Association of Endothelial Nitric Oxide Synthase 894G > T Polymorphism with Preeclampsia Risk: A Systematic Review and Meta-Analysis based on 35 Studies

Fetal Pediatr Pathol. 2021 Oct;40(5):455-470. doi: 10.1080/15513815.2019.1710880. Epub 2020 Jan 10.

Abstract

Several case-control studies have been performed to investigate the association between 894 G > T polymorphism in endothelial nitric oxide synthase (eNOS) gene and susceptibility to preeclampsia. However, the results were inconsistent and inconclusive. Therefore, we conducted this meta-analysis to investigate the association. Methods: All studies published up to September 30, 2019 were identified by searching electronic databases such as PubMed, EMBASE, CNKI, and WANFANG. Results: A total of 35 case- control studies with 4,254 cases and 5,801 controls were selected. There was a significant association between the eNOS 894 G > T and preeclampsia risk. When stratified by ethnicity, an increased risk of preeclampsia was found in Caucasian and Mixed populations, but not in Asians or Africans. Conclusion: Based on our meta-analysis, the eNOS 894 G > T polymorphism was associated with an increased risk of preeclampsia, especially among Caucasian and Mixed populations.

Keywords: Preeclampsia; eNOS gene; meta-analysis; polymorphism.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Case-Control Studies
  • Female
  • Genetic Predisposition to Disease
  • Humans
  • Nitric Oxide Synthase Type III* / genetics
  • Polymorphism, Genetic
  • Polymorphism, Single Nucleotide
  • Pre-Eclampsia* / genetics
  • Pregnancy

Substances

  • NOS3 protein, human
  • Nitric Oxide Synthase Type III