy, occurring in 25% of all pregnancies, worldwide. In women with PE there is an increase in hypertension and albuminuria. Elevated blood pressure can be life-threatening after 20th week of pregnancy. Single nucleotide variation in gene sequence can be disease causing, among these pathogenic SNPs, a variant in TNF-α, G308A is analyzed in many studies as a causative variant to cause preeclampsia. In this case control study fifty patients and fifty healthy individuals were enrolled for analysis of TNF-α promoter region SNP G308A from Jinnah hospital, Lahore, Pakistan. The genotyping of TNF-α (G308A) rs1800629 polymorphisms was performed by PCR-RFLP method. Data analysis was performed by using SNPStats, statistical tool. The mean age of all patients and controls were calculated, 24.4 ± 6.6 and 25.1 ± 5.3 years, respectively. The frequency of G308A polymorphism was more prevalent in the case group, in association with control group (p<0.001). There was a significant correlation between inflammation promoting genotypes of TNF-α and PE. It can be warily concluded that: TNF- α (G-308A) polymorphism can be reflected as a marker of predisposition to preeclampsia in our population.
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启动子区G308a肿瘤坏死因子α SNP变异导致巴基斯坦妇女妊娠期子痫前期:一项病例对照研究
子痫前期(PE)是妊娠期非常常见的危重症。由于PE是妊娠期的高危疾病,在全世界所有妊娠中占25%。在PE患者中,高血压和蛋白尿发生率增加。怀孕20周后血压升高可能危及生命。基因序列的单核苷酸变异可引起疾病,在这些致病性snp中,TNF-α的一种变异G308A在许多研究中被分析为引起子痫前期的致病变异。在本病例对照研究中,我们从巴基斯坦拉合尔真纳医院招募了50名患者和50名健康个体,对TNF-α启动子区SNP G308A进行分析。采用PCR-RFLP方法对TNF-α (G308A) rs1800629多态性进行基因分型。采用统计工具SNPStats进行数据分析。计算所有患者和对照组的平均年龄,分别为24.4±6.6岁和25.1±5.3岁。G308A多态性在病例组中更为普遍,与对照组相关(p<0.001)。促炎基因型TNF-α与PE有显著相关性。可以谨慎地得出结论:TNF- α (G-308A)多态性可以作为我们人群子痫前期易感性的标志。
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