Molecular genetic determinants of stress urinary incontinence in women: Prospective comparative study
- Authors: Mikhelson A.A.1, Lugovykh E.V.1, Lazukina M.V.1, Tretyakova T.B.1, Varaksin A.N.2, Konstantinova E.D.2
-
Affiliations:
- Ural Research Institute of Maternal and Childhood Protection
- Institute of Industrial Ecology
- Issue: Vol 25, No 3 (2023)
- Pages: 353-359
- Section: ORIGINAL ARTICLE
- URL: https://ogarev-online.ru/2079-5831/article/view/253872
- DOI: https://doi.org/10.26442/20795696.2023.3.202354
- ID: 253872
Cite item
Full Text
Abstract
Aim. To identify the molecular genetic determinants of stress urinary incontinence (UI) in women.
Materials and methods. A comparative study involving 120 women was conducted. Group 1 (main group) included 80 women with UI. Group 2 (comparison group) included 40 women without UI. Statistic data processing was performed using the Excel software package, SPP Statistics 22.0, Statistica for Windows 10 (TIBCO Software Inc., Palo Alto, CA, USA). The mean and standard deviation were reported for quantitative variables with a normal distribution. The statistical hypotheses on the absence of intergroup differences for quantitative variables with normal distribution were verified using Student's test. The absolute and relative values (in percent) were reported for qualitative variables. The chi-square test was used to verify the statistical hypotheses.
Results. Molecular genetic predictors of UI in women are the carriage of polymorphisms of the estrogen receptor gene ESR1:-351_G and the type I collagen gene COL1A1:1546_T. These polymorphisms can be considered as genotypes of "risk" since their carriage is associated with an increased risk of UI.
Conclusion. Genetically determined disorders of the estrogen receptor function and type I collagen synthesis can be one of the essential mechanisms of stress incontinence occurrence. Studying molecular genetic determinants of stress incontinence can provide a deeper understanding of its pathogenetic mechanisms and develop a personalized approach to surgical correction.
Full Text
##article.viewOnOriginalSite##About the authors
Anna A. Mikhelson
Ural Research Institute of Maternal and Childhood Protection
Email: ann_tolmik@mail.ru
ORCID iD: 0000-0003-1709-6187
D. Sci. (Med.), Assoc. Prof.
Russian Federation, YekaterinburgEvgenia V. Lugovykh
Ural Research Institute of Maternal and Childhood Protection
Author for correspondence.
Email: usovaev94@gmail.com
ORCID iD: 0000-0003-4687-6764
Graduate Student
Russian Federation, YekaterinburgMaria V. Lazukina
Ural Research Institute of Maternal and Childhood Protection
Email: masha_balueva@mail.ru
ORCID iD: 0000-0002-0525-0856
Cand. Sci. (Med.)
Russian Federation, YekaterinburgTatiana B. Tretyakova
Ural Research Institute of Maternal and Childhood Protection
Email: tbtretyakova@yandex.ru
ORCID iD: 0000-0002-5715-7514
Cand. Sci. (Med.), Assoc. Prof.
Russian Federation, YekaterinburgAnatoly N. Varaksin
Institute of Industrial Ecology
Email: varaksinanatolij2@gmail.com
ORCID iD: 0000-0003-2689-3006
D. Sci. (Phys.-Math.), Prof.
Russian Federation, YekaterinburgEkaterina D. Konstantinova
Institute of Industrial Ecology
Email: konstantinovaekateri@gmail.com
ORCID iD: 0000-0002-2260-744X
Cand. Sci. (Phys.-Math.)
Russian Federation, YekaterinburgReferences
- Campeau L, Campeau L, Gorbachinsky I, et al. Pelvic floor disorders: linking genetic risk factors to biochemical changes. BJU International. 2011;108(8):1240-7. doi: 10.1111/j.1464-410X.2011.10385.x
- Ward RM, Velez Edwards DR, Edwards T, et al. Genetic epidemiology of pelvic organ prolapse: a systematic review. Am J Obstet Gynecol. 2014;211(4):326-35. doi: 10.1016/j.ajog.2014.04.006
- Blomquist JL, Muñoz A, Carroll M, Handa VL. Association of delivery mode with pelvic floor disorders after childbirth. JAMA. 2018;320(23):2438-47. doi: 10.1001/jama.2018.18315
- Dietz HP, Wilson PD, Milsom I. Maternal birth trauma: why should it matter to urogynaecologists? Curr Opin Obstet Gynecol. 2016;28(5):441-8. doi: 10.1097/GCO.0000000000000304
- Huemer H. Pelvic organ prolapse. Ther Umsch. 2019;73(9):553-8 (in German). doi: 10.1024/0040-5930/a001037
- Manning S. Genital complaints at the extremes of age. Emerg Med Clin Notth Am. 2019;37(2):193-205. DOI:10.1016/j. emc.2019.01.003
- Wu JM, Matthews CA, Conover MM, et al. Lifetime risk of stress incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014;123(6):1201-6. doi: 10.1097/AOG.0000000000000286
- Iglesia CB, Smithling KR. Pelvic organ prolapse. Am Fam Physician. 2017;96(3):179-85.
- Samimi P, Jones SH, Giri A. Family history and pelvic organ prolapse: a systematic review and meta-analysis. Int Urogynecol J. 2021;32:759-74. doi: 10.1007/s00192-020-04559-z
- Устюжина А.С., Солодилова М.А., Полоников А.В., и др. Влияние генов COL1A1 и COL3A1 на пролапс тазовых органов у женщин. Здравоохранение Таджикистана. 2020;2:54-61 [Ustiuzhina AS, Solodilova MA, Polonikov AV, et al. Vliianie genov COL1A1 i COL3A1 na prolaps tazovykh organov u zhenshchin. Zdravookhranenie Tadzhikistana. 2020;2:54-61 (in Russian)].
- Chen HY, Lin WY, Chen YH, et al. Matrix metalloproteinase-9 polymorphism and risk of pelvic organ prolapse in Taiwanese women. Eur J Obstet Gynecol Reprod Biol. 2010;14:222-4.
- Апокина А.Н. Прогнозирование эффективности хирургической коррекции пролапса тазовых органов: автореф. дис. … кандидат медицинских наук. М., 2012 [Apokina AN. Prognozirovanie effektivnosti khirurgicheskoi korrektsii prolapsa tazovykh organov: avtoref. dis. … kand. med. nauk. Moscow, 2012 (in Russian)].
- Русина Е.И., Беженарь В.Ф., Иващенко Т.Э., и др. Особенности полиморфизма генов NAT2, GSTT1, GSTM1 у женщин с пролапсом тазовых органов и стрессовым недержанием мочи. Архив акушерства и гинекологии имени В.Ф. Снегирева. 2014;2:36-40 [Rusina EI, Bezhenar' VF, Ivashchenko TE, et al. Osobennosti polimorfizma genov NAT2, GSTT1, GSTM1 u zhenshchin s prolapsom tazovykh organov i stressovym nederzhaniem mochi. Arkhiv akusherstva i ginekologii im. V.F. Snegireva. 2014;2:36-40 (in Russian)].
- Abulaizi A, Abula A, Ababaikeli G, et al. Identification of pelvic organ prolapse risk susceptibility gene SNP locus in Xinjiang women. Int Urogynecol J. 2020;31(1):123-30.
- Мехтиева Э.Р., Ящук А.Г., Зайнуллина Р.М., и др. Роль полиморфизма генов коллагена 1-го и 3-го типов, гена рецепторов витамина Д в возникновении несостоятельности тазового дна у женщин. Практическая медицина. 2017;7:102-5 [Mekhtieva ER, Iashchuk AG, Zainullina RM, et al. Rol' polimorfizma genov kollagena 1-go i 3-go tipov, gena retseptorov vitamina D v vozniknovenii nesostoiatel'nosti tazovogo dna u zhenshchin. Prakticheskaia meditsina. 2017;7:102-5 (in Russian)].
Supplementary files
