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与多囊卵巢综合征风险变异相关的表型

Phenotypes Associated With Polycystic Ovary Syndrome Risk Variants.

作者信息

Tidwell Anna, Zhu Jia, Battiola Tess, Welt Corrine K

机构信息

Division of Endocrinology, Metabolism and Diabetes, University of Utah School of Medicine, Salt Lake City, UT 84112, USA.

Division of Endocrinology, Boston Children's Hospital, Boston, MA 02115, USA.

出版信息

J Endocr Soc. 2024 Dec 16;9(1):bvae219. doi: 10.1210/jendso/bvae219. eCollection 2024 Nov 26.

DOI:10.1210/jendso/bvae219
PMID:39687684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11646653/
Abstract

CONTEXT

Polycystic ovary syndrome (PCOS) affects 10% of women of reproductive age. The genetic architecture of the disease is emerging, but there is little data exploring the effect of genetic risk on clinical presentation.

OBJECTIVE

We hypothesized that genetic risk loci would influence measurable phenotypic traits.

METHODS

This retrospective cohort study, conducted at an academic medical center, included women of European ancestry with PCOS (n = 404), as diagnosed by the National Institutes of Health criteria, and controls with regular menses and no hyperandrogenism (n = 408). We identified association between genetic risk variants and measured phenotypic traits using linear regression.

RESULTS

In a combined analysis of cases and controls, 2 variants in loci containing the genes ( < .001) and ( < .001) were associated with gonadotropin levels. Two variants in loci containing ( = .002) and ( < .001) were associated with androgen levels. Three variants in loci containing ( = .001), ( < .001), and ( < .001) were associated with ovarian morphology. One variant in the locus containing ( = .001) was associated with hip circumference and was influenced by body mass index.

CONCLUSION

These results demonstrate that PCOS genetic risk variants may influence hormone levels and ovarian morphology and increase the risk of obesity. Increased genetic risk for PCOS appears to drive traits that underly the classical clinical presentation of PCOS.

摘要

背景

多囊卵巢综合征(PCOS)影响10%的育龄女性。该疾病的遗传结构正在显现,但探索遗传风险对临床表现影响的数据很少。

目的

我们假设遗传风险位点会影响可测量的表型特征。

方法

这项在学术医学中心进行的回顾性队列研究纳入了符合美国国立卫生研究院标准诊断的欧洲血统PCOS女性(n = 404)以及月经规律且无高雄激素血症的对照女性(n = 408)。我们使用线性回归确定遗传风险变异与测量的表型特征之间的关联。

结果

在病例和对照的联合分析中,包含基因(P <.001)和(P <.001)的位点中的2个变异与促性腺激素水平相关。包含(P =.002)和(P <.001)的位点中的2个变异与雄激素水平相关。包含(P =.001)、(P <.001)和(P <.001)的位点中的3个变异与卵巢形态相关。包含(P =.001)的位点中的1个变异与臀围相关,且受体重指数影响。

结论

这些结果表明,PCOS遗传风险变异可能影响激素水平和卵巢形态,并增加肥胖风险。PCOS遗传风险增加似乎驱动了PCOS经典临床表现背后的特征。