Abstract
Background
Oxidative stress generated by Chlamydia trachomatis infection is associated with reproductive complications such as recurrent spontaneous abortion. Aim of prospective study was to evaluate whether single nucleotide polymorphisms (SNPs) of SOD1 and SOD2 gene are associated with C. trachomatis-infected recurrent spontaneous abortion (RSA).
Methods
150 patients with history of RSA and 150 patients with history of successful deliveries were recruited from Department of Obstetrics and Gynecology, Safdarjung hospital, New Delhi, India. Urine and non-heparinized blood samples were collected and C. trachomatis was detected by polymerase chain reaction (PCR). Using qualitative real time PCR, SNPs rs4998557 (SOD1) and rs4880 (SOD2) were screened in enrolled patients. Level of 8-hydroxyguanosine (8-OHdG), 8-isoprostane (8-IP), progesterone and estrogen was determined by enzyme-linked immunosorbent assays and correlated with SNPs.
Results
Significant differences were found in frequency of AA genotype of SOD1 gene among RSA patients versus controls, (82% and 54.66%, respectively; p = 0.02; OR 0.40; CI 95%). Frequency of AA genotype of SOD1 gene among RSA patients with C. trachomatis infection was 87.33%, while in uninfected RSA patients was 71.33% (p < 0.0001; OR 8; CI 95%). No significant relation was found between SOD2 (rs4880) genotype and RSA. Furthermore, significant increase in 8-OHdG, 8-IP and estrogen and significant decrease in progesterone was observed among patients carrying AA genotype.
Conclusions
Findings suggest the clinical importance of AA genotype along with 8-OHdG, 8-IP and estrogen and progesterone in screening C. trachomatis-infected RSA women.
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Data Availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
AR and TB are thankful to University Grants Commission (UGC), Government of India for the award of Senior Research Fellowship.
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AR designed and performed experiments, data analysis, original draft writing and editing. TB performed experiments and data analysis. RA did clinical sampling, review and editing. Original draft writing, review and editing were done by SP. Project conceptualization, administration, methodology, data curation, original draft writing, review and editing were done by SR. All authors read and approved the final manuscript.
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Ethical approval was granted by the Ethics Committee of Vardhman Mahavir Medical College and Safdarjung hospital, New Delhi, India (IEC/VMMC/SJH/Project/2019/08/42).
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Ray, A., Bhati, T., Arora, R. et al. Association of functional superoxide gene polymorphism with chlamydia trachomatis-associated recurrent spontaneous abortion. Mol Biol Rep 50, 4907–4915 (2023). https://doi.org/10.1007/s11033-023-08405-5
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DOI: https://doi.org/10.1007/s11033-023-08405-5