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IGF2BP2 和 IGFBP3 基因型、单倍型及遗传模型在多囊卵巢综合征中的研究。

IGF2BP2 and IGFBP3 Genotypes, Haplotypes, and Genetic Models Studies in Polycystic Ovary Syndrome.

机构信息

Department of Nutrition, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

Cellular and Molecular Research Center, Research Institute of Cellular and Molecular Sciences in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran.

出版信息

J Clin Lab Anal. 2024 Mar;38(5):e25021. doi: 10.1002/jcla.25021. Epub 2024 Mar 11.

Abstract

BACKGROUND

Insulin resistance has been correlated with the genetic diversity within the insulin-like binding proteins genes. Moreover, insulin resistance is one of the key characteristics of the widespread reproductive endocrine condition known as polycystic ovarian syndrome (PCOS). Hence, this study is aimed to determine the association between IGFBP3 and IGF2BP2 gene variants and PCOS risk.

METHODS

A total of 300 subjects (150 PCOS cases diagnosed based on Rotterdam ESHRE/ASRM consensus criteria and 150 healthy subjects) were recruited in this case-control cross-sectional study. Tetra-primer amplification refractory mutation system polymerase chain reaction (ARMS-PCR) was used for genotyping rs11705701, whereas genotyping of rs1470579 and rs2854744 was done employing PCR-restriction fragment length polymorphism (PCR-RFLP) technique.

RESULTS

The CC and AA+AC genotypes of rs1470579 conferred an increased risk of PCOS in our population. Regarding the rs2854744, an increased risk of PCOS was observed under the codominant homozygous (TT vs. GG) model by 2.54 fold. The C allele of rs1470579 and T allele of rs2854744 enhanced PCOS risk by 1.97 and 1.46 folds, respectively. Haplotype analysis showed that the AA haplotype conferred a decreased risk of PCOS (odds ratio = 0.53, 95% confidence interval = 0.34-0.83, p = 0.006). The AC/GG/GT, AA/GA/GT, AC/GA/GG, and AC/GA/GT genotype combinations of rs1470579/rs11705701/rs2854744 were associated with a decreased risk of the disease.

CONCLUSIONS

IGF2BP2 rs1470579 and IGFBP3 rs2854744 enhanced PCOS susceptibility in a Southeastern Iranian population. Further investigation involving larger cohorts representing diverse ethnic backgrounds is needed to confirm the current findings.

摘要

背景

胰岛素抵抗与胰岛素样结合蛋白基因的遗传多样性有关。此外,胰岛素抵抗是多囊卵巢综合征(PCOS)这一广泛存在的生殖内分泌疾病的关键特征之一。因此,本研究旨在确定 IGFBP3 和 IGF2BP2 基因变异与 PCOS 风险之间的关联。

方法

本病例对照横断面研究共纳入 300 例受试者(150 例根据 Rotterdam ESHRE/ASRM 共识标准诊断为 PCOS 的病例和 150 例健康对照)。采用四引物扩增受阻突变系统聚合酶链反应(ARMS-PCR)对 rs11705701 进行基因分型,而 rs1470579 和 rs2854744 的基因分型则采用聚合酶链反应-限制性片段长度多态性(PCR-RFLP)技术进行。

结果

rs1470579 的 CC 和 AA+AC 基因型使我们人群中的 PCOS 发病风险增加。关于 rs2854744,在显性同型合子(TT 与 GG)模型下,PCOS 的发病风险增加了 2.54 倍。rs1470579 的 C 等位基因和 rs2854744 的 T 等位基因使 PCOS 发病风险分别增加了 1.97 倍和 1.46 倍。单体型分析表明,AA 单体型使 PCOS 发病风险降低(比值比=0.53,95%置信区间=0.34-0.83,p=0.006)。rs1470579/rs11705701/rs2854744 的 AA/GA/GT、AC/GA/GT、AC/GG/GT、AC/GA/GG 基因型组合与疾病风险降低相关。

结论

在伊朗东南部人群中,IGF2BP2 rs1470579 和 IGFBP3 rs2854744 增强了 PCOS 的易感性。需要进一步涉及代表不同种族背景的更大队列的研究来证实当前的发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9760/10959184/2df98fdb6f88/JCLA-38-e25021-g001.jpg

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