Introduction
Pre-eclampsia (PE) has a familial association, with daughters of
women who had PE during pregnancy having more than twice the risk of
developing PE themselves. Through genome-wide linkage and genetic
association studies in PE-affected families and large population samples, we
previously identified the following as positional candidate maternal
susceptibility genes for PE; ACVR1, INHA,
INHBB, ERAP1, ERAP2,
LNPEP,COL4A1 and
COL4A2. The aims of this study were to determine mRNA
expression levels of previously identified candidate maternal pre-eclampsia
susceptibility genes from normotensive and severe PE (SPE) pregnancies and
correlate mRNA expression levels with the clinical severity of SPE.
Methods
Third trimester decidual tissues were collected from both
normotensive (n=21) and SPE pregnancies (n=24) and mRNA expression levels
were determined by real-time PCR. Gene expression was then correlated with
several parameters of clinical severity in SPE. Statistical significance was
determined by Mann-Whitney U test and Spearman's
Correlation.
Results
The data demonstrate significantly increased decidual mRNA expression
levels of ACVR1, INHBB,
ERAP1, ERAP2, LNPEP,
COL4A1 and COL4A2 in SPE
(p<0.05). Increased mRNA expression levels of several genes –
INHA, INHBB, COL4A1
and COL4A2 were correlated with earlier onset of PE and
earlier delivery of the fetus (p<0.05).
Conclusion
These results suggest altered expression of maternal susceptibility
genes may play roles in PE development and the course of disease
severity.