Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians

Background: Preeclampsia (PE) is a pregnancy-associated hypertensive disorder and a leading cause of maternal and neonatal morbidity and mortality. While its pathogenesis remains ill defined, several candidate genes for PE have been identified, but results remain inconclusive. We investigated the as...

Full description

Bibliographic Details
Main Authors: Hedia Zitouni, Marwa Ben Ali Gannoum, Nozha Raguema, Wided Maleh, Ines Zouari, Raja El Faleh, Jean Guibourdenche, Wassim Y Almawi, Touhami Mahjoub
Format: Article
Language:English
Published: SAGE Publications 2018-01-01
Series:Journal of the Renin-Angiotensin-Aldosterone System
Online Access:https://doi.org/10.1177/1470320317753924
_version_ 1797284492233146368
author Hedia Zitouni
Marwa Ben Ali Gannoum
Nozha Raguema
Wided Maleh
Ines Zouari
Raja El Faleh
Jean Guibourdenche
Wassim Y Almawi
Touhami Mahjoub
author_facet Hedia Zitouni
Marwa Ben Ali Gannoum
Nozha Raguema
Wided Maleh
Ines Zouari
Raja El Faleh
Jean Guibourdenche
Wassim Y Almawi
Touhami Mahjoub
author_sort Hedia Zitouni
collection DOAJ
description Background: Preeclampsia (PE) is a pregnancy-associated hypertensive disorder and a leading cause of maternal and neonatal morbidity and mortality. While its pathogenesis remains ill defined, several candidate genes for PE have been identified, but results remain inconclusive. We investigated the association of the angiotensinogen ( AGT ) gene variants M235T and T174M with PE, and we analyzed the contribution of both variants to the severity of PE. Methods: This case-control study enrolled 550 Tunisian pregnant women: 272 with PE, of whom 147 presented with mild, and 125 with severe PE, along with 278 unrelated age- and ethnically matched control women. AGT genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism. Results: Significantly higher M235T minor allele frequency (MAF) was associated with increased risk of PE ( p < 0.001). Decreased frequency of heterozygous T174M genotype carriers were found in control women ( p = 0.015), suggesting a protective effect of this genotype (odds ratio (95% confidence interval) = 0.51 (0.29–0.89)). Two-locus haplotype analysis demonstrated MM and TT haplotypes to be negatively and positively associated with PE, respectively. MAF of M253T, but not T174M, was higher in the severe PE group, and carrying M235T or T174M minor allele was associated with increased body mass index ( p < 0.001) among unselected PE women. Conclusions: AGT M235T and T174M variants contribute to an increased risk of developing PE, and for M235T to PE severity.
first_indexed 2024-03-07T17:49:32Z
format Article
id doaj.art-28233ae46d044c8eb7161bd05b804a3c
institution Directory Open Access Journal
issn 1752-8976
language English
last_indexed 2024-03-07T17:49:32Z
publishDate 2018-01-01
publisher SAGE Publications
record_format Article
series Journal of the Renin-Angiotensin-Aldosterone System
spelling doaj.art-28233ae46d044c8eb7161bd05b804a3c2024-03-02T14:19:40ZengSAGE PublicationsJournal of the Renin-Angiotensin-Aldosterone System1752-89762018-01-011910.1177/1470320317753924Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) TunisiansHedia Zitouni0Marwa Ben Ali Gannoum1Nozha Raguema2Wided Maleh3Ines Zouari4Raja El Faleh5Jean Guibourdenche6Wassim Y Almawi7Touhami Mahjoub8INSERM UMR-S1139 College of Pharmacy, Paris Descartes University, FranceFaculty of Science of Bizerte, University of Carthage, TunisiaFaculty of Science of Bizerte, University of Carthage, TunisiaCentre of Maternity and Neonatology, TunisiaCentre of Maternity and Neonatology, TunisiaCentre of Maternity and Neonatology, TunisiaINSERM UMR-S1139 College of Pharmacy, Paris Descartes University, FranceFaculty of Science of Tunis, University of Tunis El Manar, TunisiaLaboratory of Human Genome and Multifactorial Diseases (LR12ES07), College of Pharmacy, University of Monastir, TunisiaBackground: Preeclampsia (PE) is a pregnancy-associated hypertensive disorder and a leading cause of maternal and neonatal morbidity and mortality. While its pathogenesis remains ill defined, several candidate genes for PE have been identified, but results remain inconclusive. We investigated the association of the angiotensinogen ( AGT ) gene variants M235T and T174M with PE, and we analyzed the contribution of both variants to the severity of PE. Methods: This case-control study enrolled 550 Tunisian pregnant women: 272 with PE, of whom 147 presented with mild, and 125 with severe PE, along with 278 unrelated age- and ethnically matched control women. AGT genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism. Results: Significantly higher M235T minor allele frequency (MAF) was associated with increased risk of PE ( p < 0.001). Decreased frequency of heterozygous T174M genotype carriers were found in control women ( p = 0.015), suggesting a protective effect of this genotype (odds ratio (95% confidence interval) = 0.51 (0.29–0.89)). Two-locus haplotype analysis demonstrated MM and TT haplotypes to be negatively and positively associated with PE, respectively. MAF of M253T, but not T174M, was higher in the severe PE group, and carrying M235T or T174M minor allele was associated with increased body mass index ( p < 0.001) among unselected PE women. Conclusions: AGT M235T and T174M variants contribute to an increased risk of developing PE, and for M235T to PE severity.https://doi.org/10.1177/1470320317753924
spellingShingle Hedia Zitouni
Marwa Ben Ali Gannoum
Nozha Raguema
Wided Maleh
Ines Zouari
Raja El Faleh
Jean Guibourdenche
Wassim Y Almawi
Touhami Mahjoub
Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians
Journal of the Renin-Angiotensin-Aldosterone System
title Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians
title_full Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians
title_fullStr Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians
title_full_unstemmed Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians
title_short Contribution of angiotensinogen M235T and T174M gene variants and haplotypes to preeclampsia and its severity in (North African) Tunisians
title_sort contribution of angiotensinogen m235t and t174m gene variants and haplotypes to preeclampsia and its severity in north african tunisians
url https://doi.org/10.1177/1470320317753924
work_keys_str_mv AT hediazitouni contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT marwabenaligannoum contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT nozharaguema contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT widedmaleh contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT ineszouari contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT rajaelfaleh contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT jeanguibourdenche contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT wassimyalmawi contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians
AT touhamimahjoub contributionofangiotensinogenm235tandt174mgenevariantsandhaplotypestopreeclampsiaanditsseverityinnorthafricantunisians