Abstract
Purpose
Follicle-stimulating hormone (FSH) and its receptor play a major role in the development of follicles and regulation of steroidogenesis in the ovary and spermatogenesis in the testis. We aim to analyze the role of FSHR gene variants (single nucleotide polymorphisms (SNPs) in exon 10 (codon 307 and 680) and in the core promoter region (at position −29) and Ala189Val inactivating mutation) in Turkish infertile women. There were studies analyzing the effects of the SNPs in exon 10 (codon 307 and 680) and in the core promoter region (at position −29) of the FSHR gene on spermatogenesis, but to our knowledge, there were no studies analyzing the effects of these three SNP combinations on female fertility.
Methods
In this study, the allelic, genotype, and haplotype frequency distributions of these three SNPs in the FSHR gene were analyzed in 102 infertile women and 99 unrelated healthy control individuals. The distribution of the polymorphisms was conformed by Hardy–Weinberg equilibrium test.
Results
There were no statistical differences (P > 0.05) in the allele, genotype, and haplotype frequencies of the polymorphisms and FSH, luteinizing hormone (LH), estradiol (E2), and prolactin (PRL) levels between the infertile patients and the controls. However, a significant relation was found between 307 SNP GA genotype and FSH level ≥12. We did not find any homozygous or heterozygote mutations in infertile patients and healthy fertile controls.
Conclusion
The present study was the first study analyzing gma mutation and the polymorphism of the FSHR core promoter at position −29 alone and in combination with the two common SNPs in exon 10 in Turkish infertile women population. These findings indicate the significance of Ala307Thr GA genotype may be a predictive marker for poor ovarian reserve and infertility.
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References
Richards JS. Maturation of ovarian follicles: actions and interactions of pituitary and ovarian hormones on follicular cell differentiation. Physiol Rev. 1980;60:51–89.
Hsueh AJW, Bicsak TA, Jia XC, Dahl KD, Fauser BC, Galway AB, et al. Granulosa cells as hormone targets: the role of biologically active follicle stimulating hormone in reproduction. Recent Prog Horm Res. 1989;45:209–77.
Simoni M, Gromoll J, Nieschlag E. The follicle-stimulating hormone receptor: biochemistry, molecular biology, physiology and pathophysiology. Endocrinol Rev. 1997;18:739–73.
Gromoll J, Dankbar B, Gudermann T. Characterization of the 5’ flanking region of the human follicle-stimulating hormone receptor gene. Mol Cell Endocrinol. 1994;102:93–102.
Gromoll J, Pekel E, Nieschlag E. The structure and organization of the human follicle-stimulating hormone receptor (FSHR) gene. Genomics. 1996;35:308–11.
Aittomaki K, Lucena JL, Pakarinen P, Sistonen P, Tapanainen J, Gromoll J, et al. Mutation in the follicle-stimulating hormone receptor gene causes hereditary hypergonadotropic ovarian failure. Cell. 1995;82:959–68.
Aittomaki K, Herva R, Stenman UH. Clinical features of primary ovarian failure caused by a point mutation in the follicle-stimulating hormone receptor gene. J Clin Endocrinol Metab. 1996;81:3722–6.
Lamminen T, Huhtaniemi I. A common genetic variant of luteinizing hormone; relation to normal and aberrant pituitary-gonadal function. Eur J Pharmacol. 2001;414:1–7.
Jiang M, Pakarinen P, Zhang FP, El-Hefenawy T, Koskimies P, Pettersson K, et al. A common polymorphic allele of the human luteinizing hormone b-subunit gene: additional mutations and diffferential function of the promoter sequence. Hum Mol Genet. 1999;11:2037–46.
Conway GS. Clinical manifestations of genetic defects affecting gonadotrophins and their receptors. Clin Endocrinol. 1996;45:657–63.
Du J, Zhang W, Guo L, Zhang Z, Shi H, Wang J, et al. Two FSHR variants, haplotypes and meta-analysis in Chinese women with premature ovarian failure and polycystic ovary syndrome. Mol Genet Metab. 2010;100:292–5.
Simoni M, Gromoll J, Hoppner W, Kamischke A, Krafft T, Stahle D, et al. Mutational analysis of the follicle-stimulating hormone (FSH) receptor in normal and infertile men: identification and characterization of two discrete FSH receptor isoform. J Clin Endocrinol Metab. 1999;84:751–5.
Pengo M, Ferlin A, Arredi B, Ganz F, Selice R, Garolla A, et al. FSH receptor gene polymorphisms in fertile and infertile Italian men. Reprod Biomed Online. 2006;13:795–800.
Liu JY, Gromoll J, Cedars MI, La Barbera AR. Identification of allelic variants in the follicle-stimulating hormone receptor genes of females with or without hypergonadotropic amenorrhea. Fertil Steril. 1998;70:326–31.
Conway GS, Conway E, Walker C, Hoppner W, Gromoll J, Simoni M. Mutation screening and isoform prevalence of the follicle stimulating hormone receptor gene in women with premature ovarian failure, resistant ovary syndrome and polycystic ovary syndrome. Clin Endocrinol (Oxf). 1999;51:97–9.
Sudo S, Kudo M, Wada S, Sato O, Hsueh AJ, Fujimoto S. Genetic and functional analysis of polymorphisms in the human FSH receptor gene. Mol Hum Reprod. 2002;8:893–9.
Laven JSE, Mulders AGMGJ, Suryandari DA, Gromoll J, Nieschlag E, Fauser BCJM, et al. Follicle-stimulating hormone receptor polymorphisms in women with normogonadotropic anovulatory infertility. Fertil Steril. 2003;80:986–92.
Ahda Y, Gromoll J, Wunsch A, Asatiani K, Zitzmann M, Nieschlag E, et al. Follicle-stimulating hormone receptor gene haplotype distribution in normozoospermic and azoospermic men. J Androl. 2005;26(4):494–9.
Lend AK, Belousova A, Haller-Kikkatalo K, Punab M, Poolamets O, Peters M, et al. Follicle-stimulating hormone receptor gene haplotypes and male infertility in Estonian population and meta-analysis. Syst Biol Reprod Med. 2010;56:84–90.
Sambrook J, Fritsch EF, Maniatis T. Molecular cloning a laboratory manual. 2nd ed. NY: Cold Spring Harbor Laboratory; 1982.
Etem E, Kuyucu F, Ardıçoğlu A, Yüce H. İnfertilite ve Anormal Semen Analizleri Gösteren Erkeklerde FSHR Ala189Val Gen Polimorfizminin Analizi. 2006;11:vol. 1, p. 033–035.
Sever B, Simsek M, Akar ME, Alper O, Leblebici IL. Comparison of FSH receptor polymorphisms between infertile and fertile women. Biomed Res. 2014;25(1):121–6.
Chappel SC, Howles C. Reevaluation of the roles of luteinizing hormone and follicle-stimulating hormone in the ovulatory process. Hum Reprod. 1991;6:1206–12.
Simoni M, Nieschlag E. FSH in therapy: physiological basis, new preparations and clinical use. Reprod Med Rev. 1995;4:163–77.
Gromoll J, Simoni M, Nordhoff V, Behre HM, De Geyter C, Nieschlag E. Functional and clinical consequences of mutations in the FSH receptor. Mol Cell Endocrinol. 1996;125:177–82.
Aittomaki K. The genetics of XX gonadal dysgenesis. Am J Hum Genet. 1994;54:844–51.
Tapanainen JS, Vaskivuo T, Aittomaki K. Inactiving FSH receptor mutation and gonadal dysfunction. Mol Cell Endocrinol. 1998;145:129–35.
Kohek MB, Batista MC, Russell AJ, Vass K, Giacaglia LR, Mendonca BB, et al. No evidence of the inactivating mutation (C566T) in the follicle-stimulating hormone receptor gene in Brazilian women with premature ovarian failure. Fertil Steril. 1998;70:565–7.
Chesnaye E, Canto P, Ulloa-Aguirre A, Méndez JP. No evidence of mutations in the follicle-stimulating hormone receptor gene in Mexican women with 46, XX pure gonadal dysgenesis. Am J Med Genet. 2001;98:125–8.
Sundblad V, Chiauzzi VA, Escobar ME, Dain L, Charreau EH. Screening of FSHR gene in Argentine women with premature ovarian failure (POF). Mol Cell Endocrinol. 2004;222:53–9.
Layman LC, Amde S, Cohen DP, Jin M, Xie J. The Finnish follicle-stimulating hormone receptor gene mutation is rare in North American women with 46, XX ovarian failure. Fertil Steril. 1998;69:300–2.
Achrekar SK, Modi DN, Meherji PK, Patel ZM, Mahale SD. Follicle stimulating hormone receptor gene variants in women with primary and secondary amenorrhea. J Assist Reprod Genet. 2010;27(6):317–26.
Mayorga PM, Gromoll J, Behre HM, Gassner C, And NE, Simoni M. Ovarian response to FSH stimulation depends on the FSH receptor genotype. J Clin Endocrinol Metab. 2000;85:3365–9.
Wunsch A, Ahda Y, Banaz-Yaşar F, Sonntag B, Nieschlag E, Simoni M, et al. Single-nucleotide polymorphisms in the promoter region influence the expression of the human follicle-stimulating hormone receptor. Fertil Steril. 2005;84(2):446–53.
Desai SS, Achrekar SK, Pathak BR, Desai SK, Mangoli VS, Mangoli RV, et al. Follicle-stimulating hormone receptor polymorphism (G-29A) is associated with altered level of receptor expression in granulosa cells. J Clin Endocrinol Metab. 2011;96(9):2805–12.
Desai SS, Roy BS, Mahale SD. Mutations and polymorphisms in FSH receptor: functional implications in human reproduction. Reproduction. 2013;146(6):R235–48.
Achrekar SK, Modi DN, Desai SK, Mangoli VS, Mangoli RV, Mahale SD. Poor ovarian response to gonadotrophin stimulation is associated with FSH receptor polymorphism. Reprod Biomed Online. 2009;18:509–15.
Kuijper EA, Blankenstein MA, Luttikhof LJ, Roek SJ, Overbeek A, Hompes PG, et al. Frequency distribution of polymorphisms in the FSH receptor gene in infertility patients of different ethnicity. Reprod Biomed Online. 2010;20:588–93.
Koning CH, Benjamins T, Harms P, Homburg R, van Montfrans JM, Gromoll J, et al. The distribution of FSH receptor isoforms is related to basal FSH levels in subfertile women with normal menstrual cycles. Hum Reprod. 2006;21(2):443–6.
Unsal T, Konac E, Yesilkaya E, Yilmaz A, Bideci A, Ilke Onen H, et al. Genetic polymorphisms of FSHR, CYP17, CYP1A1, CAPN10, INSR, SERPINE1 genes in adolescent girls with polycystic ovary syndrome. J Assist Reprod Genet. 2009;26:205–16.
Falconer H, Andersson E, Aanesen A, Fried G. Follicle-stimulating hormone receptor polymorphisms in a population of infertile women. Acta Obstet Gynecol Scand. 2005;84:806–11.
Greb RR, Grieshaber K, Gromoll J, Sonntag B, Nieschlag E, Kiesel L, et al. A common single nucleotide polymorphism in exon 10 of the human follicle stimulating hormone receptor is a major determinant of length and hormonal dynamics of the menstrual cycle. J Clin Endocrinol Metab. 2005;90:4866–72.
Dolfin E, Guani B, Lussiana C, Mari C, Restagno G, Revelli A. FSH-receptor Ala307Thr polymorphism is associated to polycystic ovary syndrome and to a higher responsiveness to exogenous FSH in Italian women. J Assist Reprod Genet. 2011;28:925–30.
Dierich A, Sairam R, Monaco L, Fimia M, Gansmuller A, LeMeur M, et al. Impairing follicle- stimulating hormone (FSH) signaling in vivo: targeted disruption of the FSH receptor leads to aberrant gametogenesis and hormonal imbalance. PNAS. 1998;95:13612–7.
Kim S, Pyun JA, Cha DH, Ko JJ, Kwack K. Epistasis between FSHR and CYP19A1 polymorphisms is associated with premature ovarian failure. Fertil Steril. 2011;95:2585–8.
Abdel-Aziz AF, El-Sokkary AMA, El-Refaeey AA, El-Sokkary MMA, Osman HG, El-Saeed RA. Association between follicle stimulating hormone receptor (FSHR) polymorphism and polycystic ovary syndrome among Egyptian women. Int J Biochem Res Rev. 2015;5(3):198–206.
Khafagi Z, Mozdarani H, Behmanesh M, Distribution AA, Of FSHR. ESR1 and ESR2 SNPs among women with polycystic ovary syndrome undergoing in vitro fertilization. Bull Environ Pharmacol Life Sci. 2014;3(8):128–34.
Nikolaou D, Gilling-Smith C. Early ovarian ageing: are women with polycystic ovaries protected? Hum Reprod. 2004;19(10):2175–9.
Acknowledgments
We thank Zeynep Biyikli Gencturk for assistance in statistical analysis.
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Capsule FSHR 307 GA genotypes is associated with impaired folliculogenesis and early diminished ovarian reserve.
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Ilgaz, N.S., Aydos, O.S.E., Karadag, A. et al. Impact of follicle-stimulating hormone receptor variants in female infertility. J Assist Reprod Genet 32, 1659–1668 (2015). https://doi.org/10.1007/s10815-015-0572-5
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DOI: https://doi.org/10.1007/s10815-015-0572-5