4.1 Article

Endoglin pathway genetic variation in preeclampsia: A validation study in Norwegian and Latina cohorts

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.preghy.2017.10.005

Keywords

Preeclampsia; Genetic association; Candidate gene; Endoglin; Pregnancy

Funding

  1. National Institutes of Health [F32NR014622, T32NR009759]
  2. Preeclampsia Foundation

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Objective: The purpose of this study was to validate our previous genetic association findings related to the endoglin (ENG) pathway from an American Caucasian preeclampsia cohort in independent preeclampsia cohorts. We also sought to explore the ENG pathway for new genetic associations in these independent cohorts. Study design: We used a tagging single nucleotide (tSNP) approach to assess genetic variability across five ENG pathway genes (ENG, TGF beta 1, TGFR beta 1, ALK1, and TGF beta R2) in a Caucasian cohort from Norway (n= 77 preeclampsia cases & n= 63 normotensive controls) and a White Hispanic cohort from Southern California (n= 69 preeclampsia cases & n= 106 normotensive controls). Main outcome measures: Univariate analyses (Chi Square, Fisher's Exact) and multivariate logistic regression were conducted to evaluate the association between tSNP genotype distributions and pregnancy outcome in each cohort. Logistic regression models were adjusted for maternal age at delivery, infant sex, parity, smoking during pregnancy, and pre-pregnancy BMI. Results: Although we were unable to replicate our previous SNP-specific findings (ENG rs11792480, rs10121110; TGF beta R2 rs6550005; p's > 0.05), we found that genetic variation in TGF beta R1[ALK5] (rs6478974) and TGF beta R2 (rs11129420, rs6802220, rs1155708, rs3773640, rs3773663) was significantly associated with preeclampsia in the Norwegian cohort and genetic variation in ALK1 (rs706819) and TGF beta R2 (rs9843942) was significantly associated with preeclampsia in the Latina cohort. Conclusion: Overall, our results provide further support for the involvement and investigation of the endoglin pathway in preeclampsia.

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