The BBC health news reports today that a gene linked to premature births has been discovered by scientists in the US and Finland. The researchers hope their study, published in Public Library of Science Genetics, could eventually lead to a test for women at risk of a pre-term birth.
In the UK, one in 10 babies is born before the 37th week of pregnancy, with potential problems for their health. The Royal College of Obstetricians and Gynaecologists said it would help to identify a percentage of those at risk.
The international team of researchers looked to human evolution in their hunt for genes linked to premature births. In comparison to other primates and mammals, humans have relatively large heads and narrow birth canals. The researchers, at Vanderbilt University, Washington University and the University of Helsinki, believed there must have been an evolutionary pressure to “adapt and shift the time of birth” to produce a smaller baby. They looked for DNA which showed evidence of “accelerated evolution” – genes which have mutated more in humans than in other primates. They identified 150 genes. The next step was to look for an association with premature births, so the researchers compared those 150 genes in 328 Finnish mothers, some of whom had premature births.
A strong association to pre-term births was found in variants of the FSHR (follicle stimulating hormone receptor) gene. Follicle stimulating hormone acts on receptors in the ovaries to encourage follicle (a sphere of cells containing an egg) development and production of the hormone oestrogen.
Professor Louis Muglia, from the department of paediatrics at Vanderbilt University, said: “Ideally we’d like to predict which women are at greatest risk for having pre-term birth and be able to prevent it. That would really have an impact on infant mortality and the long-term complications of being born prematurely”.
Professor Ronald Lamont, spokesperson for the Royal College of Obstetricians and Gynaecologists, said: “I think it’s fantastic, it’s a good group of well respected people doing this research”. He said the risk of premature birth was likely to be a mix of genetic and environmental factors. “In the future we will be able to identify a percentage of people at risk. It won’t be the be all and end all, but it will contribute to our knowledge”.