Association between non-O blood type and early unexplained recurrent spontaneous abortion in women with and without inherited thrombophilia

Submitted: 24 July 2022
Accepted: 25 October 2022
Published: 14 November 2022
Abstract Views: 1061
PDF: 184
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We retrospectively evaluated the prevalence of non-O blood type – the most frequently inherited prothrombotic factor – and inherited thrombophilia (IT) in a group of women with recurrent spontaneous abortion (RSA). All consecutive women with a history of early unexplained RSA who underwent a screening for IT between December 2008 and December 2021 were considered for enrolment. A group of healthy, age-matched women with ≥1 normal pregnancy and no adverse pregnancy outcomes acted as controls. Two hundred and seventeen women were enrolled. The adjusted odds ratio (aOR) of RSA in non-O vs. O blood type was 1.37 (95% CI, 1.04-2.78), and in women with vs. without IT was 1.26 (95% CI, 1.08-3.61); aOR of RSA in women with non-O blood type and IT was 2.52 (95% CI, 1.12-5.47). We observed a significant association between non-O blood group or IT and RSA. The concomitant presence of non-O blood group and IT further increases RSA risk.

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Robinson GA. Pregnancy loss. Best Pract Res Clin Obstet Gynaecol 2014;28:169-78. DOI: https://doi.org/10.1016/j.bpobgyn.2013.08.012
Arias F, Romero R, Joist H, Kraus FT. Thrombophilia: a mechanism of disease in women with adverse pregnancy outcome and thrombotic lesions in the placenta. J Matern Fetal Med 1998;7:277-86. DOI: https://doi.org/10.1002/(SICI)1520-6661(199811/12)7:6<277::AID-MFM5>3.0.CO;2-3
Robertson L, Wu O, Langhorne P, et al. Thrombophilia in pregnancy: a systematic review. Br J Haematol 2006;132:171-96. DOI: https://doi.org/10.1111/j.1365-2141.2005.05847.x
Middeldorp S. Pregnancy failure and heritable thrombophilia. Semin Hematol 2007;44:93-7. DOI: https://doi.org/10.1053/j.seminhematol.2007.01.005
Gao H, Tao FB. Prothrombin G20210A mutation is associated with recurrent pregnancy loss: a systematic review and meta-analysis update. Thromb Res 2015;135:339-46. DOI: https://doi.org/10.1016/j.thromres.2014.12.001
Sergi C, Al Jishi T, Walker M. Factor V Leiden mutation in women with early recurrent pregnancy loss: a meta-analysis and systematic review of the causal association. Arch Gynecol Obstet 2015;291:671-9. DOI: https://doi.org/10.1007/s00404-014-3443-x
Hamedi B, Feulefack J, Khan A, Sergi C. Association between factor V Leiden mutation and recurrent pregnancy loss in the middle east countries: a Newcastle-Ottawa metaanalysis. Arch Gynecol Obstet 2020;302:345-54. DOI: https://doi.org/10.1007/s00404-020-05610-6
Klai S, Fekih-Mrissa N, Rachdi R, Gritli N. The status of thrombophilic defects and non-O blood group as risk factors for gestational vascular complications among Tunisian women. Acta Haematol 2011;125:115-20. DOI: https://doi.org/10.1159/000321934
Akdemir N, Cevrioglu AS, Ozden S, et al. Platelet indices and blood groups in early recurrent miscarriage: a study in pregnant women. J Clin Gynecol Obstet 2013;2:27-30 DOI: https://doi.org/10.4021/jcgo90e
Dentali F, Sironi AP, Ageno W, et al. Non-O blood type is the commonest genetic risk factor for VTE: results from a meta-analysis of the literature. Semin Thromb Hemost 2012;38:535-48. DOI: https://doi.org/10.1055/s-0032-1315758
Spiezia L, Campello E, Bon M, et al. ABO blood groups and the risk of venous thrombosis in patients with inherited thrombophilia. Blood Transfus 2013;11:250-3.
American Diabetes Association. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes- 2021. Diabetes Care 2021;44:S15-S33. DOI: https://doi.org/10.2337/dc21-S002
Campello E, Spiezia L, Adamo A, Simioni P. Thrombophilia, risk factors and prevention. Review Expert Rev Hematol 2019;12:147-58. DOI: https://doi.org/10.1080/17474086.2019.1583555
Blood type. Available at: http//en.wikipedia.org/wiki/Blood_type. Accessed on: 5 April 2021.
Isermann B, Sood R, Pawlinski R, et al. The thrombomodulin-protein C system is essential for the maintenance of pregnancy. Nat Med 2003;9:331-7. DOI: https://doi.org/10.1038/nm825
Wu X, Zhao L, Zhu H et al. Association between the MTHFR C677T polymorphism and recurrent pregnancy loss: a meta-analysis. Genet Test Mol Biomarkers 2012;16:806-11. DOI: https://doi.org/10.1089/gtmb.2011.0318
Deloughery TG, Hunt BJ, Barnes GD, et al. A call to action: MTHFR polymorphisms should not be a part of inherited thrombophilia testing. Res Pract Thromb Haemost 2022;6:e12739. DOI: https://doi.org/10.1002/rth2.12739
Franchini M, Crestani S, Frattini F, et al. ABO blood group and von Willebrand factor: biological implications. Clin Chem Lab Med 2014;52:1273-6. DOI: https://doi.org/10.1515/cclm-2014-0564
Albánez S, Ogiwara K, Michels A, et al. Aging and ABO blood type influence von Willebrand factor and factor VIII levels through interrelated mechanisms. J Thromb Haemost 2016;14:953-63. DOI: https://doi.org/10.1111/jth.13294
Marietta M, Facchinetti F, Sgarbi L, et al. Elevated plasma levels of factor VIII in women with early recurrent miscarriage. J Thromb Haemost 2003;1:2536-9. DOI: https://doi.org/10.1111/j.1538-7836.2003.00496.x
Intzes S, Symeonidou M, Zagoridis K, et al. Hold your needles in women with recurrent pregnancy losses with or without hereditary thrombophilia: Meta-analysis and review of the literature. J Gynecol Obstet Hum Reprod 2021;50: 101935. DOI: https://doi.org/10.1016/j.jogoh.2020.101935
Lauritsen JG, Grunnet N, Jensen OM. Materno-fetal ABO incompatibility as a cause of spontaneous abortion. Clin Genet 1975;7:308-16. DOI: https://doi.org/10.1111/j.1399-0004.1975.tb00334.x
Luca Spiezia, Thrombotic and Hemorrhagic Diseases Unit, Padova University Hospital, Padova

 

 

How to Cite

Poretto, A., Borella, E., Turatti, G., Marobin, M., Campello, E., Tormene, D., … Spiezia, L. (2022). Association between non-O blood type and early unexplained recurrent spontaneous abortion in women with and without inherited thrombophilia. Bleeding, Thrombosis and Vascular Biology, 1(3). https://doi.org/10.4081/btvb.2022.47

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