Significant Implications Of miR-126 Expression With Respect to Its Target Gene VEGFA in the Pathogenesis of Recurrent Pregnancy Losses (RPL)-a Study in High Incidence Zone
摘要
Owing to crucial role played by MicroRNA-126 (miR-126) in vascular development and regulation of vascular endothelial growth factor (VEGFA), this study determined the role of miR-126 and its target gene VEGFA in the pathogenesis of recurrent pregnancy loss (RPL) in women against healthy controls.
MethodsA total of 40 samples were collected from women who had experienced consecutive RPL at 20 weeks of gestation when compared to healthy controls with full-term successful pregnancies. The relative expression of miR-126 and VEGFA in plasma was quantified using quantitative real-time polymerase chain reaction (qRT-PCR).
ResultsmiR-126 expression was significantly up regulated in RPL patients compared to controls (p < 0.0001), with a median fold change of 3.13 (IQR: 1.25–5.78). Conversely, VEGFA mRNA expression was significantly down regulated in RPL patients (p < 0.0001), with a median fold change of 0.29 (IQR: 0.12–0.67). Moreover, no substantial differences were found in relative expression of miR-126 and VEGFA mRNA among categories of various variables in RPL group respectively. Correlation analysis revealed a negative association between miR-126 and VEGFA expression in RPL cases (r = -0.165). In healthy controls, the miR-126 expression was positively correlated with expression levels of VEGFA mRNA with correlation coefficient (r) = 0.925; p < 0.01. However, the correlation between miR-126 and VEGFA mRNA was not statistically significant in the RPL group.
ConclusionsOur findings suggest that dysregulation of miR-126 and VEGFA is associated with RPL. These markers may serve as potential diagnostic and prognostic tools for idiopathic RPL. Furthermore, restoring the normal expression of these molecules could represent a novel therapeutic approach for this condition.