Combined thrombophilic mutations in women with unexplained recurrent miscarriage (Journal article)

Sotiriadis, A./ Vartholomatos, G./ Pavlou, M./ Kolaitis, N./ Dova, L./ Stefos, T./ Paraskevaidis, E./ Kalantaridou, S. N.

PROBLEM: To compare the prevalence of five common thrombophilic polymorphisms and their combination in women with recurrent miscarriage and a control group. METHOD OF STUDY: Genomic analysis using polymerase chain reaction (PCR) was carried out in patients with two or more miscarriages and controls for Factor V Leiden, Factor V A1299H (HR2), Factor II G20210A, MTHFR C677T and MTHFR A1298C. Secondary analyses were made for number of miscarriages and gestational age at miscarriage. RESULTS: None the mutations was associated with significantly increased risk for recurrent miscarriage. The prevalence of combined thrombophilias (4/88 versus 2/88) did not increase the risk for miscarriage (OR 2.04, 95% CI 0.36-11.47). Although virtually all patients with thrombophilia had miscarriages10 weeks' subgroup. There was no difference in the distribution of Factor V Leiden (P=1.000), FII G20210A (P=0.652), and MTHFR C677T (P=0.869) between patients with two and three or more miscarriages, whereas MTHFR A1298C was more common among patients with two miscarriages (P=0.017). CONCLUSIONS: Combinations of the five thrombophilic mutations studied are an uncommon event with heterogeneous pattern and they do not significantly increase the risk for miscarriage.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Abortion, Habitual/blood/*genetics,Adult,Case-Control Studies,Factor V/genetics,Female,Humans,Methylenetetrahydrofolate Reductase (NADPH2)/genetics,*Mutation,Polymerase Chain Reaction,Pregnancy,Prothrombin/genetics,Thrombophilia/blood/*genetics
ISSN: 1046-7408
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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