The breakthrough could lead to drugs to prevent the condition.
Pre-eclampsia usually develops after the 20th week of pregnancy. It kills around ten women and 1,000 unborn babies a year in Britain and is responsible for around 15 per cent of premature births.
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It is caused by the breakdown of the placenta which delivers nutrients and oxygen to an unborn baby.
Because the cause of pre-eclampsia is unknown, there are no reliable ways to predict who will suffer from it.
But scientists have long suspected that pre-eclampsia is linked to problems with the immune system.
U.S. researchers studied 250 pregnant women with lupus or a similar immune disorder. Thirty developed pre-eclampsia, while ten had suffered previously.
In these 40, scientists looked at three genes involved in the body’s immune response – and found seven women had mutations in at least one of these genes.
They also discovered mutations in five of 59 women with pre-eclampsia who were otherwise healthy, says PLoS Medicine journal.
The three genes are linked to a rare and potentially fatal condition called atypical haemolytic uremic syndrome that triggers an ‘out of control’ immune response.
A drug that treats the condition is in clinical trials. The scientists believe it may be possible to adapt it to treat pre-eclampsia.
Dr John Atkinson, of Washington University School of Medicine in St Louis, Missouri, said: 'We’re going to need to confirm these links in a larger study but if they are validated it may be possible to develop better ways to identify and treat women at risk.'
Scientists have long suspected that pre-eclampsia is linked to problems with the immune system. Women suffering from lupus and other autoimmune disorders are more likely to have the condition.
A drug that treats the condition is now in clinical trials. The scientists believe it may be possible to adapt the drug to treat pre-eclampsia.
Co-author of the study Dr Jane Salmon of the Hospital for Special Surgery in New York, said: 'This study identifies the first genetic risk factors associated with pre-eclampsia in patients with lupus and also validates these risk factors in a population of patients who do not have an autoimmune disease.'
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