Endothelial nitric oxide synthase gene variants and haplotypes associated with an increased risk of idiopathic recurrent miscarriage. (September 2013)

• Record Type: Journal Article
• Authors: Almawi, W. Y.; Guarino, B. D.; Al-Sulaiti, M. A.; Al-Busaidi, A. S.; Racoubian, E.; Finan, R. R.
• Is Part Of: Human fertility. Volume 16:Number 3(2013)
• Page Start: 200
• Page End: 206
• Publication Date: 2013-09
• Subjects: Fertility, Human -- Periodicals; Infertility -- Periodicals; 616.692
• DOI: 10.3109/14647273.2013.806824
• Languages: English
• ISSNs: 1464-7273

Abstract

<abstract> <title>Abstract</title> <p>We investigated the association of endothelial nitric oxide synthase (<italic>NOS3</italic>) polymorphisms rs2070744 (−786T> C), 27-bp repeat 4b/4a, rs1799983 (Glu298Asp), rs3918188 (−734C> A), and rs743507 (113G> A) with idiopathic recurrent miscarriage (IRM). This was a case-control study involving women with confirmed IRM (n = 296), and 305 age- and ethnically matched control women. <italic>NOS3</italic> rs2070744, rs1799983, rs3918188, and rs743507 genotyping was done by TaqMan assays; <italic>NOS3</italic> 4b/4a genotyping was done by PCR-ASA. A higher frequency of -786C and 298Asp alleles was seen in IRM cases, which remained associated independently with IRM on multivariate analysis. Allele and genotype distribution of 4b/4a, rs3918188 (−734C> A) and rs743507 (113A> G) were comparable between IRM cases and control women. Taking homozygous wild-type genotype as a reference, regression analysis confirmed the association of Glu298Asp and −786T/C, and rs743507 homozygous carriers with IRM risk. Marked linkage disequilibrium was seen between tested <italic>NOS3</italic> variants, thus allowing the construction of 5-locus [−786T> C/4b4a/Glu298Asp/-734C> A/113G> A] haplotypes. Taking the common T4<italic>b</italic>GCA haplotype as a reference, multivariate analysis confirmed the positive association of C4<italic>b</italic>TCG haplotype with IRM, after controlling for traditional covariates. Genetic variation at the <italic>NOS3</italic> locus represents a genetic risk factor for increased susceptibility to IRM.</p> </abstract>