Association between Genetic Polymorphisms in Interleukin Genes and Recurrent Pregnancy Loss - A Systematic Review and Meta-Analysis

PLoS One. 2017 Jan 19;12(1):e0169891. doi: 10.1371/journal.pone.0169891. eCollection 2017.

Abstract

Interleukins are a group of immunomodulatory proteins that mediate a variety of immune reactions in the human body. To investigate the association between interleukin gene polymorphisms and recurrent pregnancy loss (RPL), we reviewed 21 studies from MEDLINE, EMBASE, OVID SP and PubMed to evaluate RPL-related interleukin gene polymorphisms. Meta-analysis was performed on 12 of the polymorphisms, and a review included the others. Our integrated results indicated that IL-1β (-511C/T) (P = 0.02, 95% CI 0.77[0.62,0.96]), IL-6 (-634C/G) (P<0.001, 95% CI 2.91[2.01,4.22]), IL-10 (-1082G/A, -819T/C) (P = 0.01, 95% CI 0.80[0.67,0.96]; P<0.01, 95% CI 0.66[0.49,0.89]), and IL-18 (-137G/C, -105G/A) (P<0.01, 95% CI 1.69[1.24,2.31]; P = <0.01, 95% CI 1.41[1.17,1.70]) consistently associated with RPL after meta-analysis. IL-17A rs2275913 and IL-17F rs763780, IL-21 rs2055979 and rs13143866, IL-1β (-31C/T), IL-6 (-2954G/C), and IL-10 (-536A/G) were reported only once as having a significant association with RPL. The potential mechanism underlying miscarriage and these polymorphisms and future research directions are also discussed.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Abortion, Habitual / genetics*
  • Female
  • Humans
  • Interleukin-10 / genetics
  • Interleukin-18 / genetics
  • Interleukin-1beta / genetics
  • Interleukin-6 / genetics
  • Interleukins / genetics*
  • Polymorphism, Genetic / genetics*
  • Polymorphism, Genetic / physiology
  • Pregnancy

Substances

  • Interleukin-18
  • Interleukin-1beta
  • Interleukin-6
  • Interleukins
  • Interleukin-10

Grants and funding

The National Natural Science Foundation (31271605 to Y-P Sun). The National Natural Science Foundation (31501205 to Jiawei Xu) http://www.nsfc.gov.cn/. Youth Innovation Fund of the First Affiliated Hospital of Zhengzhou University (to Wenbin Niu) http://fcc.zzu.edu.cn/. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.