Research Center for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mol Biol Rep. 2012 Mar;39(3):2313-9. doi: 10.1007/s11033-011-0981-1. Epub 2011 Jun 3.
In this study, we explored whether polymorphisms in insulin receptor (INSR), adiponectin (ADIPOQ), parathyroid hormone (PTH), and vitamin D receptor (VDR) genes are associated with polycystic ovary syndrome (PCOS). A total of 362 subjects, including 181 women with PCOS and 181 controls were enrolled in this case-control study. Two SNPs (rs2059806 and rs1799817) in the INSR gene, two SNPs (rs2241766 and rs1501299) in the ADIPOQ gene, one SNP (rs6256) in the PTH gene, and one SNP (rs757343) in the VDR gene were analyzed using PCR-RFLP method. We observed no significant difference in genotype and allele frequencies between the women with PCOS and controls for the rs2059806, rs1799817, rs1501299, rs6256, and rs757343 polymorphisms either before or after adjustment for confounding factors including age and BMI. However, the ADIPOQ rs2241766 "TT" genotype compared with "TG and GG" genotypes was associated with a 1.93-fold increased risk for PCOS (P = 0.006, OR = 1.93, 95% CI = 1.20-3.11), and the differences remained significant after adjustment for age and BMI (P = 0.039, OR = 1.72, 95% CI = 1.03-2.86). Furthermore, the ADIPOQ rs2241766 "T" allele was significantly overrepresented in women with PCOS than controls (P = 0.006; OR = 1.80, 95% CI = 1.18-2.70), and the difference remained significant after Bonferroni correction. Our findings suggest that the ADIPOQ rs2241766 "TT" genotype is a marker of increased PCOS susceptibility. This study also indicates for the first time that there are no significant association between INSR rs2059806, PTH rs6256, and VDR rs757343 gene polymorphisms and PCOS risk. However, these data remain to be confirmed in larger studies and in other populations.
在这项研究中,我们探讨了胰岛素受体(INSR)、脂联素(ADIPOQ)、甲状旁腺激素(PTH)和维生素 D 受体(VDR)基因的多态性是否与多囊卵巢综合征(PCOS)有关。这项病例对照研究共纳入了 362 名受试者,包括 181 名 PCOS 患者和 181 名对照。采用 PCR-RFLP 法分析了 INSR 基因中的 2 个 SNP(rs2059806 和 rs1799817)、ADIPOQ 基因中的 2 个 SNP(rs2241766 和 rs1501299)、PTH 基因中的 1 个 SNP(rs6256)和 VDR 基因中的 1 个 SNP(rs757343)。在调整年龄和 BMI 等混杂因素后,我们发现 PCOS 患者与对照组在 rs2059806、rs1799817、rs1501299、rs6256 和 rs757343 多态性的基因型和等位基因频率方面均无显著差异。然而,与 rs2241766“TG 和 GG”基因型相比,ADIPOQ“TT”基因型与 PCOS 风险增加 1.93 倍相关(P = 0.006,OR = 1.93,95%CI = 1.20-3.11),且在调整年龄和 BMI 后差异仍有统计学意义(P = 0.039,OR = 1.72,95%CI = 1.03-2.86)。此外,与对照组相比,PCOS 患者中 ADIPOQ rs2241766“T”等位基因明显更多(P = 0.006;OR = 1.80,95%CI = 1.18-2.70),且经 Bonferroni 校正后差异仍有统计学意义。我们的研究结果表明,ADIPOQ rs2241766“TT”基因型是 PCOS 易感性增加的标志物。本研究还首次表明,胰岛素受体 rs2059806、PTH rs6256 和维生素 D 受体 rs757343 基因多态性与 PCOS 风险之间无显著相关性。然而,这些数据仍需在更大的研究和其他人群中进一步证实。