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NOS1 gene polymorphism and risk of postpartum hemorrhage in Uzbek women

https://doi.org/10.25557/2073-7998.2024.04.16-24

Abstract

Background. Given the increasing prevalence of postpartum hemorrhage, a lot of work has been done today on the pathogenesis of uterine atony. Nevertheless, the study and search for candidate genes involved in the development of uterine atony remain relevant.
Objective: to evaluate association of the genetic polymorphism NOS1 rs41279104 with myometrial dysfunction and the risk of postpartum uterine atony in Uzbek women.
Methods. We examined 101 women who developed postpartum atonic bleeding of varying severity. Common laboratory and instrumental examinations were performed on all women. Genomic DNA was used for the detection of the NOS1 rs41279104.
Results. Allele A is the risk factor for postpartum uterine atony more than 1.7 times (χ2 = 4.2, OR = 1.7, p = 0.05) in parturient women with a gestational age of 37-42 weeks. Conclusion. The results of our research indicate that the NOS1 rs41279104 has an association with postpartum atonic bleeding. In women with 37-42 weeks of gestation, allelic variant A may be a risk factor for PPH.

About the Authors

U. A. Ashurova
Tashkent Medical Academy
Uzbekistan

2, Forobiy st., Tashkent, 100109



D. K. Najmutdinova
Tashkent Medical Academy
Uzbekistan

2, Forobiy st., Tashkent, 100109



K. T. Boboev
Republican Specialized Scientific Practical Medical Center of Hematology
Uzbekistan

16/1А, Arnasay st., Chilanzar district, Tashkent, 100115



References

1. Making pregnancy safer. Geneva: World Health Organization, 2007 (https://www.who.int/maternal_child_adolescent/documents/newsletter/mps_newsletter_issue4.pdf).

2. Say L., Chou D., Gemmill A., et al. Global causes of maternal death: a WHO systematic analysis. Lancet Glob Health 2014;2(6): e323–e333.

3. Meher S. How should we diagnose and assess the severity of PPH in clinical trials? Best Pract Res Clin Obstet Gynaecol 2019;61:41–54.

4. McEvoy A., Sabir S. Physiology, Pregnancy Contractions. 2022 Sep 19. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 30422522.

5. Togliatto G., Lombardo G., Brizzi,M.F. The future challenge of reactive oxygen species (ros) in hypertension: From bench to bed side. Int. J. Mol. Sci. 2017; 18: 1988.

6. Ristow M. Unraveling the truth about antioxidants: Mitohormesis explains ros-induced health benefits. Nat. Med. 2014; 20: 709–711.

7. Ferreira C.A., Ni D., Rosenkrans Z.T., Cai W. Scavenging of reactive oxygen and nitrogen species with nanomaterials. Nano Res. 2018;10: 4955–4984.

8. Ganten D., Ruckpaul K. Nitrosative Stress. In Encyclopedic Reference of Genomics and Proteomics in Molecular Medicine; Springer: Berlin/Heidelberg, Germany, 2005.

9. Pérez-Torres I., Manzano-Pech L., Rubio-Ruíz M.E., Soto M.E., Guarner-Lans V. Nitrosative stress and its association with cardiometabolic disorders. Molecules 2020; 25: 2555.

10. Förstermann U., Sessa W.C. Nitric oxide synthases: Regulation and function. Eur. Heart J. 2012; 33: 829–837.

11. Feng Q., Hedner T. Endothelium-Derived relaxing factor (EDRF) and nitric oxide (NO). II. Physiology, pharmacology and pathophysiological implications. Clin. Physiol. 1990; 10: 503–526.

12. Naseem K.M. The role of nitric oxide in cardiovascular diseases. Mol. Asp. Med. 2005; 26: 33–65.

13. Tenopoulou M., Doulias P.T. Endothelial nitric oxide synthasederived nitric oxide in the regulation of metabolism. F1000Res 2020; 9: 1190.

14. Shojo H., Kaneko Y. Oxytocin-induced phosphorylation of myosin light chain is mediated by extracellular calcium influx in pregnant rat myometrium. J Mol Recognit. 2001;6:401–5.

15. Butler T., Paul J., Europe-Finner N., Smith R., Chan .EC. Role of serine-threonine phosphoprotein phosphatases in smooth muscle contractility. Am J Physiol Cell Physiol. 2013;304:485–504.

16. Aguilar H.N., Mitchell B.F. Physiological pathways and molecular mechanisms regulating uterine contractility. Hum Reprod Update. 2010;16:725–44.

17. Oberg A.S., Hernandéz-Diaź S., Frisell T., Greene M.F. Almqvist C., Bateman B.T. Genetic contribution to postpartum haemorrhage in Swedish population: cohort study of 466,686 births. BMJ. 2014;349:g4984.

18. Naderi M., Mirzaei I., Yaghoubi S., Milani I., Cohan N. Postpartum Hemorrhage in Heterozygote Factor XIII Deficient Women Compared With Healthy Women. A Cross-Sectional Experience From Iran. Clin Appl Thromb Hemost. 2021;27:10760296211051714. doi: 10.1177/10760296211051714.

19. Biguzzi E., Franchi F., Acaia B., Ossola W., et al. Genetic background and risk of postpartum haemorrhage: results from an Italian cohort of 3219 women. Haemophilia. 2014;20(6):e377-83. doi: 10.1111/hae.12514.

20. Erickson E.N., Krol K.M., Perkeybile A.M., Connelly J.J., Myatt L. Oxytocin receptor single nucleotide polymorphism predicts atonyrelated postpartum hemorrhage. BMC Pregnancy Childbirth. 2022;22(1):884. doi: 10.1186/s12884-022-05205-w.

21. Natsional’nyy protokol «Profilaktika i taktika vedeniya poslerodovykh akusherskikh tserkvey». Tashkent, 2021. – S. 62. [National clinical protocol «Prevention and tactics of management of postpartum obstetric hemorrhage.» Tashkent, 2021. – P. 62]. https://uzaig.uz/medias/media/other/265/profilaktika-taktika-krovotecheniy.pdf (access date 11/15/2023) (In Russ)

22. Jansen Labby K., Li H., Roman L.J., Martásek P., Poulos T.L., Silverman R.B. Methylated N ω-hydroxy-l-arginine analogues as mechanistic probes for the second step of the nitric oxide synthasecatalyzed reaction. Biochemistry. 2013;52(18):3062–3073. https://doi.org/10.1021/bi301571v

23. Jaslow C.R., Carney J.L., Kutteh W.H. Diagnostic factors identified in 1020 women with two versus three or more recurrent pregnancy losses. Fertil Steril 2010;93:1234–43.

24. Klinger J.R., Kadowitz .PJ. The nitric oxide pathway in pulmonary vascular disease. Am J Cardiol 2017;120:S71–9.

25. Zammiti W., Mtiraoui N., Mahjoub T. Lack of consistent association between endothelial nitric oxide synthase gene polymorphisms, homocysteine levels and recurrent pregnancy loss in Tunisian women. Am J Reprod Immunol 2008;59:139–45.

26. Bansal C. Nitric oxide and the immune response. Nat Immunol. 2001;2(10):907–16.

27. Cella M., Farina M., Dominguez Rubio A., Di Girolamo G., Ribeiro M., Franchi A. Dual effect of nitric oxide on uterine prostaglandin synthesis in a murine model of preterm labour. Brit J Pharmacol. 2010;161(4):844–855. https://doi.org/10.1111/j.1476-5381.2010.00911.

28. Zheng D., Li C., Wu T., Tang K.. Factors associated with spontaneous abortion: a cross-sectional study of Chinese populations. Reprod Health 2017;14:33–45.

29. Devendran A., Nampoothiri S., Shewade D.G., Chatterjee S., Jayaraman B., Chandrasekharan A. Allele, genotype and haplotype structures of functional polymorphic variants in Endothelial nitric oxide synthase (eNOS), Angiotensinogen (ACE) and Aldosterone synthase (CYP11B2) genes in healthy pregnant women of Indian ethnicity. J Reprod Infert. 2015;16(4):180

30. Dutta S., Sengupta P. Defining pregnancy phases with cytokine shift. J Preg Reprod. 2017;1(4):1– 3. https://doi.org/10.15761/JPR.1000124

31. Kalinowski L., Janaszak-Jasiecka A., Siekierzycka A., Bartoszewska S., Woźniak M., Lejnowski D., et al. Posttranscriptional and transcriptional regulation of endothelial nitric-oxide synthase during hypoxia: the role of microRNAs. Cell Mol Biol Lett. 2016;21(1):16. https://doi.org/10.1186/s11658-016-0017-x.

32. NCBI Gene Database [Electronic resource]. Available at: https://www.ncbi.nlm.nih.gov/gene/4842 (accessed 10 May 2022).


Review

For citations:


Ashurova U.A., Najmutdinova D.K., Boboev K.T. NOS1 gene polymorphism and risk of postpartum hemorrhage in Uzbek women. Medical Genetics. 2024;23(4):16-24. (In Russ.) https://doi.org/10.25557/2073-7998.2024.04.16-24

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