PMID- 30058584 OWN - NLM STAT- MEDLINE DCOM- 20181217 LR - 20220330 IS - 2542-5641 (Electronic) IS - 0366-6999 (Print) IS - 0366-6999 (Linking) VI - 131 IP - 15 DP - 2018 Aug 5 TI - Association of Estrogen Receptor 1 Genetic Polymorphisms with Recurrent Spontaneous Abortion Risk. PG - 1857-1865 LID - 10.4103/0366-6999.237412 [doi] AB - BACKGROUND: Estrogen is one of the most important reproductive steroidal hormones and plays a critical role in the maintenance of pregnancy, and its function is mediated by estrogen receptor 1(ESR1). The polymorphisms of ESR1 were involved in recurrent spontaneous abortion (RSA); however, the association between ESR1 polymorphisms and RSA remains controversial. The present meta-analysis was aimed to clarify the association between ESR1 PvuII (-397C/T, rs2234693) and XbaI (-351A/G, rs9340799) polymorphisms and the risk of RSA. METHODS: All the included articles were retrieved from PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, and Wanfang Med Online Database up to January 3, 2018. Data were processed in the Stata 12.0 software. The odds ratios (OR s) and 95% confidence intervals (95% CI s) were calculated using fixed-effects models (FEM)/random-effects models (REM). RESULTS: Seven case-control studies with 836 cases and 1164 controls were included in the study. Generally, the ESR1 polymorphisms were not associated with RSA in any of the genetic analysis models. However, it was found that as rs9340799 polymorphism was related to increased risk of RSA in non-Asian group in the homozygous genetic model (OR = 2.40, 95% CI = 1.05-5.50, P = 0.039). Moreover, in Asian group, rs9340799 polymorphism was found to be related to decreased RSA risk in both the heterozygous model (OR = 0.53, 95% CI = 0.33-0.85, P = 0.009) and the dominant genetic model (OR = 0.55, 95% CI = 0.30-0.98, P = 0.042). CONCLUSIONS: Generally, there was no significant association between the polymorphisms of ESR1 and the risk of RSA. However, subgroup analysis indicated that ESR1 rs9340799 polymorphism was related to increased RSA risk in the non-Asian group while associated with decreased RSA risk in Asian group. FAU - Yin, Xun-Qiang AU - Yin XQ AD - School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences; Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Ju, Hong-Mei AU - Ju HM AD - Department of Gynaecology, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250011, China. FAU - Guo, Qiang AU - Guo Q AD - Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Zhao, Lin AU - Zhao L AD - Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Zhu, Xiao-Xiao AU - Zhu XX AD - Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Wei, Ran AU - Wei R AD - Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Zhang, Zhen AU - Zhang Z AD - Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Zhang, Yun-Hong AU - Zhang YH AD - School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences; Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. FAU - Wang, Bin AU - Wang B AD - Department of Peripheral Vascular Disease, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250011, China. FAU - Li, Xia AU - Li X AD - Laboratory for Molecular Immunology, Institute of Basic Medicine, Shandong Academy of Medical Sciences, Jinan, Shandong 250062, China. LA - eng PT - Journal Article PT - Meta-Analysis PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Receptor alpha) SB - IM MH - Abortion, Spontaneous/*genetics MH - Case-Control Studies MH - China MH - Cohort Studies MH - Estrogen Receptor alpha/*genetics MH - Female MH - Genetic Association Studies MH - Genetic Predisposition to Disease MH - Humans MH - Iran MH - Polymorphism, Genetic MH - Polymorphism, Single Nucleotide MH - Pregnancy MH - Risk Factors PMC - PMC6071461 OTO - NOTNLM OT - Estrogen Receptor 1 OT - Meta-Analysis OT - Polymorphism OT - Recurrent Spontaneous Abortion OT - Risk COIS- There are no conflicts of interest EDAT- 2018/07/31 06:00 MHDA- 2018/12/18 06:00 PMCR- 2018/08/05 CRDT- 2018/07/31 06:00 PHST- 2018/07/31 06:00 [entrez] PHST- 2018/07/31 06:00 [pubmed] PHST- 2018/12/18 06:00 [medline] PHST- 2018/08/05 00:00 [pmc-release] AID - ChinMedJ_2018_131_15_1857_237412 [pii] AID - CMJ-131-1857 [pii] AID - 10.4103/0366-6999.237412 [doi] PST - ppublish SO - Chin Med J (Engl). 2018 Aug 5;131(15):1857-1865. doi: 10.4103/0366-6999.237412.