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FSH-receptor Ala307Thr polymorphism is associated to polycystic ovary syndrome and to a higher responsiveness to exogenous FSH in Italian women

  • Gonadal Disease and Physiology
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Abstract

Objective

Herein we analyzed FSH-R polymorphism at position 307 aiming (a) to assess the prevalence of the three allelic variants (Ala307Ala, Ala307Thr and Thr307Thr) in relation to the type of ovary and (b) to clarify if the allelic variant could influence the responsiveness to exogenous FSH.

Study design

We prospectively studied a group of 106 Italian women undergoing in vitro fertilization (IVF), among which 40 were subjects with polycystic ovary syndrome (PCOS) and 66 were normo-ovulatory women with a normal ovarian morphology at transvaginal ultrasound. DNA extraction, denaturing high-performance liquid chromatography (dHPLC) and DNA sequencing were used to detect the FSH-R 307 polymorphic genotype and the whole exon 10 was analyzed.

Results

The heterozygote variant Ala307Thr was significantly more frequent than the homozygote variants in women with PCOS, whereas in normo-ovulatory women with normal ovary the three allelic variants had a comparable prevalence. Women bearing the Ala307Thr variant showed a higher ovarian responsiveness to exogenous FSH than normo-ovulatory subjects.

Conclusions

The heterozygote FSH-R polymorphism Ala307Thr is significantly more frequent in women with PCOS than in normo-ovulatory subjects and is more frequently associated with a higher ovarian responsiveness to exogenous FSH.

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References

  1. Simoni M, Nieschlag E, Gromoll J. Isoforms and single nucleotide polymorphisms of the FSH receptor gene: implications for human reproduction. Hum Reprod Update. 2002;8:413–21.

    Article  PubMed  CAS  Google Scholar 

  2. Lussiana C, Guani B, Mari C, Restagno G, Massobrio M, Revelli A. Mutations and polymorphisms of the FSH Receptor (FSHR) Gene. Clinical implications in female fecundity and molecular biology of FSHR protein and gene. Obstet Gynecol Survey. 2008;63:785–95.

    Article  Google Scholar 

  3. Mohiyiddeen L, Nardo LG (2010) Single-nucleotide polymorphisms in the FSH receptor gene and ovarian performance: Future role in IVF. Hum Fertil (Camb). [Epub ahead of print].

  4. Perez MM, Gromoll J, Behre HM, Grassner C, Nieschlag E, Simoni M. Ovarian response to follicle-stimulating hormone (FSH) stimulation depends on the FSH receptor genotype. J Clin Endocrinol Metab. 2006;85:3365–9.

    Google Scholar 

  5. Jun JK, Joon JS, Ku SY, Min Choi Y, Hwang KR, Park SY, et al. Follicle-stimulating hormone receptor gene polymorphism and ovarian response to controlled ovarian hyperstimalation for IVF-ET. J Hum Genet. 2006;51:665–70.

    Article  PubMed  CAS  Google Scholar 

  6. Loutradis D, Patsoula E, Minas V, Koussidis GA, Antsaklis A, Michalas S, et al. FSH receptor gene polymorphisms have a role for different ovarian response to stimulation in patients entering IVF/ICSI-ET programs. J Assist Reprod Gen. 2006;23:177–84.

    Article  Google Scholar 

  7. Wunsch A, Sonntag B, Simoni M. Polymorphism of the FSH receptor and ovarian response to FSH. Ann Endocrinol (Paris). 2007;68:160–6.

    CAS  Google Scholar 

  8. Achrekar SK, Modi DN, Desai SK, Mangoli VS, Mangoli RV. Smita D. Mahale Follicle-stimulating hormone receptor polymorphism (Thr307Ala) is associated with variable ovarian response and ovarian hyperstimulation syndrome in Indian women. Fertil Steril. 2009;91:432–9.

    Article  PubMed  CAS  Google Scholar 

  9. Laven JS, Mulders AG, Suryandari DA, Gromoll J, Nieschlag E, Fauser BC, et al. Follicle-stimulating hormone receptor polymorphisms in women with normogonadotropic anovulatory infertility. Fertil Steril. 2003;80:986–92.

    Article  PubMed  Google Scholar 

  10. Sudo S, Kudo M, Wada S, Sato O, Hsueh AJ, Fujimoto S. Genetic and functional analyses of polymorphisms in the human FSH receptor gene. Mol Hum Reprod. 2002;8:893–9.

    Article  PubMed  CAS  Google Scholar 

  11. Du J, Zhang W, Guo L, Zhang Z, Shi H, Wang J, Zhang H, Gao L, Feng G, He L (2010) Two FSHR variants, haplotypes and meta-analysis in Chinese women with premature ovarian failure and polycystic ovary syndrome. Mol Genet Metab. [Epub ahead of print]

  12. 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.

    Article  PubMed  Google Scholar 

  13. Valkenburg O, Uitterlinden AG, Piersma D, Hofman A, Themmen AP, de Jong FH, et al. Genetic polymorphisms of GnRH and gonadotrophic hormone receptors affect the phenotype of polycystic ovary syndrome. Hum Reprod. 2009;8:2014–22.

    Article  Google Scholar 

  14. Gromoll J, Brocker M, Derwahl M, Hoeppner W. Detection of mutations in glycoprotein hormone receptors. Methods. 2000;21:83–97.

    Article  PubMed  CAS  Google Scholar 

  15. Kene PS, Dighe RR, Mahale SD. Delineation of regions in the extracellular domain of follicle-stimulating hormone receptor involved in hormone binding and signal transduction. Am J Reprod Immunol. 2005;54:38–48.

    Article  PubMed  CAS  Google Scholar 

  16. Kuijper EA, Blankenstein MA, Luttikhof LJ, Roek SJ, Overbeek A, Hompes PG, Twisk JW, Lambalk CB (2010) Frequency distribution of polymorphisms in the FSH receptor gene in infertility patients of different ethnicity. Reprod Biomed Online [Epub ahead of print]

  17. Abbott DH, Dumesic DA, Franks S. Developmental origin of polycystic ovary syndrome—a hypothesis. J Endocrinol. 2002;4:1–5.

    Article  Google Scholar 

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Correspondence to Alberto Revelli.

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Capsule FSH-receptor Ala307Thr polymorphism is associated to PCOS and to high responsiveness to exogenous FSH.

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Dolfin, E., Guani, B., Lussiana, C. et al. 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 28, 925–930 (2011). https://doi.org/10.1007/s10815-011-9619-4

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  • DOI: https://doi.org/10.1007/s10815-011-9619-4

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