Reproductive Medical Center, The Second Affiliated Hospital of Zhengzhou University, PR China.
Reproductive Medical Center, The First Affiliated Hospital of Zhengzhou University, PR China.
Kaohsiung J Med Sci. 2017 Nov;33(11):558-566. doi: 10.1016/j.kjms.2017.06.008. Epub 2017 Jul 14.
This study investigated the relationship between the CYP19 alleles, rs727479A/C, rs700518A/G, and rs700519C/T, and pregnancy outcome after assisted reproductive technology (ART) in patients with polycystic ovary syndrome (PCOS). Between January 2012 and September 2015, 293 PCOS patients undergoing ART were randomly selected for the study. According to pregnancy outcome after ART, the patients were assigned to pregnancy and non-pregnancy groups. CYP19 rs727479A/C, rs700518A/G and rs700519C/T genotypes were determined using the denaturing high-performance liquid chromatography (DHPLC) method. Haplotype frequencies of the CYP19 alleles rs727479A/C, rs700518A/G and rs700519C/T were estimated using the SHEsis platform. Logistic regression analysis was employed to analyze the factors influencing the pregnancy outcome after ART. The frequency of the AC + CC genotype of rs727479A/C was higher in the pregnancy group than in the non-pregnancy group. The frequency of the CT + TT genotype of rs700519A/G was also higher in the pregnancy group than in the non-pregnancy group. Haplotype analysis indicated that the AAC and AGT haplotypes both exhibited unfavorable influence on the pregnancy outcome after ART. The AAT and CGT haplotypes were favorable to the pregnancy outcome after ART. Logistic regression analysis suggested that the rs727479A/C AA genotype, the rs700519C/T CC genotype and body mass index (BMI) might exert unfavorable influence on the pregnancy outcome after ART for PCOS patients. These findings indicated that the CYP19 alleles rs727479A/C and rs700519C/T might be associated with the pregnancy outcome after ART in patients with PCOS.
本研究探讨了细胞色素 P450 19(CYP19)等位基因 rs727479A/C、rs700518A/G 和 rs700519C/T 与多囊卵巢综合征(PCOS)患者接受辅助生殖技术(ART)后的妊娠结局之间的关系。2012 年 1 月至 2015 年 9 月,随机选择 293 名接受 ART 的 PCOS 患者进行研究。根据 ART 后的妊娠结局,将患者分为妊娠组和非妊娠组。采用变性高效液相色谱(DHPLC)法检测 CYP19 rs727479A/C、rs700518A/G 和 rs700519C/T 基因型。采用 SHEsis 平台估计 CYP19 等位基因 rs727479A/C、rs700518A/G 和 rs700519C/T 的单体型频率。采用 logistic 回归分析分析影响 ART 后妊娠结局的因素。rs727479A/C 的 AC+CC 基因型在妊娠组中的频率高于非妊娠组。rs700519A/G 的 CT+TT 基因型在妊娠组中的频率也高于非妊娠组。单体型分析表明,AAC 和 AGT 单体型对 ART 后妊娠结局均有不利影响。AAT 和 CGT 单体型有利于 ART 后妊娠结局。logistic 回归分析表明,rs727479A/C 的 AA 基因型、rs700519C/T 的 CC 基因型和体重指数(BMI)可能对 PCOS 患者 ART 后的妊娠结局产生不利影响。这些发现表明,CYP19 等位基因 rs727479A/C 和 rs700519C/T 可能与 PCOS 患者 ART 后的妊娠结局有关。