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血栓形成基因多态性与子痫前期关系的Meta分析

Association between Thrombophilia Gene Polymorphisms and Preeclampsia: A Meta-Analysis
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摘要 目的分析子痫前期与2个血栓形成基因单核苷酸多态性——凝血因子VG1691A和凝血因子IIG20210A之间的关系。方法使用Pubmed和Embase系统搜索2015年11月前相关文献,搜索关键词包括:子痫前期、血栓形成、凝血因子V Leiden、凝血酶原基因20 210及其之间不同排列组合。对入选文献进行Meta分析。结果共有37项研究中的5 048名重度子痫前期患者和6 796名健康对照者被纳入Meta分析中。结果显示凝血酶原G20210A基因多态性与所有类型子痫前期风险增加有关,而与重度子痫前期关联尤为密切。凝血因子V突变与所有类型子痫前期风险增加有关,而与重度子痫前期关联尤为密切。结论凝血因子VG1691A和凝血因子IIG20210A单核苷酸多态性与所有类型子痫前期和重度子痫前期风险增加有关。 Objective To estimate the relationship between the risk of preeclampsia and two thrombophilia gene single-nucleotide polymorphisms(SNPs): the factor V G1691 A SNP and the prothrombin G20210 A SNP. Methods A systematic search of the literatures up to November 2015 was performed by using Pubmed and Embase. Search terms included"preeclampsia,""thrombophilia,""factor V Leiden,""prothrombin gene 20210,"and their combinations. Meta analysis was conducted based on these data. Results A total of 37 studies in 5 048 patients with severe preeclampsia and 6 796 healthy controls were included in the Meta analysis. The results showed that the prothrombin G20210 A polymorphism was associated with an increased risk of all types of preeclampsia, and was particularly associated with severe preeclampsia. Coagulation factor V mutations are associated with an increased risk of all types of preeclampsia, and are particularly associated with severe preeclampsia. Conclusion This meta-analysis supports that the factor V G1691 A SNP and the prothrombin G20210 A SNP are associated with an increased risk for both preeclampsia overall and severe preeclampsia.
出处 《中国城乡企业卫生》 2016年第4期6-11,共6页 Chinese Journal of Urban and Rural Enterprise Hygiene
基金 天津市卫生局科技基金(2012KZ006)
关键词 荟萃分析 基因多态性 子痫前期 Meta-analysis Gene polymorphism Pre eclampsia
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参考文献3

  • 1Sibai B, Dekker G. Kupferminc M Pre-eclampsia [J]. Lancet, 2005,365 : 785-799.
  • 2Dahlback B Inherited resistance to activated protein C, a major cause of venous thrombosis,is due to a mutation in the factor V gene[J]. Haemostasis, 2014,24:139-151.
  • 3Poort SR,Rosendaal FR,Reitsma PH.et al.A common genetic varia- tion in the 3'-untranslated region of the prothrombin gene is associ- ated with elevated plasma prothrombin levels and an increase in ve- nous thrombosis[J].Blood, 1996,88 : 3698-3703.

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