PMID- 12443029 OWN - NLM STAT- MEDLINE DCOM- 20030402 LR - 20220321 IS - 1046-7408 (Print) IS - 1046-7408 (Linking) VI - 48 IP - 3 DP - 2002 Sep TI - Preeclampsia: a multifactorial disease resulting from the interaction of the feto-maternal HLA genotype and HCMV infection. PG - 176-83 AB - PROBLEM: To clarify the possible influence of human leukocyte antigen (HLA) mother-child genotypes and human cytomegalo virus (HCMV) presence on the development of preeclampsia. METHODS OF STUDY: One hundred and four DNA samples from mothers with preeclampsia, mothers with a normal history of pregnancies and their neonates were tested by polymerase chain reaction-sequence specific oligonucleotide probes (PCR-SSOP) for HLA-A, -G, -DRB1, -DQA1, -DQB1 alleles. The HCMV sequences were analyzed using a PCR-SSOP method and the four primers described by Chou (Chou S: J Clin Microb 1992; 30:2307-2310). RESULTS: Compared with their respective controls, a significant increase of DRB1*07 among neonates (P(c) = 0.05) and of DRB1*07 and/or DRB1*06 among pre-eclamptic mothers (P(c) = 0.003, RR = 8,5) was found. When HCMV sequences were detected in pre-eclamptic mothers carrying those phenotypes the RR increased up to 40. Furthermore, the fetal inheritance of a maternal HLA-G*0104 increased the risk for the appearance of the disease (RR = 30; P = 0.025). CONCLUSION: The results suggest that the presence of alleles HLA-G*0104, DRB1*07/06, HCMV sequences and the fetal inheritance of maternal G*0104, should be considered as conditioning factors for the development of preeclampsia. FAU - Carreiras, M AU - Carreiras M AD - Escuela de Bioanalisis, Central University of Venezuela, Caracas. FAU - Montagnani, S AU - Montagnani S FAU - Layrisse, Z AU - Layrisse Z LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Denmark TA - Am J Reprod Immunol JT - American journal of reproductive immunology (New York, N.Y. : 1989) JID - 8912860 RN - 0 (HLA Antigens) RN - 0 (HLA-DR Antigens) RN - 0 (HLA-DRB1 Chains) RN - 0 (HLA-G Antigens) RN - 0 (Histocompatibility Antigens Class I) SB - IM MH - *Alleles MH - Cytomegalovirus/genetics/*isolation & purification MH - Cytomegalovirus Infections/immunology/virology MH - Female MH - Gene Frequency MH - Genetic Predisposition to Disease MH - Genotype MH - HLA Antigens/*genetics MH - HLA-DR Antigens/genetics MH - HLA-DRB1 Chains MH - HLA-G Antigens MH - Histocompatibility Antigens Class I/genetics MH - Histocompatibility Testing MH - Humans MH - Infant, Newborn MH - Polymerase Chain Reaction MH - Pre-Eclampsia/*genetics/immunology/*virology MH - Pregnancy MH - Pregnancy Complications, Infectious/*virology EDAT- 2002/11/22 04:00 MHDA- 2003/04/04 05:00 CRDT- 2002/11/22 04:00 PHST- 2002/11/22 04:00 [pubmed] PHST- 2003/04/04 05:00 [medline] PHST- 2002/11/22 04:00 [entrez] AID - 10.1034/j.1600-0897.2002.01076.x [doi] PST - ppublish SO - Am J Reprod Immunol. 2002 Sep;48(3):176-83. doi: 10.1034/j.1600-0897.2002.01076.x.