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钙蛋白酶10基因单核苷酸44多态性可能对多囊卵巢综合征患者的临床和代谢特征产生影响。

Calpain 10 gene single-nucleotide 44 polymorphism may have an influence on clinical and metabolic features in patients with polycystic ovary syndrome.

作者信息

Yilmaz M, Yurtçu E, Demirci H, Ergün M A, Ersoy R, Karakoç A, Yetkin I, Cakir N, Ayvaz G, Arslan M

机构信息

Department of Endocrinology and Metabolism, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey.

出版信息

J Endocrinol Invest. 2009 Jan;32(1):13-7. doi: 10.1007/BF03345671.

Abstract

AIM

This study was designed in order to examine the relationship between Calpain 10 [single-nucleotide polymorphism (SNP) 19,43,44,63] gene polymorphisms and clinical and hormonal characteristics in women with polycystic ovary syndrome (PCOS).

MATERIALS AND METHODS

One hundred and seven patients with PCOS and 114 healthy subjects were included in this study. Serum levels of sex steroids were measured for each individual. Insulin resistance (IR) was evaluated by the homeostasis model assessment (HOMA) and quantitative insulin-sensitivity check index (QUICKI) methods. Insulin and glucose responses to the oral glucose tolerance test (OGTT) were analyzed by calculating the areas under the curve for insulin (AUCI) and glucose by the trapezoidal methods.We used PCR and restriction fragment length polymorphism technique to examine Calpain 10 SNP 19, 43, 44, and 63 polymorphisms.

RESULTS

Allele distribution of Calpain 10 SNP 44 gene polymorphism was observed as significantly different between the groups. Calpain 10 SNP 44 TC genotype was found to be increased in PCOS subjects (69.15%) compared to the control subjects (50%). However, when compared to control subjects, patients with PCOS had similar Calpain 10 SNP 19, Calpain 10 SNP 43, and SNP 63 gene polymorphisms. When compared with normal Calpain 10 gene SNP 44 allele in PCOS subjects, subjects with PCOS having Calpain 10 gene SNP 44 allele polymorphism had higher free testosterone, androstenedione, DHEA-S, and fasting insulin levels. Also, PCOS women with Calpain 10 gene SNP 44 allele polymorphism had high Ferriman-Gallwey (F-G) score, acne, prevalence of menstrual disturbances, waist-hip ratio, HOMA-IR, AUCI levels and low QUICKI levels.

CONCLUSION

The findings show that Calpain 10 gene SNP 44 allele polymorphism may have a role in PCOS pathogenesis. However, larger-scale studies are needed in this field.

摘要

目的

本研究旨在探讨钙蛋白酶10[单核苷酸多态性(SNP)19、43、44、63]基因多态性与多囊卵巢综合征(PCOS)女性临床及激素特征之间的关系。

材料与方法

本研究纳入了107例PCOS患者和114例健康受试者。检测了每位受试者的血清性激素水平。采用稳态模型评估(HOMA)和定量胰岛素敏感性检查指数(QUICKI)方法评估胰岛素抵抗(IR)。通过梯形法计算胰岛素曲线下面积(AUCI)和葡萄糖曲线下面积,分析口服葡萄糖耐量试验(OGTT)中的胰岛素和葡萄糖反应。我们采用聚合酶链反应(PCR)和限制性片段长度多态性技术检测钙蛋白酶10 SNP 19、43、44和63多态性。

结果

观察到钙蛋白酶10 SNP 44基因多态性的等位基因分布在两组之间存在显著差异。与对照组(50%)相比,PCOS患者中钙蛋白酶10 SNP 44 TC基因型增加(69.15%)。然而,与对照组相比,PCOS患者的钙蛋白酶10 SNP 19、钙蛋白酶10 SNP 43和SNP 63基因多态性相似。与PCOS患者中正常的钙蛋白酶10基因SNP 44等位基因相比,具有钙蛋白酶10基因SNP 44等位基因多态性的PCOS患者的游离睾酮、雄烯二酮、硫酸脱氢表雄酮(DHEA-S)和空腹胰岛素水平较高。此外,具有钙蛋白酶10基因SNP 44等位基因多态性的PCOS女性的费里曼-盖尔维(F-G)评分、痤疮、月经紊乱患病率、腰臀比、HOMA-IR、AUCI水平较高,QUICKI水平较低。

结论

研究结果表明,钙蛋白酶10基因SNP 44等位基因多态性可能在PCOS发病机制中起作用。然而,该领域需要更大规模的研究。

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