Abstract
Purpose
To investigate the associations between polymorphisms of vascular endothelial growth factor (VEGF) with recurrent implantation failure (RIF).
Methods
We performed the systematic review and meta-analysis by searching databases of PubMed, EMBASE, OVID, and CNKI (China National Knowledge Infrastructure) for studies that evaluated the associations between VEGF polymorphisms with RIF. Meta-analysis was performed if the polymorphism was studied by more than two case–control studies. Data were analyzed using R software. Odds ratios (ORs) with 95% confidence intervals (CIs) were reported to assess the associations.
Results
Nine VEGF polymorphisms (−1154G > A, −460T > C, +405G > C, −7C > T, −634C > G, −2578C > A, +936C > T, 5C > T, −583C > T) were systematically reviewed. Meta-analysis was performed on VEGF −1154 G > A polymorphism. Three case–control studies consisted of 683 women were included in the quantitative meta-analysis (305 RIF patients and 378 controls). Results showed that VEGF −1154A allele was significantly associated with RIF (OR 1.39, 95% CI 1.08–1.78, P-value = 0.01). The dominant genetic model showed that VEGF 1154AA plus VEGF 1154AG genotypes were more frequent in RIF patients than VEGF 1154GG genotype (OR 1.56, 95% CI 1.10–2.20, P-value = 0.01). However, the result under the recessive genetic model showed no significant difference (OR 1.67, 95% CI 0.92–3.03, P-value = 0.09).
Conclusion
VEGF −1154A allele may serve as one of the predisposing factors of RIF. Women with VEGF 1154 AA/GA genotypes were at higher risk of RIF. However, we should consider the haplotype effect of VEGF polymorphisms in future studies.
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Data availability
The data sets used and analyzed during the current study are available from the corresponding author on reasonable request.
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This study is funded by National Key R&D Program of China (Grant Number 2018YFC1004400).
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HZ designed the study, performed the statistical analyses, and draft the manuscript, tables and figures; HX performed the statistical analyses; LH and HX extracted the data; WM and SQ designed the study and revised the manuscript.
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Zeng, H., Hu, L., Xie, H. et al. Polymorphisms of vascular endothelial growth factor and recurrent implantation failure: a systematic review and meta-analysis. Arch Gynecol Obstet 304, 297–307 (2021). https://doi.org/10.1007/s00404-021-06072-0
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DOI: https://doi.org/10.1007/s00404-021-06072-0