Skip to main content
Log in

Apolipoprotein E gene polymorphism and polycystic ovary syndrome patients in Western Anatolia, Turkey

  • AROUND THE WORLD
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Purpose

Dyslipidemia, cardiovascular disease and hypertension are more frequently seen in patients with PCOS than in normal patients. We aimed at evaluating the distribution of Apo E alleles that can influence cardiovascular risk of the PCOS patients and control subjects.

Methods

In this study, 129 young women with PCOS and 91 healthy women were included. In all subjects we performed hormonal, biochemical and Apo E genetic analysis.

Results

The Apo E3 allele was found at a significantly higher frequency in the PCOS patient group compared with the control group. The Apo E2 allele was found at a significantly higher frequency in the control group compared with the patient group with PCOS.

Conclusions

Although there were genotype and allele differences between control and patient groups in this study, no statistically significant change was determined in lipid and other cardiovascular risk factors in connection with allele and genotype.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

ApoE:

Apolipoprotein E

PCOS:

polycystic ovary syndrome

BMI:

body mass index

CI:

confidence interval

CV:

coefficient(s) of variation

MLRA:

Multiple Logistic Regression Analysis

CVD:

cardiovascular disease

DHEAS:

dehydroepiandrosterone sulphate

E2 :

17ß-estradiol

Hcy:

homocysteine

17-OHP:

17-hydroxyprogesterone

P:

progesterone

PRL:

prolactin

T:

testosterone

FSH:

follicle stimulating hormone

LH:

luteinizing hormone

HOMA-IR:

homeostasis model of assessment insulin resistance

References

  1. Chang RJ. A practical approach to the diagnosis of polycystic ovary syndrome. Am J Obstet Gynecol. 2004;191(3):713–7. doi:10.1016/j.ajog.2004.04.045.

    Article  PubMed  Google Scholar 

  2. Knochenhauer ES, Key TJ, Kahsar-Miller M, Waggoner W, Boots LR, Azziz R. Prevalence of the polycystic ovary syndrome in unselected black and white women of the southeastern United States: a prospective study. J Clin Endocrinol Metab. 1998;83:3078–82. doi:10.1210/jc.83.9.3078.

    Article  PubMed  CAS  Google Scholar 

  3. Holte JL, Gennarelli G, Wide L, Lithell H, Berne C. High prevalence of polycystic ovaries and associated clinical, endocrine, and metabolic features in women with previous gestational diabetes mellitus. J Clin Endocrinol Metab. 1998;83:1143–50. doi:10.1210/jc.83.4.1143.

    Article  PubMed  CAS  Google Scholar 

  4. Wild RA. Obesity, lipids, cardiovascular risk, and androgen excess. Am J Med. 1995;98:27S–32S. doi:10.1016/S0002-9343(99)80056-4.

    Article  PubMed  CAS  Google Scholar 

  5. Chambers JC, Kooner JS. Homocysteine: a novel risk factor for coronary heart disease in UK Indian Asians. Heart. 2001;86(2):121–2. doi:10.1136/heart.86.2.121.

    Article  PubMed  CAS  Google Scholar 

  6. Utermann G. Apolipoprotein E polymorphism in health and disease. Am Heart J. 1987;113:433–40. doi:10.1016/0002-8703(87)90610-7.

    Article  PubMed  CAS  Google Scholar 

  7. Reilly SL, Ferrell RE, Sing CF. The gender-specific apolipoprotein E genotype influence on the distribution of plasma lipids and apolipoproteins in the population of Rochester, MN. III. Correlations and covariances. Am J Hum Genet. 1994;55(5):1001–18.

    PubMed  CAS  Google Scholar 

  8. Smith JD. Apolipoprotein E4: an allele associated with many diseases. Ann Med. 2000;32:118–27. doi:10.3109/07853890009011761.

    Article  PubMed  CAS  Google Scholar 

  9. Hatters DM, Peters-Libeu CA, Weisgraber KH. Apolipoprotein E structure: insights into function. Trends Biochem Sci. 2006;31:445–54. doi:10.1016/j.tibs.2006.06.008.

    Article  PubMed  CAS  Google Scholar 

  10. The Rotterdam ESHRE/ASRM-Sponsored PCOS consensus workshop group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome (PCOS). Hum Reprod. 2004;19(1):41–7. doi:10.1093/humrep/deh098.

    Article  Google Scholar 

  11. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia. 1985;28:412–9. doi:10.1007/BF00280883.

    Article  PubMed  CAS  Google Scholar 

  12. Bhattacharya SM. Metabolic syndrome in females with polycystic ovary syndrome and International Diabetes Federation criteria. J Obstet Gynaecol Res. 2008;34(1):62−6.

    PubMed  Google Scholar 

  13. Tarkun I, Arslan BC, Cantürk Z, Türemen E, Sahin T, Duman C. Endothelial dysfunction in young women with polycystic ovary syndrome: relationship with insulin resistance and low-grade chronic inflammation. J Clin Endocrinol Metab. 2004;89(11):5592–6. doi:10.1210/jc.2004-0751.

    Article  PubMed  CAS  Google Scholar 

  14. Tarkun I, Cetinarslan B, Türemen E, Sahin T, Cantürk Z, Komsuoglu B. Effect of rosiglitazone on insulin resistance, C-reactive protein and endothelial function in non-obese young women with polycystic ovary syndrome. Eur J Endocrinol. 2005;153(1):115–21. doi:10.1530/eje.1.01948.

    Article  PubMed  CAS  Google Scholar 

  15. Karadeniz M, Erdogan M, Berdeli A, Tamsel S, Saygili F, Yilmaz C. The progesterone receptor PROGINS polymorphism is not related to oxidative stress factors in women with polycystic ovary syndrome. Cardiovasc Diabetol. 2007;5(6):29. doi:10.1186/1475-2840-6-29.

    Article  CAS  Google Scholar 

  16. Karadeniz M, Erdogan M, Berdeli A, Saygili F, Yilmaz C. 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. 2007;24(9):412–8. doi:10.1007/s10815-007-9160-7.

    Article  PubMed  Google Scholar 

  17. Pirwany IR, Fleming R, Greer IA, Packard CJ, Sattar N. Lipids and lipoprotein subfractions in women with PCOS: relationship to metabolic and endocrine parameters. Clin Endocrinol (Oxf). 2001;54(4):447–53. doi:10.1046/j.1365-2265.2001.01228.x.

    Article  CAS  Google Scholar 

  18. Wild RA, Painter PC, Coulson PB, Carruth KB, Ranney GB. Lipoprotein lipid concentrations and cardiovascular risk in women with polycystic ovary syndrome. J Clin Endocrinol Metab. 1985;61:946–51.

    Article  PubMed  CAS  Google Scholar 

  19. Ehrmann DA, Schneider DJ, Sobel BE, Cavaghan MK, Imperial J, Rosenfield RL, Polonsky KS. Troglitazone improves defects in insulin action, insulin secretion, ovarian steroidogenesis, and fibrinolysis in women with polycystic ovary syndrome. J Clin Endocrinol Metab. 1997;82:2108–16. doi:10.1210/jc.82.7.2108.

    Article  PubMed  CAS  Google Scholar 

  20. Scuteri A, Najjar SS, Muller D, Andres R, Morrell CH, Zonderman AB, Lakatta EG. ApoE4 allele and the natural history of cardiovascular risk factors. Am J Physiol Endocrinol Metab. 2005;289:E322–7. doi:10.1152/ajpendo.00408.2004.

    Article  PubMed  CAS  Google Scholar 

  21. Stiefel P, Montilla C, Muniz-Grijalvo O, Garcia-Lozano R, Alonso A, Miranda ML, Pamies E, Villar J. Apolipoprotein E gene polymorphism is related to metabolic abnormalities, but does not influence erythrocyte membrane lipid composition or sodium-lithium countertransport activity in essential hypertension. Metabolism. 2001;50:157–60. doi:10.1053/meta.2001.19429.

    Article  PubMed  CAS  Google Scholar 

  22. Heinonen S, Korhonen S, Hippeläinen M, Hiltunen M, Mannermaa A, Saarikoski S. Apolipoprotein E alleles in women with polycystic ovary syndrome. Fertil Steril. 2001;75(5):878–80. doi:10.1016/S0015-0282(01)01691-0.

    Article  PubMed  CAS  Google Scholar 

  23. Ross R. Atherosclerosis—an inflammatory disease. N Engl J Med. 1999;340:115–26. doi:10.1056/NEJM199901143400207.

    Article  PubMed  CAS  Google Scholar 

  24. Ridker PM, Buring JE, Shih J, Matias M, Hennekens CH. Prospective study of C-reactive protein and the risk of future cardiovascular events among apparently healthy women. Circulation. 1998;98:731–3.

    PubMed  CAS  Google Scholar 

  25. Atiomo WU, Bates SA, Condon JE, Shaw S, West JH, Prentice AG. The plasminogen activator system in women with polycystic ovary syndrome. Fertil Steril. 1998;69:236–41. doi:10.1016/S0015-0282(97)00486-X.

    Article  PubMed  CAS  Google Scholar 

  26. Wilson PWF, Schaefer EJ, Larson MG, Ordovas JM. Apolipoprotein E alleles and risk of coronary disease: a meta-analysis. Arterioscler Thromb Vasc Biol. 1996;16:1250–5.

    PubMed  CAS  Google Scholar 

  27. Srinivasan SR, Ehnholm C, Elkasabany A, Berenson G. Influence of apolipoprotein E polymorphism on serum lipids and lipoprotein changes from childhood to adulthood the Bogalusa Heart study. Atherosclerosis. 1999;143:435–43. doi:10.1016/S0021-9150(98)00304-9.

    Article  PubMed  CAS  Google Scholar 

  28. Komatsu F, Hasegawa K, Watanabe S, Kawabata T, Yanagisawa Y, Kaneko Y, Miyagi S, Sakuma M, Kagawa Y, Ulziiburen C, Narantuya L. Comparison of electrocardiogram findings and lifestyles between urbanized people and ger-living people in Ulaanbaatar, Mongolia. Atherosclerosis. 2004;175:101–8. doi:10.1016/j.atherosclerosis.2004.03.005.

    Article  PubMed  CAS  Google Scholar 

  29. Ordovas JM. Nutrigenetics, plasma lipids, and cardiovascular risk. J Am Diet Assoc. 2006;106:1074–81. doi:10.1016/j.jada.2006.04.016.

    Article  PubMed  CAS  Google Scholar 

  30. James RW, Boemi MG, Giansanti R, Fumelli P, Pometta D. Underexpression of the apolipoprotein E4 isoform in an Italian population. Arterioscler Thromb. 1993;13:1456–9.

    PubMed  CAS  Google Scholar 

  31. Bailleul S, Couderc R, Landais V, Lefevre G, Raichvarg D, Etienne JV. Direct phenotyping of human apolipoprotein E in plasma: application to population frequency distribution in Paris (France). Hum Hered. 1993;43:159–65. doi:10.1159/000154172.

    Article  PubMed  CAS  Google Scholar 

  32. Davignon J, Gregg RE, Sing CF. Apolipoprotein E polymorphism and atherosclerosis. Arteriosclerosis. 1988;8(1):1–21.

    PubMed  CAS  Google Scholar 

  33. Kolovou GD, Daskalova DC, Hatzivassiliou M, Yiannakouris N, Pilatis ND, Elisaf M, Mikhailidis DP, Cariolou MA, Cokkinos DV. The epsilon 2 and 4 alleles of apolipoprotein E and ischemic vascular events in the Greek population-implications for the interpretation of similar studies. Angiology. 2003;54(1):51–8. doi:10.1177/000331970305400107.

    Article  PubMed  Google Scholar 

  34. Sklavounou E, Economou-Petersen E, Karadima G, Panas M, Avramopoulos D, Varsou A, Vassilopoulos D, Petersen MB. Apolipoprotein E polymorphism in the Greek population. Clin Genet. 1997;52(4):216–8.

    Article  PubMed  CAS  Google Scholar 

  35. Olivieri O, Martinelli N, Bassi A, Trabetti E, Girelli D, Pizzolo F, Friso S, Pignatti PF, Corrocher R. ApoE epsilon2/epsilon3/epsilon4 polymorphism, ApoC-III/ApoE ratio and metabolic syndrome. Clin Exp Med. 2007;7(4):164–72. doi:10.1007/s10238-007-0142-y.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

We would like to thank Hatice Uluer for her assistance in statistical evaluation of this study. We are thankful to Technicians of Nail Tartaroglu Endocrinology Laboratory for their assistance in coordinating this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Muammer Karadeniz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cetinkalp, S., Karadeniz, M., Erdogan, M. et al. Apolipoprotein E gene polymorphism and polycystic ovary syndrome patients in Western Anatolia, Turkey. J Assist Reprod Genet 26, 1–6 (2009). https://doi.org/10.1007/s10815-008-9280-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10815-008-9280-8

Keywords

Navigation