Evidence map›Paper›PMID 32741103›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2021

Risk of pre-eclampsia in patients with a maternal genetic predisposition to common medical conditions: a case-control study.

K J Gray, V P Kovacheva, H Mirzakhani, A C Bjonnes, B Almoguera, M L Wilson, S A Ingles, C J Lockwood, H Hakonarson, T F McElrath and 6 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  10. Polymorphism rs259983 of theThe Egyptian journal of medical human genetics · 2025
    Article
  11. A Novel Stem Cell Model to Study Preeclampsia Endothelial Dysfunction.Reproductive sciences (Thousand Oaks, Calif.) · 2024
    Article
  12. Preeclampsia and eclampsia: Enhanced detection and treatment for morbidity reduction.Best practice & research. Clinical anaesthesiology · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Genetic contributions to risk of adverse pregnancy outcomes.Current cardiovascular risk reports · 2023
    Article
  17. Article
  18. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 1 country.

K J GrayDivision of Maternal-Fetal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-3541-3724
V P KovachevaDepartment of Anesthesiology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
H MirzakhaniDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-2290-4436
A C BjonnesCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
B AlmogueraCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
M L WilsonDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.ORCID 0000-0001-7785-4221
S A InglesDepartment of Preventative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
C J LockwoodMorsani College of Medicine, University of South Florida, Tampa, Florida, USA.ORCID 0000-0002-7765-4999
H HakonarsonCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2814-7461
T F McElrathDivision of Maternal-Fetal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
J C MurrayDepartment of Pediatrics, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.
E R NorwitzDepartment of Obstetrics & Gynecology, Tufts Medical Center, Boston, Massachusetts, USA.ORCID 0000-0003-4643-1546
S A KarumanchiCenter for Vascular Biology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.ORCID 0000-0002-2281-6831
B T BatemanDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
B J KeatingDepartment of Surgery and Pediatrics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-3320-3723
R SaxenaCenter for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0003-2233-1065
Massachusetts General Hospital · USBrigham and Women's Hospital · USChildren's Hospital of Philadelphia · USUniversity of Southern California · USCedars-Sinai Medical Center · USTufts Medical Center · USUniversity of Iowa · USUniversity of Pennsylvania · USUniversity of South Florida · US

Funding

SYSTEMS APPROACHES TO THE EPIDEMIOLOGY, GENETICS AND GENOMICS OF LUNG DISEASEST32HL007427 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI DAWN L DEMEO, Edwin K Silverman · 1985 to 2026
$13.6M
Hormones/Genes in Women's Health: From Bench to BedsideK12HD051959 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLDSTEIN, JILL M, REXRODE, KATHRYN M · 2005 to 2023
$8.8M
Signatures of dysfunctional mitochondrial fatty acid oxidation that predispose to early-onset preeclampsiaK08HL146963 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI GRAY, KATHRYN JOHNSON · 2019 to 2023
$940k
Integrative Longitudinal Genomics of Maternal Asthma-Preeclampsia Overlap and Risk of Childhood AsthmaK01HL146977 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MIRZAKHANI, HOOMAN · 2020 to 2024
$874k
Comparative safety & effectiveness of antihypertensive medications in pregnancyK08HD075831 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI BATEMAN, BRIAN THOMAS · 2013 to 2017
$717k
A Pilot Study of Novel Candidate Genes for PreeclampsiaR21HD046624 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI INGLES, SUE ANN · 2004 to 2005
$447k
Longitudinal metabolic profiling throughout gestation in the plasma and urine of women who develop early-onset preeclampsiaF32HD086948 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI GRAY, KATHRYN JOHNSON · 2016 to 2017
$76k
Howard Hughes Medical InstituteMarch of Dimes 20-FY03-30March of Dimes 21-FY05-1250,NHLBI NIH HHS K01 HL146977NHLBI NIH HHS K08 HL146963NHLBI NIH HHS L30 HL129467NHLBI NIH HHS T32 HL007427NICHD NIH HHS F32 HD086948NICHD NIH HHS K08 HD075831NICHD NIH HHS K12 HD051959NICHD NIH HHS R21 HD046624(NIH) F32 HD86948,(NIH) K08 HD075831,(NIH) K08 HL146963,(NIH) K12 HD051959 (BIRCWH),(NIH) L30 HL129467,(NIH) T32 HL007427,NIH HHSSociety for Obstetric Anesthesia and Perinatology Gertie Marx Research Grant
6 · The paper itself

Abstract

objectiveTo assess whether women with a genetic predisposition to medical conditions known to increase pre-eclampsia risk have an increased risk of pre-eclampsia in pregnancy.

designCase-control study. SETTING AND POPULATION: Pre-eclampsia cases (n = 498) and controls (n = 1864) in women of European ancestry from five US sites genotyped on a cardiovascular gene-centric array.

methodsSignificant single-nucleotide polymorphisms (SNPs) from 21 traits in seven disease categories (cardiovascular, inflammatory/autoimmune, insulin resistance, liver, obesity, renal and thrombophilia) with published genome-wide association studies (GWAS) were used to create a genetic instrument for each trait. Multivariable logistic regression was used to test the association of each continuous scaled genetic instrument with pre-eclampsia. Odds of pre-eclampsia were compared across quartiles of the genetic instrument and evaluated for significance.

main outcome measuresGenetic predisposition to medical conditions and relationship with pre-eclampsia.

resultsAn increasing burden of risk alleles for elevated diastolic blood pressure (DBP) and increased body mass index (BMI) were associated with an increased risk of pre-eclampsia (DBP, overall OR 1.11, 95% CI 1.01-1.21, P = 0.025; BMI, OR 1.10, 95% CI 1.00-1.20, P = 0.042), whereas alleles associated with elevated alkaline phosphatase (ALP) were protective (OR 0.89, 95% CI 0.82-0.97, P = 0.008), driven primarily by pleiotropic effects of variants in the FADS gene region. The effect of DBP genetic loci was even greater in early-onset pre-eclampsia cases (at <34 weeks of gestation, OR 1.30, 95% CI 1.08-1.56, P = 0.005). For other traits, there was no evidence of an association.

conclusionsThese results suggest that the underlying genetic architecture of pre-eclampsia may be shared with other disorders, specifically hypertension and obesity. TWEETABLE ABSTRACT: A genetic predisposition to increased diastolic blood pressure and obesity increases the risk of pre-eclampsia.

Indexed as

Genetic Predisposition to DiseaseAdultBody Mass IndexCase-Control StudiesEuropeFemaleGenome-Wide Association StudyHumansHypertensionPolymorphism, Single NucleotidePre-EclampsiaPregnancyRisk FactorsUnited StatesWhite PeopleYoung AdultCardiovascular riskgenetic epidemiologygenetic predisposition to diseasegenetic risk scorepre-eclampsiapregnancy

Identifiers

PMID32741103
PMCPMC7736250
OpenAlexW3046317493

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.