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Abstract
The vascular endothelial growth factor (VEGF), a major angiogenic factor, is known to play an important role in the development of endometriosis. The aim of this study was to investigate the association of three VEGF (−460 C/T, +405 G/C, and +936 C/T) polymorphisms with the risk of endometriosis in the Tunisian population. This study includes 105 women with endometriosis and 150 women with no laparoscopic evidence of disease. Genotyping of the VEGF −460 C/T, +405 G/C, and +936 C/T polymorphisms were performed by polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP). The distribution of genotypes (P = 0.006) and allele (P = 0.0009) frequencies of the +936 C/T polymorphism was significantly different between patients and controls. Patients with stages III-IV endometriosis showed a higher VEGF + 936T allele frequency than controls (P = 0.0001). However, the distribution of genotypes and allele frequencies of the VEGF −460 C/T and +405 G/C polymorphisms did not differ significantly between endometriosis patients and controls. These findings suggest that the VEGF +936 C/T polymorphism may be a risk factor for endometriosis development and the VEGF +936 T allele is associated with an increased risk of stages III-IV endometriosis in the Tunisian population.
Acknowledgments
This study was supported by a grant from the Ministry of Science and Technology and the Ministry of Health of Tunisia. Many thanks to Professor A. Hamzaoui, head of the unit research UR12SP15.
Declaration of interest
The authors declare no conflicts of interest.
Author contributions
Conceived and designed the experiments: HB, NA, KS; Performed the study, analyzed and interpreted the data: HB, KW; Collected the samples: HB, ZA; Wrote the manuscript: HB, HK; Revised the draft: HSF, HK.