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Birth weight of Korean infants is affected by the interaction of maternal iron intake and GSTM1 polymorphism.

Abstract
Excessive iron consumption during pregnancy can lead to increased oxidative stress in the maternal body, which may result in adverse pregnancy outcomes. Glutathione S-transferases (GSTs) originate from a superfamily of detoxifying enzymes that play a role in reducing xenobiotic compounds and oxidative stress. The aim of this study was to determine the relationship among GST gene expression, maternal iron intake during pregnancy, and neonatal birth weight. The study participants were 1087 Korean gravidas and their newborns recruited for the Mothers and Children's Environmental Health study between 2006 and 2010. A 24-h dietary recall interview was conducted to estimate iron intake; additional intake through nutritional supplements was thoroughly investigated. Deletion polymorphisms of GSTM1 and GSTT1 were genotyped using PCR. Dietary iron consumption during pregnancy was positively associated with birth weight in pregnant women who were GSTM1-present after adjustment for the following covariates: maternal age, prepregnancy BMI, mother's education level, log-transformed urinary cotinine level, infant gender, gestational age at term, log-transformed energy intake, parity, and the use of folic acid supplements (P < 0.05). There were interactions between the GSTM1 genotype and iron intakes from animal foods (P < 0.05), diet (P < 0.05), and diet with supplements (P < 0.05). No relationship was found between maternal iron intake and birth weight for the GSTT1 polymorphism. This study demonstrates that increased iron consumption during pregnancy may improve infant birth weight for mothers who are GSTM1-present, but it might not be beneficial for mothers with the GSTM1-null genotype.
AuthorsJinhee Hur, Hyesook Kim, Eun-Hee Ha, Hyesook Park, Mina Ha, Yangho Kim, Yun-Chul Hong, Namsoo Chang
JournalThe Journal of nutrition (J Nutr) Vol. 143 Issue 1 Pg. 67-73 (Jan 2013) ISSN: 1541-6100 [Electronic] United States
PMID23173169 (Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
Chemical References
  • Iron, Dietary
  • glutathione S-transferase T1
  • Glutathione Transferase
  • glutathione S-transferase M1
Topics
  • Adult
  • Anemia, Iron-Deficiency (physiopathology, prevention & control)
  • Birth Weight
  • Cohort Studies
  • Dietary Supplements (adverse effects)
  • Female
  • Fetal Growth Retardation (etiology, genetics, metabolism, prevention & control)
  • Gene Deletion
  • Genetic Association Studies
  • Glutathione Transferase (deficiency, genetics, metabolism)
  • Humans
  • Iron, Dietary (administration & dosage, adverse effects, therapeutic use)
  • Maternal Nutritional Physiological Phenomena
  • Oxidative Stress
  • Polymorphism, Genetic
  • Pregnancy
  • Pregnancy Complications (physiopathology, prevention & control)
  • Prospective Studies
  • Republic of Korea

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