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Journal of Assisted Reproduction and Genetics

, Volume 35, Issue 8, pp 1437–1442 | Cite as

Prevalent genotypes of methylenetetrahydrofolate reductase (MTHFR) in recurrent miscarriage and recurrent implantation failure

  • Yuanchang Zhu
  • Tonghua Wu
  • Lijun Ye
  • Guangui Li
  • Yong Zeng
  • Yaou Zhang
Genetics
  • 98 Downloads

Abstract

Objective

To evaluate the association of two common methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms with recurrent miscarriage (RM) and repeated implantation failure (RIF)

Methods

The study comprised of 521 patients, with a history of RM (n = 370) or RIF (n = 151). One hundred forty-four women with fallopian tube blockages who had successfully conceived after the first in vitro fertilization embryo transfer treatment served as the control group. The MTHFR alleles, genotypes, and haplotypes were assessed in different groups.

Results

There was no difference in allele frequency and distribution of MTHFR polymorphisms between case and control patients. The 1298AA genotype was represented in a higher frequency, and 1298AC genotype was significantly lower in subfertile group when compared to the control group. A significant relationship was found between the 1298AC genotype and the RIF subgroup. The haplotype 677CC/1298AA was overrepresented in the RM subgroup (> 2 times) and haplotype 677CC/1298AC was underrepresented in the RIF subgroup (P < 0.05). Nevertheless, these two haplotypes were not connected to fertilization and embryo cleavage rates.

Conclusion

Our findings indicate that the MTHFR gene polymorphism might play a role in the etiology of patients with RM or RIF. No adverse effects of different MTHFR haplotypes on embryo development were detected. Further studies on the biological role are needed to better understand the susceptibility to pregnancy complications.

Keywords

MTHFR Polymorphism Genotype Repeated implantation failure Recurrent miscarriage 

Abbreviations

MTHFR

methylenetetrahydrofolate reductase

RM

recurrent miscarriage

RIF

repeated implantation failure

IVF

in vitro fertilization

ET

embryo transfers

Notes

Acknowledgements

We are very grateful to all participants in this study and we thank all the clinical staff. We also thank all the members of the Zhang and Zeng group for their interesting discussions, helpful suggestions, and technical support.

Authors’ contributions

YOZ and YZ: supervised and supported the study. YCZ: designed and wrote the manuscript. GGL: revised the manuscript. THW: data collection. LJY: PCR assay. All authors read and approved the final manuscript.

Funding

This study was supported by the National Natural Science Foundation of China (No. 31371315, 2014; No. 81601279, 2016) and International Cooperation Grant of Shenzhen (No. GJHZ20140416153718941, 2014).

Compliance with ethical standards

Ethics approval and consent to participate

The research project met our ethics criteria and was approved and performed strictly according to the protocols. Informed consent was obtained from all couples prior to the study.

Consent for publication

The ethical committee reviewed the manuscript and consent for publication.

Competing interests

The authors declare that they have no conflicts of interest.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Yuanchang Zhu
    • 1
    • 2
  • Tonghua Wu
    • 3
  • Lijun Ye
    • 3
  • Guangui Li
    • 3
  • Yong Zeng
    • 3
  • Yaou Zhang
    • 2
  1. 1.School of Life SciencesTsinghua UniversityBeijingChina
  2. 2.Key Lab in Healthy Science and Technology, Division of Life Science, Graduate School at ShenzhenTsinghua UniversityShenzhenChina
  3. 3.Shenzhen Key Laboratory for Reproductive Immunology of Preimplantation, Shenzhen Zhongshan Institute for Reproduction and Genetics, Fertility CenterShenzhen Zhongshan Urology HospitalShenzhenChina

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