Polymorphism of genes regulating the vitamin D hormonal system, and optimization of vitamin D intake in women with preeclampsia and a high risk for its development

Maltseva L.I., Vasilyeva E.N., Denisova T.G., Kravtsova O.A.

1) Kazan State Medical Academy, Branch, Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation, Kazan, Russia

2) I.N. Ulyanov Chuvash State Medical University, Cheboksary, Russia

3) Institute for Postgraduate Training of Physicians, Ministry of Health of Chuvashia, Cheboksary, Russia

4) Kazan (Volga) Federal University, Kazan, Russia

Objective: to investigate the role of the polymorphism of genes involved in vitamin D metabolism in preeclampsia (PE) in women, by justifying the optimal dose of the vitamin to reduce the risk and severity of PE.

Subjects and methods. Examinations were made in 226 patients: 30 healthy pregnant women, 35 patients with PE, 131 with high-risk PE, 63 at 14-16 weeks pregnant, and 68 who planned their pregnancy. GC rs2282679, CYP2R1 rs2060793, and VDR rs2228570 were genotyped. DNA was isolated from leukocytes by a PCR assay. Vitamin D intake was estimated from the blood level of 25(OH) D by enzyme immunoassay using the BIOMEDICAGRUPPE kits (Germany).

Results. All the women were found to have vitamin D deficiency. In PE and at risk for its development, there was a genotype that did not ensure physiological metabolism of vitamin D.

Conclusion. Prescribing vitamin D at a dose of 4000 IU to women at high risk for PE at the stage of pregravid preparation and during pregnancy provides a blood D vitamin level sufficient for the favorable course of pregnancy and childbirth.

Keywords

pregnancy
vitamin D
gene polymorphism
preeclampsia
pregravid preparation

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Received 05.08.2019

Accepted 19.09.2019

About the Authors

Larisa I. Maltseva, MD, professor, professor of the Obstetrics and Gynecology Department Kazan State Medical Academy - Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation. Tel.: +7(905)3144051. E-mail: laramalc@mail.ru
420012 Russia, Kazan, Mushtari, d. 11.
Elvira Vasilyeva N., PhD, associate professor of the department of Obstetrics and Gynecology at Federal state budgetary educational institution of higher education
«The Chuvash State University named after I.N. Ulyanov». Tel.:+7(8352)48-86-65; E-mail: elnikvas@mail.ru
428000, Cheboksary, Moscow Avenue, 15.
Tamara G. Denisova, MD, professor, Vice-Rector for Research and Informatization of the State Autonomous institution of additional professional education „Postgraduate Doctors’ Training Institute „ of Health Care Ministry of the Chuvash Republic, professor of the department of Obstetrics and Gynecology at Federal state budgetary educational institution of higher education «The Chuvash State University named after I.N. Ulyanov». Tel.: +7(905)1973707. E-mail: tomadenisova@rambler.ru
428000, Cheboksary, Moscow Avenue, 15.
Olga A. Kravtsova, Ph.D. Associate Professor of the Department of Biochemistry, Biotechnology and Pharmacology of the Federal State Autonomous Educational Institution
of Higher Education «Kazan (Volga Region) Federal University». Tel.:+7(917)2937543 E-mail: public.mail@kpfu.ru
420008 Russia, Kazan, ul. Kremlin, 18.

For citation: Maltseva L.I., Vasilyeva E.N., Denisova T.G., Kravtsova O.A.Polymorphism of genes regulating the vitamin D hormonal system, and optimization of vitamin D intake in women with preeclampsia and a high risk for its development
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 9: 67-74.(In Russian)
https://dx.doi.org/10.18565/aig.2019.9.67-74

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