Table 2.
Disease functions as detected by IPA | Genes involved in determining the disease functions | Potential pathophysiological role in preterm birth | |
Mother | Fetus | ||
Dermatologic disease and conditions | COL1A1, COL3A1, COL5A1, COL5A2, CTLA4, CYP19A1, IL5, IL10, IL18, MMP3, MMP1, NFKBIA, PLAT, PTGS1, TLR2, TLR7, TNFR1, TNFR2, | COL1A2, COL3A1, COL5A2, CYP19A1, IGF1, IL5, IL1A, IL1B, IL1RN, IL4R, MMP, NFKBIA, PGR, PTGS2, TLR7 | Because dermatological disorders typically involve combined collagen remodeling aided by inflammation and, this function appears to reflect premature cervical ripening and membrane weakening related to preterm birth. Collagenolysis may involve an underlying inflammatory process as suggested by cytokines, cytokine receptors, cytokine signaling pathway genes that is likely a secondary event. Etiology → Collagenolysis → inflammation → Premature cervical ripening and membrane weakening → Preterm birth. |
Inflammatory disease | CCL2, CTLA4, CYP19A1, F7, IL5, IL10, IL18, IL1R1, MMP3, MMP1, NFKBIA, PLA2G4A, PLAT, PTGER3, PTGS1, TIMP3, TLR2, TNFR1, TNFR2 | CRHR2, CYP19A1, IGF1, IL5, IL10RA, IL1A, IL1B, IL1RN, IL2RB, IL4R, KL, MMP8, MMP1, NFKBIA, PGR, PTGS2, TIMP3, TREM1 | Underlying inflammatory conditions associated with preterm birth (see above) |
Hematological disease | CCL2, CTLA4, CYP19A1, F5, F7, HSD11B1, IL5, IL10, IL18, IL1RAP, NFKBIA, PLA2G4A, PLAT, PTGS1, TLR2, TNFR1, TNFR2 | CBS, IGF1, IL5, IL1A, IL1B, IL1RAP, IL1RN, IL2RB, IL4R, MMP8, NFKBIA, NFKBIE, PGR, PTGS2 | Involvement of genes in the hematological pathway indicates decidual hemorrhage and associated problems associated with Caucasian preterm birth. |