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Placenta. 2018 Jun;66:8-16. doi: 10.1016/j.placenta.2018.04.008. Epub 2018 Apr 16.

Genetic variations and risk of placental abruption: A genome-wide association study and meta-analysis of genome-wide association studies.

Author information

1
Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA; Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA. Electronic address: tworkale@uw.edu.
2
Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA; Center for Perinatal Studies, Swedish Medical Center, Seattle, WA, USA.
3
Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
4
Facultad de Medicina Humana, Universidad San Martín de Porres, Lima, Peru; Asociación Civil PROESA, Lima, Peru; Instituto Nacional Materno Perinatal, Lima, Peru.
5
Instituto Nacional Materno Perinatal, Lima, Peru.
6
Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
7
Department of Epidemiology, School of Public Health, University of Washington, Seattle, WA, USA.
8
Department of Biostatistics, University of Washington, Seattle, WA, USA.
9
Department of Obstetrics and Gynecology, Roy and Diana Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA; Department of Epidemiology, Joseph L. Mailman School of Public Health, Columbia University, New York, NY, USA.
10
Center for Perinatal Studies, Swedish Medical Center, Seattle, WA, USA.

Abstract

INTRODUCTION:

Accumulating epidemiological evidence points to strong genetic susceptibility to placental abruption (PA). However, characterization of genes associated with PA remains incomplete. We conducted a genome-wide association study (GWAS) of PA and a meta-analysis of GWAS.

METHODS:

Participants of the Placental Abruption Genetic Epidemiology (PAGE) study, a population based case-control study of PA conducted in Lima, Peru, were genotyped using the Illumina HumanCore-24 BeadChip platform. Genotypes were imputed using the 1000 genomes reference panel, and >4.9 million SNPs that passed quality control were analyzed. We performed a GWAS in PAGE participants (507 PA cases and 1090 controls) and a GWAS meta-analysis in 2512 participants (959 PA cases and 1553 controls) that included PAGE and the previously reported Peruvian Abruptio Placentae Epidemiology (PAPE) study. We fitted population stratification-adjusted logistic regression models and fixed-effects meta-analyses using inverse-variance weighting.

RESULTS:

Independent loci (linkage-disequilibrium<0.80) suggestively associated with PA (P-value<5e-5) included rs4148646 and rs2074311 in ABCC8, rs7249210, rs7250184, rs7249100 and rs10401828 in ZNF28, rs11133659 in CTNND2, and rs2074314 and rs35271178 near KCNJ11 in the PAGE GWAS. Similarly, independent loci suggestively associated with PA in the GWAS meta-analysis included rs76258369 near IRX1, and rs7094759 and rs12264492 in ADAM12. Functional analyses of these genes showed trophoblast-like cell interaction, as well as networks involved in endocrine system disorders, cardiovascular diseases, and cellular function.

CONCLUSIONS:

We identified several genetic loci and related functions that may play a role in PA risk. Understanding genetic factors underlying pathophysiological mechanisms of PA may facilitate prevention and early diagnostic efforts.

KEYWORDS:

Genome-wide association study; Placental abruption; meta-analysis

PMID:
29884306
PMCID:
PMC5995331
DOI:
10.1016/j.placenta.2018.04.008
[Indexed for MEDLINE]
Free PMC Article

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