Analysis of polymorphic variants of the survivin promoter and p53 transcription factor in patients with genital endometriosis, type 1 diabetes mellitus and their combination
This study analyzed survivin and p53 gene polymorphisms in women with endometriosis, type 1 diabetes, or both, identifying specific variants associated with increased risk for these conditions.
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This case-control study assessed whether polymorphic variants in the survivin promoter (BIRC5 rs9904341) and the TP53 gene (including rs1042522 and p16-related TP53 ins/ins genotype, as well as rs9930232) were associated with risk of genital endometriosis and type 1 diabetes mellitus in 243 women. Genotyping was performed using PCR-RFLP in 84 patients with genital endometriosis, 85 patients with type 1 diabetes mellitus, 47 women with both conditions, and 27 controls from a population sample. The authors found higher frequencies of the BIRC5 rs9904341 C allele and C/C genotype in disease groups, and higher frequencies of TP53 p16 ins/ins genotype and ins allele in genital endometriosis, with very high odds ratios reported for some comparisons; they also reported an association between type 1 diabetes plus disease risk and TP53 rs9930232 G/A genotype. A key limitation explicitly implied by the design is that the study reports associations based on allele frequencies in a relatively small control sample, without establishing causality. Relevance to endometriosis: the paper directly analyzes genetic polymorphisms (survivin and TP53 variants) as risk markers for genital endometriosis, including comparisons in patients with endometriosis alone and endometriosis combined with type 1 diabetes.
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References (31)
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