Abstract
Purpose
To date, case–control studies on the association between a single-nucleotide polymorphism (SNP) in the plasminogen activator inhibitor-1 (PAI-1) gene and polycystic ovary syndrome (PCOS) have provided controversial results.
Methods
The electronic databases PubMed, Embase, Web of Science, and CNKI (China National Knowledge Infrastructure) were searched for studies to include in the present meta-analysis.
Results
The fixed effects and random effects models showed that the 4G allele was associated with a risk of PCOS compared with the 5G allele in Chinese patients (OR = 2.05; 95 % CI = 1.56–2.69), but not in Caucasian patients (OR = 1.05; 95 % CI = 0.81–1.37). The contrast of homozygotes and the recessive and dominant models produced the same pattern of results as the allele contrast.
Conclusion
Our pooled data suggest evidence for a major role of PAI-1 gene 4G/5G polymorphism in the pathogenesis of PCOS among Chinese patients.
Similar content being viewed by others
References
Chang RJ (2004) A practical approach to the diagnosis of polycystic ovary syndrome. Am J Obstet Gynecol 191:713–717
Legro RS (2003) Polycystic ovary syndrome and cardiovascular disease: a premature association? Endocr Rev 24:302–312
Norman RJ, Dewailly D, Legro RS, Hickey TE (2007) Polycystic ovary syndrome. Lancet 370:685–697
Gao L, Zhang Y, Cui Y, Jiang Y, Wang X, Liu J (2012) Association of the T45G and G276T polymorphisms in the adiponectin gene with PCOS: a meta-analysis. Gynecol Endocrinol 28:106–110
Jia H, Yu L, Guo X, Gao W, Jiang Z (2012) Associations of adiponectin gene polymorphisms with polycystic ovary syndrome: a meta-analysis. Endocrine 42:299–306
Diamanti-Kandarakis E, Palioniko G, Alexandraki K, Bergiele A, Koutsouba T, Bartzis M (2004) The prevalence of 4G5G polymorphism of plasminogen activator inhibitor-1 (PAI-1) gene in polycystic ovarian syndrome and its association with plasma PAI-1 levels. Eur J Endocrinol 150:793–798
Glueck CJ, Wang P, Fontaine RN, Sieve-Smith L, Tracy T, Moore SK (1999) Plasminogen activator inhibitor activity: an independent risk factor for the high miscarriage rate during pregnancy in women with polycystic ovary syndrome. Metabolism 48:1589–1595
Karadeniz M, Erdogan M, Berdeli A, Saygili F, Yilmaz C (2007) 4G/5G polymorphism of PAI-1 gene and Alu-repeat I/D polymorphism of TPA gene in Turkish patients with polycystic ovary syndrome. J Assist Reprod Genet 24:412–418
Kilicci C, Bayram B, Ozkurt M, Onlu H, Erkasap N, Mutlu F (2011) Plasminogen activator inhibitor type-1 gene 4G/5G polymorphism and polycystic ovary syndrome. Genet Test Mol Biomarkers 15:565–567
Idali F, Zareii S, Mohammad-Zadeh A, Reihany-Sabet F, Akbarzadeh-Pasha Z, Khorram-Khorshid HR (2012) Plasminogen activator inhibitor 1 and methylenetetrahydrofolate reductase gene mutations in Iranian women with polycystic ovary syndrome. Am J Reprod Immunol 68:400–407
Lin S, Huiya Z, Bo L, Wei W, Yongmei G (2009) The plasminogen activator inhibitor-1 (PAI-1) gene -844 A/G and -675 4G/5G promoter polymorphism significantly influences plasma PAI-1 levels in women with polycystic ovary syndrome. Endocrine 36:503–509
San Millán JL, Cortón M, Villuendas G, Sancho J, Peral B, Escobar-Morreale HF (2004) Association of the polycystic ovary syndrome with genomic variants related to insulin resistance, type 2 diabetes mellitus, and obesity. J Clin Endocrinol Metab 89:2640–2646
Sun L, Lv H, Wei W, Zhang D, Guan Y (2010) Angiotensin-converting enzyme D/I and plasminogen activator inhibitor-1 4G/5G gene polymorphisms are associated with increased risk of spontaneous abortions in polycystic ovarian syndrome. J Endocrinol Invest 33:77–82
Unsal T, Konac E, Yesilkaya E, Yilmaz A, Bideci A, Ilke Onen H (2009) Genetic polymorphisms of FSHR, CYP17, CYP1A1, CAPN10, INSR, SERPINE1 genes in adolescent girls with polycystic ovary syndrome. J Assist Reprod Genet 26:205–216
Walch K, Grimm C, Huber JC, Nagele F, Kolbus A, Hefler LA (2005) A polymorphism of the plasminogen activator inhibitor-1 gene promoter and the polycystic ovary syndrome. Eur J Obstet Gynecol Reprod Biol 123:77–81
Zhao JL, Chen ZJ, Zhao YR, Zhao LX, Wang LC, Tang R (2005) Correlation between 4G and 5G genetypes distribution of plasminogen activator inhibitor-1 gene polymorphism in its promoter region with polycystic ovarian syndrome. Zhonghua Fu Chan Ke Za Zhi 40:528–531
Zhang CH, Yang JL, Tian YS, Liang HA (2008) Study on relationship between PAI-1 gene polymorphism and PCOS. Zhongguo Fu You Jian Kang Yan Jiu 19:541–543
Glueck CJ, Sieve L, Zhu B, Wang P (2006) Plasminogen activator inhibitor activity, 4G5G polymorphism of the plasminogen activator inhibitor 1 gene, and first-trimester miscarriage in women with polycystic ovary syndrome. Metabolism 55:345–352
Ramos Cirilo PD, Rosa FE, Moreira Ferraz MF, Rainho CA, Pontes A, Rogatto SR (2012) Genetic polymorphisms associated with steroids metabolism and insulin action in polycystic ovary syndrome. Gynecol Endocrinol 28:190–194
Bagos PG (2009) Plasminogen activator inhibitor-1 4G/5G and 5,10-methylene-tetrahydrofolate reductase C677T polymorphisms in polycystic ovary syndrome. Mol Hum Reprod 15:19–26
Conflict of interest
We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, there is no professional or other personal interest of any nature or kind in any product, service and company that could be construed as influencing the position presented in, or the review of, the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wang, LH., Wang, LM. & Zhou, N. 4G/5G polymorphism of plasminogen activator inhibitor-1 gene is associated with polycystic ovary syndrome in Chinese patients: a meta-analysis. Arch Gynecol Obstet 292, 683–686 (2015). https://doi.org/10.1007/s00404-015-3678-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-015-3678-1