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. 2015 Dec 15;3(4):590-4.
doi: 10.3889/oamjms.2015.099. Epub 2015 Sep 18.

Factor V Leiden, Prothrombin and MTHFR Mutation in Patients with Preeclamsia, Intrauterine Growth Restriction and Placental Abruption

Vesna Livrinova  1 , Marija Hadzi Lega  1 , Anita Hristova Dimcheva  2 , Igor Samardziski  1 , Rozalinda Isjanovska  3
Affiliations

Factor V Leiden, Prothrombin and MTHFR Mutation in Patients with Preeclamsia, Intrauterine Growth Restriction and Placental Abruption

Vesna Livrinova et al. Open Access Maced J Med Sci. .

Abstract

Background: Factor V Leiden, Prothrombin and MTHFR gene mutation, could have an influence in pregnancy with adverse outcome Preeclamsia, IUGR and Placental abruption.

Aim: The aim of this study is to investigate the presence of above mentioned inherited thrombophilias and its statistical significance, distribution among the complicated and normal pregnancy, and relative risk for carrier of mutation to develop preeclampsia, IUGR and placental abruption.

Material and methods: Prospective cohort study is implemented at University Clinic for Obstetric and Gynecology in Skopje, Republic of Macedonia. The study included 109 delivered patients: 40 with preeclapmsia, 22 with IUGR, 17 with placental abruption and 30 as control group with normal pregnancy. The amount of 3 ml venous blood has been used for detection of these point mutations using ThromboStrip -Opegen, QIAGEN kit manufactured for thrombotic risk.

Results: The highest frequency was found: in the group with preeclampsia 35% were MTHFR homozygous, IUGR -MTHFR heterozygous 45%, Placental abruption- 52.9% MTHFR heterozygous, and in the control group without thrombophilia 56.7%. There were combined thrombophilia in 3 patients. There aren`t statistical significance in presence of thrombophilia among groups (p > 0.05). Statistical significance (p < 0.05) was found between carriers of MTHFR homozygous in preeclampsia and group with placental abruption and control group. Relative risk in IUGR group for MTHFR homozygous was 5.54 (1.37<RR<22.4). Relative risk in placental abruption for Factor V Leiden heterozygous was 4.50 (0.47<RR<42.75).

Conclusion: The presence of mutation MTHFR homozygous could increase the risk for development of IUGR and mutation of Factor V Leiden for placental abruption. Further investigations with more patients are warranted.

Keywords: IUGR; MTHFR; factor V Leiden; placental abruption; preeclampsia; prothrombin.

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Figures

Figure 1
Figure 1
Example of genotyping using ThromboStripqvality control.
Figure 2
Figure 2
Distribution of patient’s combination of clinical entities and presence of thrombophilia.
See this image and copyright information in PMC

References

    1. Calman R, et al. Basic Principle and Clinical Practice. 5th edition. Walter Kluwer; 2005.
    1. Seligsohn U, Lubetsky A. Genetic susceptibility to venous thrombosis. N Engl J Med. 2001;344(16):1222–31. http://dx.doi.org/10.1056/NEJM200104193441607 . PMid:11309638. - PubMed
    1. Esman ET. The Dyoteinic anticoagulanth pathway - Arterio Sclerosis. Thrombophilia. 1992;12:135.
    1. Dahblack B. Resistance to activated C caused by the Factor V Mutation, common to risk factor for venous thrombosis. Thromb Haemost. 1997;78:438. - PubMed
    1. Berhina RP, et al. Associated mutation in coagulation factor V, associated with resistant to APC. Nature. 1994;369:64–67. http://dx.doi.org/10.1038/369064a0 . PMid:8164741. - PubMed

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