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多囊卵巢综合征相关基因常见多态性变异的综合概述。

A Comprehensive Overview of Common Polymorphic Variants in Genes Related to Polycystic Ovary Syndrome.

机构信息

Maestría en Ciencias Biológicas, Universidad Pedagógica y Tecnológica de Colombia, Tunja, 150003, Colombia.

Escuela de Ciencias Biológicas. Grupo de investigación en Ciencias Biomédicas (GICBUPTC), Universidad Pedagógica y Tecnológica de Colombia, Avenida Central del Norte 39-115, Tunja, 150003, Colombia.

出版信息

Reprod Sci. 2021 Sep;28(9):2399-2412. doi: 10.1007/s43032-020-00375-4. Epub 2020 Nov 10.

Abstract

Polycystic ovary syndrome (PCOS) is one of the most common endocrine-metabolic disorders in women of reproductive age. It is characterized by an increase in the biosynthesis of androgens, anovulation, and infertility. PCOS has been reported as a polygenic entity in which multiple single nucleotide polymorphisms (SNPs) are associated with the clinical features of the pathology. Herein, we describe the common polymorphic variants in genes related to PCOS, their role in its pathogenesis, and etiology. Whole-genome association studies have been focused on women from Asian and European populations. The most common genes associated with PCOS are DENND1A, THADA, FSHR, and LHCGR. However, other genes have been associated with PCOS such as AMH, AMHR2, ADIPOQ, FTO, HNF1A, CYP19, YAP1, HMGA2, RAB5B, SUOX, INSR, and TOX3. Nevertheless, the relationship between the biological functions of these genes and the development of the pathology is unclear. Studies in each gene in different populations do not always comply with a general pattern, so researching these variants is essential for better understanding of this polygenic syndrome. Future population studies should be carried out to evaluate biological processes, incidence rates, allelic and genotypic frequencies, and genetic susceptibility factors that predispose PCOS.

摘要

多囊卵巢综合征(PCOS)是生育期妇女最常见的内分泌代谢疾病之一。其特征为雄激素生物合成增加、排卵障碍和不孕。PCOS 被认为是一种多基因实体,其中多个单核苷酸多态性(SNP)与该病理学的临床特征相关。在此,我们描述了与 PCOS 相关的基因中的常见多态性变异、它们在发病机制和病因学中的作用。全基因组关联研究主要集中在亚洲和欧洲人群中的女性。与 PCOS 相关的最常见基因是 DENND1A、THADA、FSHR 和 LHCGR。然而,其他基因也与 PCOS 相关,如 AMH、AMHR2、ADIPOQ、FTO、HNF1A、CYP19、YAP1、HMGA2、RAB5B、SUOX、INSR 和 TOX3。然而,这些基因的生物学功能与病理学的发展之间的关系尚不清楚。在不同人群中对每个基因的研究并不总是符合一般模式,因此研究这些变异对于更好地理解这种多基因综合征至关重要。未来的人群研究应评估生物过程、发病率、等位基因和基因型频率以及易患 PCOS 的遗传易感因素。

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