4.6 Article

Frequency of the T307A, N680S, and-29G > A single-nucleotide polymorphisms in the follicle-stimulating hormone receptor in Mexican subjects of Hispanic ancestry

Journal

REPRODUCTIVE BIOLOGY AND ENDOCRINOLOGY
Volume 16, Issue -, Pages -

Publisher

BMC
DOI: 10.1186/s12958-018-0420-4

Keywords

Follicle stimulating hormone; Oocyte donation; Ovulation induction; Assisted reproductive techniques; Infertility; Female infertility; FSHR gene SNPs

Funding

  1. Consejo Nacional de Ciencia y Tecnologia (CONACyT) [SALUD-86881, SEP-240619]
  2. Coordinacion de la Investigacion Cientifica, UNAM

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Background: FSHR SNPs may influence the ovarian sensitivity to endogenous and exogenous FSH stimulation. Given the paucity of data on the FSHR c.919A > G, c.2039A > G and - 29G > A SNPs in Hispanic population, we here analyzed their frequency distribution in Mexican mestizo women. Methods: Samples from 224 Mexican mestizo women enrolled in an IVF program as well as a genotype database from 8182 Mexican mestizo subjects, were analyzed for FSHR SNPs at positions c.919, c2039 and - 29G > A Association between the genetic variants and reproductive outcomes was assessed. Results: The c.919 and c2039 SNPs were in strong linkage disequilibrium and their corresponding genotype frequencies in the NT group were: M 46.8%, AG 44.2%, and GG 8.9%, and AA 41.9%, AG 482% and GG 9.8%, respectively. For the -29G > A SNP, genotype frequencies were 27% (GG), 50% (GA) and 23% (M). In normal oocyte donors with the c.2039 GG genotype, the number of oocytes recovered after ovarian stimulation (COS) were significantly (p < 0.01) lower than in those bearing other genotypes in this or the -29G > A SNP. Analysis of the large scale database revealed that both allelic and genotype frequencies for the three SNPs were very similar to those detected in the IVF cohort (p >= 038) and that female carriers of the c2039 G allele tended to present lower number of pregnancies than women bearing the M genotype; this trend was stronger when women with more Native American ancestry was separately analyzed (OR = 2.0, Cl. . 95% 1.03-3.90, p = 0.04). There were no differences or trends in the number of pregnancies among the different genotypes of the -29G > A SNP. Conclusions: The frequency of the GG/GG combination genotype for the c.919 and c2039 SNPs in Mexican hispanics is among the lowest reported. The GG genotype is associated with decreased number of oocytes recovered in response to COS as well as to lower pregnancy rates in Hispanic women from the general population. The absence of any effect of the -29AA genotype on the response to COS, indicates that there is no need to perform this particular genotype testing in Hispanic women with the purpose of providing an individually-tailored COS protocol.

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