GENETIC POLYMORPHISMS OF GLUTATHIONE S-TRANSFERASE M1 (GSTM1) AND T1 (GSTT1) AND SUSCEPTIBILITY TO PRE- ECLAMPSIA: A CASE-CONTROL STUDY AND A META-ANALYSIS

摘要

The objective of the present hospital-based case-control study was to assess the association between glutathione S-transferase M1 (GSTM1) and T1 (GSTT1) genetic polymorphisms and susceptibility to pre-eclampsia (PE) in Shiraz (Fars province, southern Iran). A total of 200 healthy pregnant women and 151 pre-eclamptic women were included. The healthy control group was frequency matched with the age of the pre-eclamptic women. Control women had neither PE in current pregnancy nor history of pregnancies with PE previously. The genotypes of GSTT1 and GSTM1 polymorphisms were determined using a PCR-based method. Neither GSTM1 null genotype (OR=1.07, 95 % CI: 0.70-1.64, P=0.736) nor GSTT1 null genotype (OR=0.73, 95 % CI: 0.44-1.21, P=0.233) was associated with risk of PE. Association between combination genotypes and risk of PE was not significant. When family history was entered as a covariate in analysis, adjusted ORs revealed that neither GSTM1 nor GSTT1 polymor- phisms was associated with risk of PE. For meta-analysis, we identified 5 eligible studies, in- cluding 1217 subjects (515 patients, and 702 healthy controls) in relation to the study poly- morphisms and risk of PE. Our present meta-analysis indicated that there neither GSTM1 (OR=0.99, 95 % CI: 0.78-1.25, P=0.955) nor GSTT1 polymorphisms (OR=0.85, 95 % CI: 0.66-1.10, P=0.223) was associated with susceptibility to PE. Taken together it seems that the polymorphisms of GSTM1 and GSTT1 are not risk factors for PE. Further investigations ad- justing for confounding factors are needed to confirm the present findings.