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Common polymorphisms in the CYP1A1 and CYP11A1 genes and polycystic ovary syndrome risk: a meta-analysis and meta-regression

  • General Gynecology
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Abstract

Aim

Increasing scientific evidences suggest that common polymorphisms in the CYP1A1 and CYP11A1 genes may contribute to the development and progression of polycystic ovary syndrome (PCOS), but many existing studies have yielded inconclusive results. The aim of this study was to perform a meta-analysis of published studies on the associations between common polymorphisms in the CYP1A1 and CYP11A1 genes and susceptibility to PCOS.

Methods

An extensive literature search for relevant studies was conducted on PubMed, Embase, Web of Science, Cochrane Library, and CBM databases from their inception through 1 June, 2013. This meta-analysis was performed using the STATA 12.0 software. The crude risk ratio (RR) with 95 % confidence interval was calculated.

Results

Thirteen case–control studies were included in this meta-analysis with a total of 1,571 PCOS cases and 1,918 healthy controls. Our meta-analysis revealed that CYP1A1 MspI (rs4646903 T > C) polymorphism may increase the risk of PCOS, especially among Caucasian populations. Furthermore, CYP11A1 microsatellite [TTTA]n repeat polymorphism also showed significant associations with increased risk of PCOS among Caucasian populations. However, there was no statistically significant association between CYP1A1 Ile462Val (rs1048943 A > G) polymorphism and PCOS risk.

Conclusion

Our meta-analysis suggests that CYP1A1 MspI and CYP11A1 microsatellite [TTTA]n repeat polymorphisms may contribute to increasing susceptibility to PCOS among Caucasian populations. Detection of common polymorphisms in the CYP1A1 and CYP11A1 genes might be promising biomarkers for the diagnosis and prognosis of PCOS.

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References

  1. Talbott EO, Guzick DS, Sutton-Tyrrell K, McHugh-Pemu KP, Zborowski JV, Remsberg KE, Kuller LH (2000) Evidence for association between polycystic ovary syndrome and premature carotid atherosclerosis in middle-aged women. Arterioscler Thromb Vasc Biol 20(11):2414–2421

    Article  CAS  PubMed  Google Scholar 

  2. Fratantonio E, Vicari E, Pafumi C, Calogero AE (2005) Genetics of polycystic ovarian syndrome. Reprod Biomed online 10(6):713–720

    Article  CAS  PubMed  Google Scholar 

  3. Mukherjee S, Maitra A (2010) Molecular and genetic factors contributing to insulin resistance in polycystic ovary syndrome. Indian J Med Res 131:743–760

    CAS  PubMed  Google Scholar 

  4. Cui L, Zhao H, Zhang B, Qu Z, Liu J, Liang X, Zhao X, Zhao J, Sun Y, Wang P, Li T, Shi Y, Chen ZJ (2013) Genotype-phenotype correlations of PCOS susceptibility SNPs identified by GWAS in a large cohort of Han Chinese women. Hum Reprod 28(2):538–544. doi:10.1093/humrep/des424

    Article  CAS  PubMed  Google Scholar 

  5. Kahsar-Miller MD, Nixon C, Boots LR, Go RC, Azziz R (2001) Prevalence of polycystic ovary syndrome (PCOS) in first-degree relatives of patients with PCOS. Fertil Steril 75(1):53–58

    Article  CAS  PubMed  Google Scholar 

  6. Vink JM, Sadrzadeh S, Lambalk CB, Boomsma DI (2006) Heritability of polycystic ovary syndrome in a Dutch twin-family study. J Clin Endocrinol Metab 91(6):2100–2104. doi:10.1210/jc.2005-1494

    Article  CAS  PubMed  Google Scholar 

  7. Abbott DH, Dumesic DA, Eisner JR, Colman RJ, Kemnitz JW (1998) Insights into the development of polycystic ovary syndrome (PCOS) from studies of prenatally androgenized female rhesus monkeys. TEM 9(2):62–67

    CAS  PubMed  Google Scholar 

  8. Weier N, He SM, Li XT, Wang LL, Zhou SF (2008) Placental drug disposition and its clinical implications. Curr Drug Metab 9(2):106–121

    Article  CAS  PubMed  Google Scholar 

  9. Kosova G, Urbanek M (2012) Genetics of the polycystic ovary syndrome. Mol Cell Endocrinol. doi:10.1016/j.mce.2012.10.009

  10. Akgul S, Derman O, Alikasifoglu M, Aktas D (2011) CYP1A1 polymorphism in adolescents with polycystic ovary syndrome. Intern J Gynaecol Obstet 112(1):8–10. doi:10.1016/j.ijgo.2010.07.032

    Article  CAS  Google Scholar 

  11. Wang B, Wang J, Liu J, Ni F, Yan J, Zhou S, Mu Y, Cao Y, Ma X (2009) Lack of an association between CYP1A1 gene Ile462Val polymorphism and polycystic ovary syndrome in Chinese. Endocrine 36(1):16–19. doi:10.1007/s12020-009-9205-z

    Article  PubMed  Google Scholar 

  12. Unsal T, Konac E, Yesilkaya E, Yilmaz A, Bideci A, Ilke Onen H, Cinaz P, Menevse A (2009) Genetic polymorphisms of FSHR, CYP17, CYP1A1, CAPN10, INSR, SERPINE1 genes in adolescent girls with polycystic ovary syndrome. J Assist Reprod Genet 26(4):205–216. doi:10.1007/s10815-009-9308-8

    Article  PubMed  Google Scholar 

  13. Esinler I, Aktas D, Otegen U, Alikasifoglu M, Yarali H, Tuncbilek E (2008) CYP1A1 gene polymorphism and polycystic ovary syndrome. Reprod Biomed Online 16(3):356–360

    Article  CAS  PubMed  Google Scholar 

  14. Babu KA, Rao KL, Kanakavalli MK, Suryanarayana VV, Deenadayal M, Singh L (2004) CYP1A1, GSTM1 and GSTT1 genetic polymorphism is associated with susceptibility to polycystic ovaries in South Indian women. Reprod Biomed Online 9(2):194–200

    Article  CAS  PubMed  Google Scholar 

  15. Yang J, Qian LX, Wu HF, Xu ZQ, Sui YG, Wang XR, Zhang W (2006) Genetic polymorphisms in the cytochrome P450 1A1 and 2E1 genes, smoking, drinking and prostate cancer susceptibility: a case-control study in a Han nationality population in Southern China. Intern J Urol 13(6):773–780. doi:10.1111/j.1442-2042.2006.01401.x

    Article  CAS  Google Scholar 

  16. Hirata H, Hinoda Y, Okayama N, Suehiro Y, Kawamoto K, Kikuno N, Rabban JT, Chen LM, Dahiya R (2008) CYP1A1, SULT1A1, and SULT1E1 polymorphisms are risk factors for endometrial cancer susceptibility. Cancer 112(9):1964–1973. doi:10.1002/cncr.23392

    Article  CAS  PubMed  Google Scholar 

  17. Durocher F, Morissette J, Simard J (1998) Genetic linkage mapping of the CYP11A1 gene encoding the cholesterol side-chain cleavage P450scc close to the CYP1A1 gene and D15S204 in the chromosome 15q22.33-q23 region. Pharmacogenetics 8(1):49–53

    Article  CAS  PubMed  Google Scholar 

  18. Gao GH, Cao YX, Yi L, Wei ZL, Xu YP, Yang C (2010) Polymorphism of CYP11A1 gene in Chinese patients with polycystic ovarian syndrome. Zhonghua fu chan ke za zhi 45(3):191–196

    CAS  PubMed  Google Scholar 

  19. Pusalkar M, Meherji P, Gokral J, Chinnaraj S, Maitra A (2009) CYP11A1 and CYP17 promoter polymorphisms associate with hyperandrogenemia in polycystic ovary syndrome. Fertil Steril 92(2):653–659. doi:10.1016/j.fertnstert.2008.07.016

    Article  CAS  PubMed  Google Scholar 

  20. Wang Y, Wu X, Cao Y, Yi L, Chen J (2006) A microsatellite polymorphism (tttta)n in the promoter of the CYP11a gene in Chinese women with polycystic ovary syndrome. Fertil Steril 86(1):223–226. doi:10.1016/j.fertnstert.2005.12.037

    Article  CAS  PubMed  Google Scholar 

  21. Tan L, Zhu G (2005) Role of the pentanucleotide (tttta)n polymorphisms of Cyp11alpha gene in the pathogenesis of hyperandrogenism in Chinese women with polycystic ovary syndrome. J Huazhong Univ Sci Technol Med Sci 25(2):212–214

    Article  CAS  PubMed  Google Scholar 

  22. Daneshmand S, Weitsman SR, Navab A, Jakimiuk AJ, Magoffin DA (2002) Overexpression of theca-cell messenger RNA in polycystic ovary syndrome does not correlate with polymorphisms in the cholesterol side-chain cleavage and 17 alpha-hydroxylase/C(17-20) lyase promoters. Fertil Steril 77(2):274–280

    Article  PubMed  Google Scholar 

  23. San Millan JL, Sancho J, Calvo RM, Escobar-Morreale HF (2001) Role of the pentanucleotide (tttta)(n) polymorphism in the promoter of the CYP11a gene in the pathogenesis of hirsutism. Fertil Steril 75(4):797–802

    Article  CAS  PubMed  Google Scholar 

  24. Diamanti-Kandarakis E, Bartzis MI, Bergiele AT, Tsianateli TC, Kouli CR (2000) Microsatellite polymorphism (tttta)(n) at -528 base pairs of gene CYP11alpha influences hyperandrogenemia in patients with polycystic ovary syndrome. Fertil Steril 73(4):735–741

    Article  CAS  PubMed  Google Scholar 

  25. Gaasenbeek M, Powell BL, Sovio U, Haddad L, Gharani N, Bennett A, Groves CJ, Rush K, Goh MJ, Conway GS, Ruokonen A, Martikainen H, Pouta A, Taponen S, Hartikainen AL, Halford S, Jarvelin MR, Franks S, McCarthy MI (2004) Large-scale analysis of the relationship between CYP11A promoter variation, polycystic ovarian syndrome, and serum testosterone. J Clin Endocrinol Metab 89(5):2408–2413

    Article  CAS  PubMed  Google Scholar 

  26. Stang A (2010) Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol 25(9):603–605. doi:10.1007/s10654-010-9491-z

    Article  PubMed  Google Scholar 

  27. Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21(11):1539–1558. doi:10.1002/sim.1186

    Article  PubMed  Google Scholar 

  28. Zintzaras E, Ioannidis JP (2005) Heterogeneity testing in meta-analysis of genome searches. Genet Epidemiol 28(2):123–137. doi:10.1002/gepi.20048

    Article  PubMed  Google Scholar 

  29. Ioannidis JP, Patsopoulos NA, Rothstein HR (2008) Reasons or excuses for avoiding meta-analysis in forest plots. BMJ 336(7658):1413–1415. doi:10.1136/bmj.a117

    Article  PubMed  Google Scholar 

  30. Peters JL, Sutton AJ, Jones DR, Abrams KR, Rushton L (2006) Comparison of two methods to detect publication bias in meta-analysis. JAMA 295(6):676–680. doi:10.1001/jama.295.6.676

    Article  CAS  PubMed  Google Scholar 

  31. Gupta AR, State MW (2007) Recent advances in the genetics of autism. Biol Psychiatry 61(4):429–437. doi:10.1016/j.biopsych.2006.06.020

    Article  PubMed  Google Scholar 

  32. Mendoza N (2011) Common genetic aspects between polycystic ovary syndrome and diabetes mellitus. Current Diabetes Rev 7(6):377–391

    Article  CAS  Google Scholar 

  33. Zhao H, Chen ZJ (2013) Genetic association studies in female reproduction: from candidate-gene approaches to genome-wide mapping. Mol Human Reprod. doi:10.1093/molehr/gat040

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Acknowledgments

We would like to acknowledge the helpful comments on this paper received from reviewers. We thank all our colleagues working in the Department of Gynecology, the First Hospital of China Medical University.

Conflict of interest

We declare that we have no conflict of interest.

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Correspondence to Wenjing Shen.

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Shen, W., Li, T., Hu, Y. et al. Common polymorphisms in the CYP1A1 and CYP11A1 genes and polycystic ovary syndrome risk: a meta-analysis and meta-regression. Arch Gynecol Obstet 289, 107–118 (2014). https://doi.org/10.1007/s00404-013-2939-0

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  • DOI: https://doi.org/10.1007/s00404-013-2939-0

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