Sun Xianchang, Wu Xingguo, Duan Yunmin, Liu Guanghai, Yu Xinyan, Zhang Wenjuan
Department of Physiology, Taishan Medical University, Taian, Shandong, China (mainland).
Department of Gynaecology, The Central Hospital of Taian, Taian, Shandong, China (mainland).
Med Sci Monit. 2017 Jan 6;23:78-84. doi: 10.12659/msm.901944.
BACKGROUND Polycystic ovary syndrome (PCOS) is a complex disease that has both genetic and environmental components. Adiponectin plays an important role in the regulation of insulin sensitivity and insulin resistance (IR) in PCOS. The aim of this study was to determine 2 single-nucleotide polymorphisms (SNPs) variants (rs12495941 and rs17300539) of the adiponectin gene (ADIPOQ) in polycystic ovary syndrome (PCOS) families. MATERIAL AND METHODS We recruited 197 PCOS probands, their biological parents, and 192 controls. Anthropometric variables, including hip circumference (HC) and waist circumference (WC), were measured in all subjects during their first visit to the outpatient department. Serum T, FBG, FINS, TC, TG, LDL, and HDL levels were measured. PCOS patients were divided into 2 groups based on BMI: group A (BMI <25 kg/m²) and group B (BMI ≥25 kg/m²). Parents of PCOS were accordingly categorized into group C and group D (fathers), and group E and group F (mothers). The associations among ADIPOQ rs12495941, rs17300539, and PCOS were analyzed using the transmission disequilibrium test (TDT). RESULTS A significant association was found between SNP rs17300539 and PCOS in our Chinese population. The levels of TG and FINS and the genotype frequencies of rs17300539 are significantly different between overweight and lean PCOS. No significant association was detected for rs12495941. CONCLUSIONS TDT confirms that rs17300539 of ADIPOQ is strongly associated with the risk of PCOS in a Chinese Han population, but rs12495941 of ADIPOQ is not associated with the occurrence of PCOS.
多囊卵巢综合征(PCOS)是一种具有遗传和环境因素的复杂疾病。脂联素在PCOS患者胰岛素敏感性和胰岛素抵抗(IR)的调节中起重要作用。本研究旨在确定多囊卵巢综合征(PCOS)家族中脂联素基因(ADIPOQ)的两个单核苷酸多态性(SNP)变体(rs12495941和rs17300539)。
我们招募了197名PCOS先证者、他们的生物学父母以及192名对照。在所有受试者首次到门诊就诊时测量人体测量学变量,包括臀围(HC)和腰围(WC)。检测血清睾酮(T)、空腹血糖(FBG)、空腹胰岛素(FINS)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)和高密度脂蛋白(HDL)水平。PCOS患者根据体重指数(BMI)分为两组:A组(BMI<25kg/m²)和B组(BMI≥25kg/m²)。PCOS患者的父母相应地分为C组和D组(父亲),以及E组和F组(母亲)。使用传递不平衡检验(TDT)分析ADIPOQ rs12495941、rs17300539与PCOS之间的关联。
在我们的中国人群中,发现SNP rs17300539与PCOS之间存在显著关联。超重和消瘦的PCOS患者之间,TG和FINS水平以及rs17300539的基因型频率存在显著差异。未检测到rs12495941有显著关联。
TDT证实,ADIPOQ的rs17300539与中国汉族人群中PCOS的风险密切相关,但ADIPOQ的rs12495941与PCOS的发生无关。