Associations of FSHR and LHCGR gene variants with ovarian reserve and clinical pregnancy rates
Autor: | Chun Guo, Xiaoqi Liu, Qun Bo Lv, Guimei Feng, Hui Yu, Xiangqin Liu |
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Rok vydání: | 2021 |
Předmět: |
Adult
Anti-Mullerian Hormone 0301 basic medicine China endocrine system Genotype Pregnancy Rate Clinical pregnancy Fertilization in Vitro Biology Polymorphism Single Nucleotide Andrology 03 medical and health sciences symbols.namesake 0302 clinical medicine Gene Frequency Ovulation Induction Pregnancy Humans Allele Ovarian Reserve Prospective cohort study Ovarian reserve Genetic Association Studies Sanger sequencing 030219 obstetrics & reproductive medicine Obstetrics and Gynecology Receptors LH Antral follicle Treatment Outcome 030104 developmental biology Reproductive Medicine symbols Receptors FSH Female Infertility Female Developmental Biology Hormone |
Zdroj: | Reproductive BioMedicine Online. 43:561-569 |
ISSN: | 1472-6483 |
DOI: | 10.1016/j.rbmo.2021.06.016 |
Popis: | Research question Are there any associations between the variants of FSHR c.2039 G>A (p. Ser680Asn, rs6166) and LHCGR c.935A>G (p. Asn312Ser, rs2293275) and ovarian reserve, ovarian response, clinical pregnancy rate and POSEIDON group? Design A total of 210 infertile women were enrolled in this prospective study. The gene variants were analysed by the Sanger method. The clinical parameters were analysed based on genotypes. Results The frequency of heterozygous and homozygous G allele for FSHR c.2039 G>A in the low prognosis group was significantly higher than that in other response groups (P = 0.034); there was no significant association between LHCGR c.935 A>G and ovarian response. Moreover, the serum anti-Mullerian hormone (AMH) concentration, antral follicle count (AFC), oocytes retrieved, metaphase II (MII) oocytes and two-pronuclear (2PN) oocytes in patients with AG genotype for FSHR c.2039 G>A were significantly lower than those with AA genotype. The serum LH concentrations and clinical pregnancy rate of fresh embryo transfer in patients with GG genotype for LHCGR c.935 A>G were significantly higher than that of the AG genotype. In POSEIDON analysis, the low prognosis women with AA genotype for FSHR c.2039 G>A were more likely to appear in subgroup 1 (P = 0.038). Conclusion The FSHR c.2039 G>A variant has a significant beneficial influence on ovarian reserve and ovarian response. The LHCGR c.935 A>G variant is associated with increased clinical pregnancy rate of fresh embryo transfer in infertile women. In addition, the low prognosis women with AA genotype for FSHR c.2039 G>A tend to show better ovarian reserve and prognosis. |
Databáze: | OpenAIRE |
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