Association of follicle-stimulating hormone receptor gene ser680 asn (rs6166) polymorphism with polycystic ovarian syndrome

Authors

  • Thathapudi Sujatha Department of Genetics and Molecular Medicine, Vasavi Medical and Research Centre, Khairatabad, Hyderabad, India
  • Erukkambattu Jayashankar Department of Pathology, Kamineni acdemy of medical sciences and research center, LB Nagar, Hyderabad, India
  • Uma Addepally Department of Biotechnology, Jawaharlal Nehru University of technology, Kukatpally, Hyderabad, India
  • Kodati Vijayalakshmi Department of Genetics and Molecular Medicine, Vasavi Medical and Research Centre, Khairatabad, Hyderabad, India
  • Qurratulain Annie Hasan Kamineni Academy of Medical Sciences and Research Centre, Vasavi Medical and Research Centre, Hyderabad, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162999

Keywords:

Polycystic ovarian syndrome, Gene polymorphism, Follicle-stimulating hormone receptor, rs6166 polymorphism

Abstract

Background: Polycystic Ovarian Syndrome (PCOS) is the most common cause of female anovulatory infertility, with a prevalence of 6-10% among women of reproductive age, characterized by clinical and / or biochemical androgen excess, ovulatory dysfunction and polycystic ovaries. Sex hormones and hormone receptors play a fundamental role in folliculogenesis. Aim of the study was to study the association of follicle-stimulating hormone receptor (FSHR) Ser680Asn; rs6166 gene polymorphism with PCOS in our study population.

Methods: Genetic case-control study, involving 204 women with PCOS and 204 healthy, sex and age matched controls. Anthropometric and biochemical profile were taken in a well-designed proforma. Isolation of deoxyribonucleic acid (DNA) by salting out method and genotype analysis was done for all the study population using Polymerase chain reaction – Restriction fragment length polymorphism (PCR-RFLP).

Results: We have demonstrated an association between FSHR gene, Ser680SAsn (rs6166) polymorphism and PCOS. Frequency of A allele was 0.61 in PCOS and 0.44 in controls (OR 1.98, CI 1.5-2.6, and P value <0.0001) indicates that the A allele is associated with PCOS in our study population. The AA genotype conferred a significant risk of developing PCOS (OR 2.069, CI 1.33-3.211 and P value 0.0012). We found significant elevation of body mass index, LH, LH/FSH with AA genotype of PCOS when compared with controls.  The GG genotype showed increased basal FSH levels, insulin resistance in PCOS compared to other genotypes.

Conclusions: FSHR Ser680Asn (rs6166) gene polymorphism is associated with PCOS, and can be used as a relevant molecular biomarker to identify risk of PCOS in our population.

Metrics

Metrics Loading ...

References

Goodarzi MO, Azziz R. Diagnosis, epidemiology and genetics of the polycystic ovary syndrome. Best Pract Res Cl En. 2006;20:193-205.

Simoni M, Nieschalag E, Gromoll J. Isoforms and single nucleotide polymorphisms of the FSH receptor gene: implications for human reproduction. Hum Reprod Update. 2002;8:413-21.

Simoni M, Gromoll J. The follicle-stimulating hormone receptor: biochemistry, molecular biology and pathophysiology. Endocr Rev. 1997;18:739-73.

Gromoll J, Simoni M. Genetic complexity of FSH receptor function. Trends Endocrinol Metab. 2005;16:368-73.

Aittomäki K, Lucena JL, Pakarinen P, Sistonen P, Tapanainen J, Gromoll J, Kaskikari R, Sankila EM, Lehväslaiho H, Engel AR, Nieschlag E, Huhtaniemi I, de la Chapelle A. Mutations in the follicle-stimulating hormone receptor gene causes hereditary hypergonadotropic ovarian failure. Cell. 1995;82:959-68.

Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, Janssen OE, Legro RS, Norman RJ, Taylor AE, Witchel SF. Position statement: Criteria for Defining PCOS as a predominantly hyperandrogenic syndrome: an androgen excess society guideline. J Clin Endocrinol Metab. 2006;91:4237-45.

Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, Janssen OE, Legro RS, Norman RJ, Taylor AE, Witchel SF. The Androgen Excess and PCOS Society criteria for the Polycystic ovarian syndrome: the complete task force report. Fertil and Steril. 2009;91(2):456-88.

Ferriman D, Gallwey JD. Clinical assessment of body hair growth in women. J clin Endocrinol Metab. 1961;21:440-7.

Balen AH, Laven JS, Tan SL, Dewailly D. Ultrasound assessment of the polycystic ovary: international consensus definitions. Hum Reprod Update. 2003;9(6):305-14.

Govindan S, Ahamad SN, Vedicherla B, Kodati V, Rao KP, Ahuja YR, Hasan Q. Association of Progesterone receptor gene polymorphism (PROGINS) with endometriosis, uterine fibroids and breast cancer. Cancer Biomark. 2007;3:73-8.

Movva S, Alluri RV, Komandur S, Vattam K, Eppa K, Mukkavali KK, Mubigonda S, Saharia A, Shastry JC, Hasan Q. Relationship of angiotensin-converting gene polymorphism with nephropathy associated with type 2 diabetes mellitus in Asian Indians. J Diabetes complications. 2007;21:237-41.

Laven JS, Mulders AG, Suryandari DA, Gromoll J, Nieschlag E, Fauser BC, Simoni M. Follicle-stimulating hormone receptor polymorphisms in women with normogonadotropic anovulatory infertility. Fertil Steril. 2003;80:986-99.

Kodati VL, Shetty P, Vattam K, Govindan S, Shaik NA and Hasan Q. Tumor necrosis factor alpha-C850T polymorphism is significantly associated with endometriosis in Asian Indian women. Fertil Steril. 2010;94(2):453-56.

Liang SJ, Hsu CS, Tzeng CR, Chen CH, and Hsu MI. Clinical and Biochemical parameters of Polycystic Ovary Syndrome between the age of 20 and 40. Hum reprod. 2011;12:3443-49.

Rodriguez S, Gaunt TR, Day IN. Hardy-Weinberg Equilibrium Testing of Biological Ascertainment for Mendelian Randomization studies. Am J Epidemiol. 2009;169:505-14.

Taylor AE. Gonadotropin dysfunction in women with polycystic ovary syndrome. Fertil Steril. 2006;86(Suppl 1):S12.

Mohiyiddeen L, Nardo LG. Single –nucleotide polymorphisms in the FSH receptor gene and ovarian performance: Future role in IVF. Hum Fertil. 2010;13:72-8.

Gambineri A, Pelusi C, Vicennati V, Pagotto U, Pasquali R. Obesity and the polycystic ovarian syndrome. Int J Obes Relat Metab Disord. 2002;26:883-96.

Chen X, Ni R, Mo Y, Li L, Yang D. Appropriate BMI levels for PCOS patients in Southern China. Hum Reprod. 2010;25:1295-1302.

Gu BH, Park JM, Baek KH. Genetic variations of follicle stimulating hormone receptor are associated with polycystic ovary syndrome. Int J Mol Med. 2010;26:107-12.

Valkenburg O, Uitterlinden AG, Piersma D, Hofman A, Themmen APN, De Jong FH, Fauser BCJM, Laven JSE. Genetic polymorphisms of GnRH and gonadotropic hormone receptors affect the phenotype of polycystic ovary syndrome. Hum Reprod. 2009;24(8):2014-22.

Kambalachenu HR, Durairaj Paul SF, Nellepalli SR, Venkatachalam P. Study on follicle stimulating hormone receptor gene polymorphism in South Indian women with Polycystic Ovarian Syndrome. Am Med J. 2013;4(2):160-67.

Unsal T, Konac E, Yesilkaya E, Yilmaz A, Bideci A, Ilke Onen H, Cinaz P, Menevse A. Genetic polymorphisms of FSHR, CYP17, CYP1A1, CAP10, INSR, SERPINE1 genes in adolescent girls with polycystic ovary syndrome. J Assist Reprod Genet. 2009;26(4):205-16.

Wu XQ, Xu SM, Liu J F, Bi XY, Wu YX, Liu J. Association between FSHR polymorphisms and Polycystic ovary syndromea mong Chinese women in North china. J Assist Reprod Genet. 2010;31:371-77.

Tong Y, Liao WX, Roy AC, Ng SC. Absence of mutations in the coding regions of follicle-stimulating hormone receptor gene in Singapore Chinese women with premature ovarian failure and polycystic ovary syndrome. Horm Metab Res. 2001;33:221-26.

Sudo S, Kudo M, Wada S, Sato O, Hsueh AJ, Fujimoto S. Genetic and functional analyses of polymorphisms in human FSH receptor gene. Mol Hum Reprod 2002;8:893-99.

Du J, Zhang W, Guo L, Zhang Z, Shi H, Wang J, Zhang H, Gao L, Feng G, He L. Two FSHR variants, haplotypes and meta-analysis in Chinese women with premature ovarian failure and polycystic ovary syndrome. Mol Genet Metab 2010;100:292-95 .

Yao Y, Ma CH, Tang HL, Hu YF. Influence of follicle-stimulating hormone receptor (FSHR) Ser680Asn polymorphism on ovarian function and in-vitro fertilization outcome: a meta-analysis. Mol Genet Metab. 2011;103:388-93.

Downloads

Published

2017-02-03

How to Cite

Sujatha, T., Jayashankar, E., Addepally, U., Vijayalakshmi, K., & Hasan, Q. A. (2017). Association of follicle-stimulating hormone receptor gene ser680 asn (rs6166) polymorphism with polycystic ovarian syndrome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(9), 3126–3132. https://doi.org/10.18203/2320-1770.ijrcog20162999

Issue

Section

Original Research Articles