Relationship Between ABO Blood Group and Pregnancy Complications

CHEN Qiu-he; CHEN Qian; ZHANG Lin; HU Ya-yi

doi:10.12182/20220960304

Volume 53 Issue 5

Sep. 2022

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JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) > 2022 > 53(5): 935-940. > DOI: 10.12182/20220960304

CHEN Qiu-he, CHEN Qian, ZHANG Lin, et al. Relationship Between ABO Blood Group and Pregnancy Complications[J]. Journal of Sichuan University (Medical Sciences), 2022, 53(5): 935-940. DOI: 10.12182/20220960304

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Relationship Between ABO Blood Group and Pregnancy Complications

CHEN Qiu-he^{1, 2,},
CHEN Qian^{1, 2},
ZHANG Lin^{1, 2},
HU Ya-yi^{1, 2, ,}

1.
Department of Obstetrics and Gynaecology, West China Second University Hospital, Sichuan University, Chengdu 610041, China
2.
Key Laboratory of Birth Defects and Related Diseases of Women and Children of the Ministry of Education, Sichuan University, Chengdu 610041, China

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Corresponding author:
HU Ya-yi, E-mail: yayi.hu@163.com
Received Date: January 09, 2022
Revised Date: August 13, 2022
Available Online: September 25, 2022
Published Date: September 19, 2022

Abstract

Abstract

ABO blood group system is the most commonly used blood group classification system in clinic practice. The relevant antigens, A, B and H determinants, are complex carbohydrate molecules that are expressed in red blood cells and other cell lines and tissues. These antigens are determined by the ABO locus located on chromosome 9 (9q34.1-q34.2). ABO blood group is associated with the development of many human diseases, e.g., cardiovascular diseases, infectious diseases, and tumors. The relationship between the ABO blood group of pregnant women and various pregnancy complications, including preeclampsia (PE) and the related diseases, pregnancy associated venous thromboembolism (PA-VTE), gestational diabetes mellitus (GDM), and postpartum hemorrhage (PPH), have become the focus of obstetricians' recent research interest. Herein, we reviewed the relationship between ABO blood group and these pregnancy complications, and found that most of the reported findings supported the following views: 1) Blood type O is a protective factor for PE, while blood type AB increases the risk of PE; 2) blood types other than O are more prone to PA-VTE than blood type O; 3) blood type O or blood type AB may be related to the pathogenesis of GDM; 4) women of blood type O are at higher risks for PPH than those of other blood types. More in-depth epidemiological and genetic studies are needed to confirm these findings in the future. These findings can provide new ideas for researching into the pathogenesis of obstetric diseases and form the theoretical basis for obstetricians to prevent and treat related diseases.

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