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Невынашивание беременности и полиморфизм генов системы свертывания крови

Невынашивание беременности и полиморфизм генов системы свертывания крови

Abstract

У 172 пациенток с невынашиванием беременности (НБ) и у 108 женщин контрольной группы исследовали полиморфизм трех генов свертывания крови: FV G1691A (Лейденская мутация), PROT G20210A, FGB G-455A и гена MTHFR C677T. В группе с НБ ни один из рассмотренных генетических вариантов не встречался достоверно чаще, хотя частоты некоторых генотипов в отдельных подгруппах больных оказались повышенными. В подгруппе пациенток с антифосфолипидным синдромом (АФС) частота всех форм «генетической тромбофилии» была достоверно выше (34,7 %), чем в контрольной группе (20,4 %). Наличие наследственных факторов тромбофилии в 70 % случаев коррелирует с наличием АФС. Обсуждаются вопросы целесообразности предиктивного генетического тестирования наследственных факторов гиперкоагуляции для профилактики НБ.

Genotypes distributions for the 3 genes of blood coagulation factors (FV Leiden, PROT G20210A, FGB G-455A) and MTHFR C677T were compared in 172 women with miscarriage and a control population (108 women without a history of pregnancy loss). No significant differences were observed between distribution of any studied gene variants in the miscarriage and control groups. When the whole patients group was divided into subgroups, the frequency of MTHFR T/ T genotype in women with 3 and more spontaneous abortion was significantly increased. Patients with antiphospholipid antibodies had any form of "genetic thrombophilia" in 34,7 %, and women in control group only in 20,4 % (p

Keywords

ТРОМБОФИЛИЯ, НЕВЫНАШИВАНИЕ БЕРЕМЕННОСТИ (НБ), ПРИВЫЧНОЕ НЕВЫНАШИВАНИЕ БЕРЕМЕННОСТИ (ПНБ), АНТИФОСФОЛИПИДНЫЙ CИНДРОМ (АФС)

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    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
bronze