News
Blood type linked to risk of premature birth, study suggests
A woman’s blood group may influence her risk of premature birth, according to research examining over 74,000 maternity records.
The study found women with blood groups B and O faced higher risk of spontaneous preterm birth, while those with group A had lower risk.
Preterm birth means labour starts naturally before 37 weeks of pregnancy.
Dr Lynne Sykes is lead researcher and clinical associate professor at Imperial College London, and consultant obstetrician at Imperial College Healthcare NHS Trust.
She said: “Although we did not establish causation, we have identified a genetic link that can influence the risk of spontaneous premature birth in women.
“This could potentially impact women in the future by identifying risk earlier in pregnancy and by offering more tailored interventions.
“While we need further research, the prospect of moving towards personalised care in this area is hugely exciting.”
Researchers analysed anonymised maternity records, including high-risk pregnancies.
They believe women with blood group A are more likely to carry higher proportions of Lactobacillus crispatus, a protective bacterium, and show less inflammation – both factors linked to healthier pregnancies.
Risk patterns varied depending on other medical factors.
For women whose only risk was previous cervical surgery, blood group B was linked to a greater chance of preterm delivery. Among women with a history of late miscarriage or prior premature birth, group O showed the highest risk.
Microbiome analysis of 596 high-risk women revealed possible biological mechanisms.
Women with blood group A were more likely to carry Lactobacillus crispatus. Groups B and O were linked to more diverse bacterial patterns.
In women with group O, this bacterial profile was directly tied to inflammation and spontaneous preterm birth.
The researchers also showed that blood group sugars are secreted into vaginal fluid and can bind to certain vaginal bacteria.
But they lacked “secretor status” data – a genetic factor affecting whether these sugars are present. About 80 per cent of people are “secretors”, while 20 per cent are not.
The findings suggest ABO blood group, routinely tested early in pregnancy, could help assess preterm birth risk when combined with other clinical factors.
The team controlled for ethnicity, which affects both blood group prevalence and preterm birth risk.
Dr Sykes said: “What excites me most is the opportunity this presents for truly personalised medicine in pregnancy, something that has been sorely lacking in our field.
“The treatments we currently offer to prevent preterm birth have barely changed in decades. This research opens the door to more targeted, biologically-informed interventions.”
A clinical trial starting this autumn, funded by March of Dimes in the US, will test whether probiotic treatment with Lactobacillus crispatus (Lactin-V) can reduce premature birth in high-risk women – and whether response varies by blood group.
Diagnosis
Lung cancer drug shows breast cancer potential
Ovarian cancer cells quickly activate survival responses after PARP inhibitor treatment, and a lung cancer drug could help block this, research suggests.
PARP inhibitors are a common treatment for ovarian cancer, particularly in tumours with faulty DNA repair. They stop cancer cells fixing DNA damage, which leads to cell death, but many tumours later stop responding.
Researchers identified a way cancer cells may survive PARP inhibitor treatment from the outset, pointing to a potential way to block that response. A Mayo Clinic team found ovarian cancer cells rapidly switch on a pro-survival programme after exposure to PARP inhibitors. A key driver is FRA1, a transcription factor (a protein that turns genes on and off) that helps cancer cells adapt and avoid death.
The team then tested whether brigatinib, a drug approved for certain lung cancers, could block this response and boost the effect of PARP inhibitors. Brigatinib was chosen because it inhibits multiple signalling pathways involved in cancer cell survival.
In laboratory studies, combining brigatinib with a PARP inhibitor was more effective than either treatment alone. Notably, the effect was seen in cancer cells but not normal cells, suggesting a more targeted approach.
Brigatinib also appeared to act in an unexpected way. Rather than working through the usual DNA repair routes, it shut down two signalling molecules, FAK and EPHA2, that aggressive ovarian cancer cells rely on. FAK and EPHA2 are proteins that relay survival signals inside cells. Blocking both at once weakened the cells’ ability to adapt and resist treatment, making them more vulnerable to PARP inhibitors.
Tumours with higher levels of FAK and EPHA2 responded better to the drug combination. Other data link high levels of these molecules to more aggressive disease, pointing to potential benefit in harder-to-treat cases.
Arun Kanakkanthara, an oncology investigator at Mayo Clinic and a senior author of the study, said: “This work shows that drug resistance does not always emerge slowly over time; cancer cells can activate survival programmes very early after treatment begins.”
John Weroha, a medical oncologist at Mayo Clinic and a senior author of the study, said: “From a clinical perspective, resistance remains one of the biggest challenges in treating ovarian cancer. By combining mechanistic insights from Dr Kanakkanthara’s laboratory with my clinical experience, this preclinical work supports the strategy of targeting resistance early, before it has a chance to take hold. This strategy could improve patient outcomes.”
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