Association of cyclooxygenase-2 and interleukin-1 receptor antagonist gene polymorphisms with the time interval between labor induction and delivery

Am J Obstet Gynecol. 2008 Sep;199(3):296.e1-5. doi: 10.1016/j.ajog.2008.06.063.

Abstract

Objective: The interval between induction and delivery may change in association with different polymorphisms in genes regulating inflammation.

Study design: Seventy participants in a trial for induction of labor at term were tested for a -765 G>C cyclooxygenase-2 and an intron 2 length interleukin-1 receptor antagonist gene polymorphism.

Results: The interleukin-1 receptor antagonist allele 2 frequency was 33.3% in the 12 women who delivered at < or =10 hours, compared with 13.8% in those delivered >10 hours (P = .03). The interleukin-1 receptor antagonist allele 2 frequency was 25.0% in women induced because of postdates as opposed to 7.9% induced for other indications (P = .01). The cyclooxygenase-2 allele C frequency was 30.0% in 35 women delivered at < or =20 hours as opposed to 11.4% in women delivered at >20 hours (P = .01). The cyclooxygenase-2 allele C frequency was 26.9% in 26 subjects induced because of postdates as opposed to 13.6% induced for other indications (P = .07).

Conclusion: Cyclooxygenase-2 allele C and interleukin-1 receptor antagonist allele 2 are associated with a reduced time interval from labor induction to delivery.

MeSH terms

  • Adult
  • Cervical Ripening / physiology*
  • Cyclooxygenase 2 / genetics*
  • Female
  • Gene Frequency
  • Humans
  • Interleukin 1 Receptor Antagonist Protein / genetics*
  • Labor, Induced*
  • Oligohydramnios / therapy
  • Polymorphism, Genetic*
  • Pregnancy
  • Time Factors
  • Trial of Labor

Substances

  • Interleukin 1 Receptor Antagonist Protein
  • Cyclooxygenase 2
  • PTGS2 protein, human