Abstract

BackgroundPreeclampsia (PE) is a pregnancy-related condition that affects both the infant and the mother. Although the role of various inflammatory molecules in PE has been demonstrated, the importance of pro-inflammatory molecules such as IL-17A, IL-23 is not well understood. In the present investigation, a potential association of common genetic variants in the IL-17A and IL-23A genes with PE was investigated.Methods115 PE clinically diagnosed patients who registered to the International Peace Maternity and Child Health Hospital were enrolled in this research. One hundred two pregnant women and 147 healthy Chinese women were also included. ELISA was used to measure IL-17A and IL-23 serum levels in all enrolled subjects. Common genetic polymorphisms in IL-17A (rs 2,275,913, rs1974226, and rs1974226), IL-23A (rs11171806), and IL-12B (rs3212227) were genotyped using the PCR-RFLP or TaqMan probe-based method.ResultsElevated serum IL-17A levels were found in PE patients compared to pregnant (P < 0.0001) and healthy women (P < 0.0001). However, IL-23 levels were comparable across various clinical groups. In addition, heterozygous (GA) and minor allele (A) for IL-17A (rs2275913) and IL-23A (rs11171806) were more prevalent in PE patients compared to pregnant women indicating an important role in the predisposition to PE growth. Interestingly, IL-17A (r 2,275,913) mutants were associated with elevated IL-17A levels relative to wild type (GG).ConclusionsIL-17A (rs2275913) variants are associated with higher serum levels of cytokine, and predisposed PE development.

Highlights

  • Preeclampsia (PE) is a pregnancy-related condition that affects both the infant and the mother

  • Current reports shows that IL-17A polymorphisms are associated with higher serum IL-17A levels and a predisposition to PE

  • Our result is corroborated with earlier observations indicating a remarkably higher titer of IL-17A in the sera of pregnant subjects complicated by fetal growth restriction (FGR) and PE as compared to healthy pregnant normotensive women [25]

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Summary

Introduction

Preeclampsia (PE) is a pregnancy-related condition that affects both the infant and the mother. Preeclampsia (PE) is a complication associated with pregnancy and is characterised by high blood pressure and dysfunction of different organ systems. Previous evidences indicate that cytokines play a critical role in controlling various stages of pregnancy among different immune molecules [5, 6]. Previous studies have suggested a difference in preeclamptic placenta levels of cytokines, leading to complicated conditions such as delayed intrauterine development and preterm delivery [10]. Several studies indicated a higher percentage of the population of Th17 cells in complicated pregnancy cases, such as abortion, preterm birth or PE [12, 13, 14]

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