Skip to main content
Top
Published in: Reproductive Biology and Endocrinology 1/2014

Open Access 01-12-2014 | Research

The histidine-rich glycoprotein A1042G polymorphism and recurrent miscarriage: a pilot study

Authors: Evangelia Elenis, Karin E Lindgren, Helena Karypidis, Alkistis Skalkidou, Frida Hosseini, Katarina Bremme, Britt-Marie Landgren, Lottie Skjöldebrand-Sparre, Anneli Stavreus-Evers, Inger Sundström-Poromaa, Helena Åkerud

Published in: Reproductive Biology and Endocrinology | Issue 1/2014

Login to get access

Abstract

Background

Histidine-rich Glycoprotein (HRG) has previously been shown to have an impact on implantation and fertility. The aim of this study was to investigate if there is an association between the HRG A1042G single nucleotide polymorphism (SNP) and recurrent miscarriage.

Methods

The study was designed as a case-control study and the women were included at University Hospitals in Sweden. 186 cases with recurrent miscarriage were compared with 380 pregnant controls with no history of miscarriage. Each woman was genotyped for the HRG A1042G SNP.

Results

The results indicated that the frequency of heterozygous HRG A1042G carriers was higher among controls compared to cases (34.7% vs 26.3%; p < 0.05). In a bivariate regression analysis, a negative association was found between recurrent miscarriage and heterozygous A/G carriers both in the entire study population (OR 0.67, 95% CI 0.45 - 0.99; p < 0.05) as well as in a subgroup of women with primary recurrent miscarriage (OR 0.37, 95% CI 0.16 - 0.84; p < 0.05). These results remained even after adjustment for known confounders such as age, BMI and thyroid disease (OR 0.36, 95% CI 0.15 - 0.84; p < 0.05).

Conclusions

Women who are heterozygous carriers of the HRG A1042G SNP suffer from recurrent miscarriage more seldom than homozygous carriers. Thus, analysis of the HRG A1042G SNP might be of importance for individual counseling regarding miscarriage.
Literature
2.
go back to reference American College of Obstetricians and Gynecologists: ACOG practice bulletin. Management of recurrent pregnancy loss. Number 24, February 2001. Int J Gynaecol Obstet. 2002, 78: 179-190.CrossRef American College of Obstetricians and Gynecologists: ACOG practice bulletin. Management of recurrent pregnancy loss. Number 24, February 2001. Int J Gynaecol Obstet. 2002, 78: 179-190.CrossRef
3.
go back to reference Jauniaux E, Farquharson RG, Christiansen OB, Exalto N: Evidence-based guidelines for the investigation and medical treatment of recurrent miscarriage. Hum Reprod. 2006, 21: 2216-2222.CrossRefPubMed Jauniaux E, Farquharson RG, Christiansen OB, Exalto N: Evidence-based guidelines for the investigation and medical treatment of recurrent miscarriage. Hum Reprod. 2006, 21: 2216-2222.CrossRefPubMed
5.
go back to reference The Practice Committee of the American Society for Reproductive Medicine: Definitions of infertility and recurrent pregnancy loss: a committee opinion. Fertil Steril. 2013, 99: 63-CrossRef The Practice Committee of the American Society for Reproductive Medicine: Definitions of infertility and recurrent pregnancy loss: a committee opinion. Fertil Steril. 2013, 99: 63-CrossRef
6.
go back to reference Goddijn M, van den Boogaard E, Steepers EA, Erwich JJ, Macklon NS, Land JA, Ankum WM: The guideline ‘Recurrent miscarriage’ (first revision) of the Dutch Society for Obstetrics and Gynaecology. Ned Tijdschr Geneeskd. 2008, 152: 1665-1670.PubMed Goddijn M, van den Boogaard E, Steepers EA, Erwich JJ, Macklon NS, Land JA, Ankum WM: The guideline ‘Recurrent miscarriage’ (first revision) of the Dutch Society for Obstetrics and Gynaecology. Ned Tijdschr Geneeskd. 2008, 152: 1665-1670.PubMed
7.
go back to reference Blohm F, Friden B, Milsom I: A prospective longitudinal population-based study of clinical miscarriage in an urban Swedish population. BJOG. 2008, 115: 176-182.CrossRefPubMed Blohm F, Friden B, Milsom I: A prospective longitudinal population-based study of clinical miscarriage in an urban Swedish population. BJOG. 2008, 115: 176-182.CrossRefPubMed
9.
go back to reference Ole B: Epidemiology of recurrent pregnancy loss. Recurrent pregnancy loss. Edited by: HJ C. 2007, London: Informa Healthcare, 1-14. 1 Ole B: Epidemiology of recurrent pregnancy loss. Recurrent pregnancy loss. Edited by: HJ C. 2007, London: Informa Healthcare, 1-14. 1
10.
go back to reference Daher S, Mattar R, Gueuvoghlanian-Silva BY, Torloni MR: Genetic polymorphisms and recurrent spontaneous abortions: an overview of current knowledge. Am J Reprod Immunol. 2012, 67: 341-347.CrossRefPubMed Daher S, Mattar R, Gueuvoghlanian-Silva BY, Torloni MR: Genetic polymorphisms and recurrent spontaneous abortions: an overview of current knowledge. Am J Reprod Immunol. 2012, 67: 341-347.CrossRefPubMed
11.
go back to reference Su MT, Lin SH, Chen YC: Genetic association studies of angiogenesis- and vasoconstriction-related genes in women with recurrent pregnancy loss: a systematic review and meta-analysis. Hum Reprod Update. 2011, 17: 803-812.CrossRefPubMed Su MT, Lin SH, Chen YC: Genetic association studies of angiogenesis- and vasoconstriction-related genes in women with recurrent pregnancy loss: a systematic review and meta-analysis. Hum Reprod Update. 2011, 17: 803-812.CrossRefPubMed
12.
go back to reference Thulin A, Ringvall M, Dimberg A, Karehed K, Vaisanen MR, Hamad O, Wang J, Bjerkvig R, Nilsson B, Pihlajaniemi T, Akerud H, Pietras K, Jahnen-Dechent W, Siegbahn A, Olsson AK: Activated platelets provide a functional microenvironment for the antiangiogenic fragment of histidine-rich glycoprotein. Mol Cancer Res. 2009, 7: 1792-1802.CrossRefPubMed Thulin A, Ringvall M, Dimberg A, Karehed K, Vaisanen MR, Hamad O, Wang J, Bjerkvig R, Nilsson B, Pihlajaniemi T, Akerud H, Pietras K, Jahnen-Dechent W, Siegbahn A, Olsson AK: Activated platelets provide a functional microenvironment for the antiangiogenic fragment of histidine-rich glycoprotein. Mol Cancer Res. 2009, 7: 1792-1802.CrossRefPubMed
13.
go back to reference Poon IK, Patel KK, Davis DS, Parish CR, Hulett MD: Histidine-rich glycoprotein: the Swiss Army knife of mammalian plasma. Blood. 2011, 117: 2093-2101.CrossRefPubMed Poon IK, Patel KK, Davis DS, Parish CR, Hulett MD: Histidine-rich glycoprotein: the Swiss Army knife of mammalian plasma. Blood. 2011, 117: 2093-2101.CrossRefPubMed
14.
go back to reference Nordqvist S, Karehed K, Hambiliki F, Wanggren K, Stavreus-Evers A, Akerud H: The presence of histidine-rich glycoprotein in the female reproductive tract and in embryos. Reprod Sci. 2010, 17: 941-947.CrossRefPubMed Nordqvist S, Karehed K, Hambiliki F, Wanggren K, Stavreus-Evers A, Akerud H: The presence of histidine-rich glycoprotein in the female reproductive tract and in embryos. Reprod Sci. 2010, 17: 941-947.CrossRefPubMed
15.
go back to reference Karehed K, Wikstrom AK, Olsson AK, Larsson A, Olovsson M, Akerud H: Fibrinogen and histidine-rich glycoprotein in early-onset preeclampsia. Acta Obstet Gynecol Scand. 2010, 89: 131-139.CrossRefPubMed Karehed K, Wikstrom AK, Olsson AK, Larsson A, Olovsson M, Akerud H: Fibrinogen and histidine-rich glycoprotein in early-onset preeclampsia. Acta Obstet Gynecol Scand. 2010, 89: 131-139.CrossRefPubMed
17.
go back to reference The UniProt Consortium: Activities at the Universal Protein Resource (UniProt). Nucleic Acids Res. 2014, 42 (Database issue): 191-198.CrossRef The UniProt Consortium: Activities at the Universal Protein Resource (UniProt). Nucleic Acids Res. 2014, 42 (Database issue): 191-198.CrossRef
18.
go back to reference Nordqvist S, Karehed K, Stavreus-Evers A, Akerud H: Histidine-rich glycoprotein polymorphism and pregnancy outcome: a pilot study. Reprod Biomed Online. 2011, 23: 213-219.CrossRefPubMed Nordqvist S, Karehed K, Stavreus-Evers A, Akerud H: Histidine-rich glycoprotein polymorphism and pregnancy outcome: a pilot study. Reprod Biomed Online. 2011, 23: 213-219.CrossRefPubMed
19.
go back to reference Lindgren KE, Karehed K, Karypidis H, Hosseini F, Bremme K, Landgren BM, Skjoldebrand-Sparre L, Stavreus-Evers A, Sundstrom-Poromaa I, Akerud H: Histidine-rich glycoprotein gene polymorphism in patients with recurrent miscarriage. Acta Obstet Gynecol Scand. 2013, 92: 974-977.CrossRefPubMed Lindgren KE, Karehed K, Karypidis H, Hosseini F, Bremme K, Landgren BM, Skjoldebrand-Sparre L, Stavreus-Evers A, Sundstrom-Poromaa I, Akerud H: Histidine-rich glycoprotein gene polymorphism in patients with recurrent miscarriage. Acta Obstet Gynecol Scand. 2013, 92: 974-977.CrossRefPubMed
20.
go back to reference Juarez JC, Guan X, Shipulina NV, Plunkett ML, Parry GC, Shaw DE, Zhang JC, Rabbani SA, Mccrae KR, Mazar AP, Morgan WT, Donate F: Histidine-proline-rich glycoprotein has potent antiangiogenic activity mediated through the histidine-proline-rich domain. Cancer Res. 2002, 62: 5344-5350.PubMed Juarez JC, Guan X, Shipulina NV, Plunkett ML, Parry GC, Shaw DE, Zhang JC, Rabbani SA, Mccrae KR, Mazar AP, Morgan WT, Donate F: Histidine-proline-rich glycoprotein has potent antiangiogenic activity mediated through the histidine-proline-rich domain. Cancer Res. 2002, 62: 5344-5350.PubMed
21.
go back to reference Ibrahim MI, Harb HM, Ellaithy MI, Elkabarity RH, Abdelgwad MH: First trimester assessment of pentraxin-3 levels in women with primary unexplained recurrent pregnancy loss. Eur J Obstet Gynecol Reprod Biol. 2012, 165: 37-41.CrossRefPubMed Ibrahim MI, Harb HM, Ellaithy MI, Elkabarity RH, Abdelgwad MH: First trimester assessment of pentraxin-3 levels in women with primary unexplained recurrent pregnancy loss. Eur J Obstet Gynecol Reprod Biol. 2012, 165: 37-41.CrossRefPubMed
22.
go back to reference Flicek P, Amode MR, Barrell D, Beal K, Billis K, Brent S, Carvalho-Silva D, Clapham P, Coates G, Fitzgerald S, Gil L, Girón CG, Gordon L, Hourlier T, Hunt S, Johnson N, Juettemann T, Kähäri AK, Keenan S, Kulesha E, Martin FJ, Maurel T, McLaren WM, Murphy DN, Nag R, Overduin B, Pignatelli M, Pritchard B, Pritchard E, Riat HS H, et al: Ensembl 2014. Nucleic Acids Res. 2014, 42 (Database issue): D749-D755.PubMedCentralCrossRefPubMed Flicek P, Amode MR, Barrell D, Beal K, Billis K, Brent S, Carvalho-Silva D, Clapham P, Coates G, Fitzgerald S, Gil L, Girón CG, Gordon L, Hourlier T, Hunt S, Johnson N, Juettemann T, Kähäri AK, Keenan S, Kulesha E, Martin FJ, Maurel T, McLaren WM, Murphy DN, Nag R, Overduin B, Pignatelli M, Pritchard B, Pritchard E, Riat HS H, et al: Ensembl 2014. Nucleic Acids Res. 2014, 42 (Database issue): D749-D755.PubMedCentralCrossRefPubMed
23.
go back to reference Hansson B, Westerberg L: On the correlation between heterozygosity and fitness in natural populations. Mol Ecol. 2002, 11: 2467-2474.CrossRefPubMed Hansson B, Westerberg L: On the correlation between heterozygosity and fitness in natural populations. Mol Ecol. 2002, 11: 2467-2474.CrossRefPubMed
25.
go back to reference Laanpere M, Altmae S, Kaart T, Stavreus-Evers A, Nilsson TK, Salumets A: Folate-metabolizing gene variants and pregnancy outcome of IVF. Reprod Biomed Online. 2011, 22: 603-614.CrossRefPubMed Laanpere M, Altmae S, Kaart T, Stavreus-Evers A, Nilsson TK, Salumets A: Folate-metabolizing gene variants and pregnancy outcome of IVF. Reprod Biomed Online. 2011, 22: 603-614.CrossRefPubMed
26.
27.
go back to reference Othman R, Omar MH, Shan LP, Shafiee MN, Jamal R, Mokhtar NM: Microarray profiling of secretory-phase endometrium from patients with recurrent miscarriage. Reprod Biol. 2012, 12: 183-199.CrossRefPubMed Othman R, Omar MH, Shan LP, Shafiee MN, Jamal R, Mokhtar NM: Microarray profiling of secretory-phase endometrium from patients with recurrent miscarriage. Reprod Biol. 2012, 12: 183-199.CrossRefPubMed
28.
go back to reference Krieg SA, Fan X, Hong Y, Sang QX, Giaccia A, Westphal LM, Lathi RB, Krieg AJ, Nayak NR: Global alteration in gene expression profiles of deciduas from women with idiopathic recurrent pregnancy loss. Mol Hum Reprod. 2012, 18: 442-450.PubMedCentralCrossRefPubMed Krieg SA, Fan X, Hong Y, Sang QX, Giaccia A, Westphal LM, Lathi RB, Krieg AJ, Nayak NR: Global alteration in gene expression profiles of deciduas from women with idiopathic recurrent pregnancy loss. Mol Hum Reprod. 2012, 18: 442-450.PubMedCentralCrossRefPubMed
29.
go back to reference Vanwildemeersch M, Olsson AK, Gottfridsson E, Claesson-Welsh L, Lindahl U, Spillmann D: The anti-angiogenic His/Pro-rich fragment of histidine-rich glycoprotein binds to endothelial cell heparan sulfate in a Zn2 + -dependent manner. J Biol Chem. 2006, 281: 10298-10304.CrossRefPubMed Vanwildemeersch M, Olsson AK, Gottfridsson E, Claesson-Welsh L, Lindahl U, Spillmann D: The anti-angiogenic His/Pro-rich fragment of histidine-rich glycoprotein binds to endothelial cell heparan sulfate in a Zn2 + -dependent manner. J Biol Chem. 2006, 281: 10298-10304.CrossRefPubMed
30.
go back to reference Lee C, Dixelius J, Thulin A, Kawamura H, Claesson-Welsh L, Olsson AK: Signal transduction in endothelial cells by the angiogenesis inhibitor histidine-rich glycoprotein targets focal adhesions. Exp Cell Res. 2006, 312: 2547-2556.CrossRefPubMed Lee C, Dixelius J, Thulin A, Kawamura H, Claesson-Welsh L, Olsson AK: Signal transduction in endothelial cells by the angiogenesis inhibitor histidine-rich glycoprotein targets focal adhesions. Exp Cell Res. 2006, 312: 2547-2556.CrossRefPubMed
31.
go back to reference Blank M, Shoenfeld Y: Histidine-rich glycoprotein modulation of immune/autoimmune, vascular, and coagulation systems. Clin Rev Allergy Immunol. 2008, 34: 307-312.CrossRefPubMed Blank M, Shoenfeld Y: Histidine-rich glycoprotein modulation of immune/autoimmune, vascular, and coagulation systems. Clin Rev Allergy Immunol. 2008, 34: 307-312.CrossRefPubMed
32.
go back to reference Olsson AK, Larsson H, Dixelius J, Johansson I, Lee C, Oellig C, Bjork I, Claesson-Welsh L: A fragment of histidine-rich glycoprotein is a potent inhibitor of tumor vascularization. Cancer Res. 2004, 64: 599-605.CrossRefPubMed Olsson AK, Larsson H, Dixelius J, Johansson I, Lee C, Oellig C, Bjork I, Claesson-Welsh L: A fragment of histidine-rich glycoprotein is a potent inhibitor of tumor vascularization. Cancer Res. 2004, 64: 599-605.CrossRefPubMed
33.
go back to reference Wakabayashi S, Koide T: Histidine-rich glycoprotein: a possible modulator of coagulation and fibrinolysis. Semin Thromb Hemost. 2011, 37: 389-394.CrossRefPubMed Wakabayashi S, Koide T: Histidine-rich glycoprotein: a possible modulator of coagulation and fibrinolysis. Semin Thromb Hemost. 2011, 37: 389-394.CrossRefPubMed
34.
go back to reference Kassaar O, McMahon SA, Thompson R, Botting C, Naismith JH, Stewart AJ: Crystal structure of histidine-rich glycoprotein N2 domain reveals redox activity at an interdomain disulfide bridge: impications for angiogenic regulation. Blood. 2014, 123: 1948-1954.PubMedCentralCrossRefPubMed Kassaar O, McMahon SA, Thompson R, Botting C, Naismith JH, Stewart AJ: Crystal structure of histidine-rich glycoprotein N2 domain reveals redox activity at an interdomain disulfide bridge: impications for angiogenic regulation. Blood. 2014, 123: 1948-1954.PubMedCentralCrossRefPubMed
35.
go back to reference Sato Y, Fujiwara H, Konishi I: Role of platelets in placentation. Med Mol Morphol. 2010, 43: 129-133.CrossRefPubMed Sato Y, Fujiwara H, Konishi I: Role of platelets in placentation. Med Mol Morphol. 2010, 43: 129-133.CrossRefPubMed
Metadata
Title
The histidine-rich glycoprotein A1042G polymorphism and recurrent miscarriage: a pilot study
Authors
Evangelia Elenis
Karin E Lindgren
Helena Karypidis
Alkistis Skalkidou
Frida Hosseini
Katarina Bremme
Britt-Marie Landgren
Lottie Skjöldebrand-Sparre
Anneli Stavreus-Evers
Inger Sundström-Poromaa
Helena Åkerud
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Reproductive Biology and Endocrinology / Issue 1/2014
Electronic ISSN: 1477-7827
DOI
https://doi.org/10.1186/1477-7827-12-70

Other articles of this Issue 1/2014

Reproductive Biology and Endocrinology 1/2014 Go to the issue