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Role of the 820 A/G variant in the IGF-2 gene and recurrent spontaneous abortion in southern Iran: A cross-sectional study
Ardeshir, Farzaneh; Keshavarz, Leila; Asadian, Fatemeh; Omidmokhtarkhanloo, Gohar & Yavarian, Majid
Abstract
Background: Insulin-like growth factor-2 (IGF-2) is a polypeptide growth factor and
one of the first genes expressed prior to the implantation of the embryo, with its
highest expression in the placental cells. Its activity strongly depends on the genomic
imprinting, and the result of the loss of genetic imprinting is the termination of the early
stages of embryonic development, which can lead to recurrent spontaneous abortion.
Objective: This cross-sectional study aimed to investigate the role of 820A/G variant of
the IGF-2 gene and the probability to recurrent spontaneous abortion (RSA) in southern
Iran.
Materials and Methods: In this study, 50 aborted fetuses tissue for the study group
and blood samples umbilical-cord from newborns as control group (n = 50) were
collected from Shiraz-Iran (2017). The genotyping of the target point in the IGF-2 gene
was performed by Real-time Polymerase Chain Reaction and analyzed through high-resolution
melting (HRM) curve.
Results: Based on the collected data (AA genotype = reference), allele “A” frequency in
aborted fetus was 51% and control 68% as well as allele G 49% and 32%, respectively.
Moreover, 27 aborted embryos (54%) were heterozygous (A/G) (OR = 3.274, 95%
CI = 1.015-10.561, p = 0.04), while 18 cases (36%) in control sample showed
heterozygosity. Considering the phenotypic status, the G allele had a dominant effect
on the incidence of RSA (p = 0.008, OR = 3.167).
Conclusion: Based on the present study, the risk of abortion due to loss of
heterozygosity or quantitative decline of the IGF-2 is about three-fold in the southern
Iran.
Keywords
Variant; IGF-2; Spontaneous abortion; Genomic imprinting; Gene expression.
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