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Association between polymorphisms of the CYP11A1 gene and polycystic ovary syndrome in Chinese women

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Abstract

The cholesterol side chain cleavage enzyme (CYP11A1) gene plays an important part in the synthesis of sex hormones and has been reported to be involved in the pathogenesis of polycystic ovary syndrome. A case–control study including 314 PCOS patients and 314 controls was conducted to assess the association of the SNPs rs4077582 and rs11632698 in CYP11A1 with PCOS using the polymerase chain reaction-restriction fragment length polymorphism method. Thereafter, 100 DNA samples were re-genotyped by direct sequencing for confirmation. The genotypic distribution of rs4077582 in women with PCOS differed from that in controls (P = 0.002). No such distributional difference was found in rs11632698 (P = 0.912). Data from our previous study of these two SNPs in another population including 290 PCOS patients and 344 controls was combined with the current data. Combined analysis (a total of 1262 participants, including 604 PCOS patients and 658 control women) showed a much more significant difference in the genotypic distribution of rs4077582 between PCOS and controls (P < 0.001). The T allele was more prevalent in PCOS patients (Odds ratio = 1.314; 95 % CI 1.122–1.540). The testosterone levels among the three genotypes for rs4077582 were different in the control group, as were the LH levels and the LH/FSH ratio. Therefore, SNP rs4077582 in CYP11A1 is strongly associated with susceptibility to PCOS and may alter the testosterone levels by the regulation of LH in different genotypes. No association was observed in rs11632698.

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Abbreviations

PCOS:

Polycystic ovary syndrome

SNP:

Single nucleotide polymorphisms. P450scc: cytochrome P450 cholesterol side chain cleavage enzyme

LH:

Luteinizing hormone

FSH:

Follicle-stimulating hormone

E2:

Estradiol

BMI:

Body mass index (body weight in kilograms divided by square of height in meters)

T:

Testosterone

RIA:

Radio-immunity assay

PCR:

Polymerase chain reaction

OR:

Odds ratio

References

  1. Qiao J (2008) Prevalence of polycystic ovary syndrome in China. Second International Symposium on PCOS, Haerbing, China, pp 174–175

  2. Diamanti-Kandarakis E, Piperi C (2005) Genetics of polycystic ovary syndrome: searching for the way out of the labyrinth. Hum Reprod Update 11(6):631–643

    Article  PubMed  CAS  Google Scholar 

  3. Gharani N, Waterworth DM, Batty S, White D, Gilling-Smith C, Conway GS, McCarthy M, Franks S, Williamson R (1997) Association of the steroid synthesis gene CYP11a with polycystic ovary syndrome and hyperandrogenism. Hum Mol Genet 6(3):397–402

    Article  PubMed  CAS  Google Scholar 

  4. Wang Y, Jin JL, Sun J, Ge HJ, Cao YX, Wu XK, Liang FJ, Sun HX, Ke L, Yi L, Wu ZW (2009) Association between CYP19 gene SNP rs2414096 Polymorphism and polycystic ovary syndrome in Chinese women. BMC Med Genet 10:139

    Google Scholar 

  5. Shah NA, Antoine HJ, Pall M, Taylor KD, Azziz R, Goodarzi MO (2008) Association of androgen receptor CAG repeat polymorphism and polycystic ovary syndrome. J Clin Endocr Metab 93(5):1939–1945

    Article  PubMed  CAS  Google Scholar 

  6. Pusalkar M, Meherji P, Gokral J, Chinnaraj S, Maitra A (2009) CYP11A1 and CYP17 promoter polymorphisms associated with hyperandrogenemia in polycystic ovary syndrome. Fertil Steril 922(2):653–659

    Article  Google Scholar 

  7. Zhang XL, Zhang CW, Xu P, Liang FJ, Che YN, Xia YJ, Cao YX, Wu XK, Wang WJ, Yi L, Gao Q, Wang Y (2012) SNP rs2470152 in CYP19 is correlated to aromatase activity in Chinese polycystic ovary syndrome patients. Mol Med Reports 5(1):245–249

    CAS  Google Scholar 

  8. Pappalardo MA, Russo GT, Pedone A, Pizzo A, Borrielli I, Stabile G, Artenisio AC, Amato A, Calvani M, Cucinotta D, Trimarchi F, Benvenga S (2010) Very high frequency of the polymorphism for the insulin receptor substrate 1 (IRS-1) at codon 972 (Glycine972Arginine) in Southern Italian women with polycystic ovary syndrome. Horm Metab Res 42(8):575–584

    Article  PubMed  CAS  Google Scholar 

  9. Vural P, Değirmencioğlu S, Saral NY, Akgül C (2010) Tumor necrosis factor alpha (-308), interleukin-6 (-174) and interleukin-10 (-1082) gene polymorphisms in polycystic ovary syndrome. Eur J Obstet Gynecol Reprod Biol 150(1):61–65

    Article  PubMed  CAS  Google Scholar 

  10. Chung BC, Guo IC, Hu MC (2003) Transcriptional regulation of CYP11A1. J Biomed Sci 10(6):593–598

    PubMed  Google Scholar 

  11. 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

    Article  PubMed  CAS  Google Scholar 

  12. McCarthy MI, 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 (2004) Large-scale analysis of the relationship between CYP11A promoter variation, polycystic ovarian syndrome, and serum testosterone. J Clin Endocr Metab 89(5):2408–2413

    Article  PubMed  Google Scholar 

  13. Revised 2003 consensus on diagnostic criteria and longterm health risks related to polycystic ovary syndrome (PCOS) (2004). Fertil Steril 81(1):19–25

    Google Scholar 

  14. 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

    PubMed  CAS  Google Scholar 

  15. McAllister JM, Nelson-DeGrave VL, Wickenheisser JK, Cockrell JE, Wood JR, Legro RS, Strauss JF (2004) Valproate potentiates androgen biosynthesis in human ovarian theca cells. Endocrinology 145(2):799–808

    PubMed  Google Scholar 

  16. Garmey JC, Guthrie HD, Garrett WM, Stoler MH, Veldhuis JD (2000) Localization and expression of low-density lipoprotein receptor, steroidogenic acute regulatory protein, cytochrome P450 side-chain cleavage and P450 17-alpha-hydroxylase/C17-20 lyase in developing swine follicles: in situ molecular hybridization and immunocytochemical studies. Mol Cell Endocrinol 170(1–2):57–65

    Article  PubMed  CAS  Google Scholar 

  17. Goldring NB, Durica JM, Lifka J, Hedin L, Ratoosh SL, Miller WL, Orly J, Richards JS (1987) Cholesterol side-chain cleavage P450 messenger-ribonucleic-acid: evidence for hormonal-regulation in rat ovarian follicles and constitutive expression in corpora-lutea. Endocrinology 120(5):1942–1950

    Article  PubMed  CAS  Google Scholar 

  18. Pescador N, Stocco DM, Murphy BD (1999) Growth factor modulation of steroidogenic acute regulatory protein and luteinization in the pig ovary. Biol Reprod 60(6):1453–1461

    Article  PubMed  CAS  Google Scholar 

  19. Devoto L, Christenson LK, McAllister JM, Makrigiannakis A, Strauss JF 3rd (1999) Insulin and insulin-like growth factor-I and -II modulate human granulosa-lutein cell steroidogenesis: enhancement of steroidogenic acute regulatory protein (StAR) expression. Mol Hum Reprod 5(11):1003–1010

    Article  PubMed  CAS  Google Scholar 

  20. Eimerl S, Orly J (2002) Regulation of steroidogenic genes by insulin-like growth factor-1 and follicle-stimulating hormone: differential responses of cytochrome P450 side-chain cleavage, steroidogenic acute regulatory protein, and 3beta-hydroxysteroid dehydrogenase/isomerase in rat granulosa cells. Biol Reprod 67(3):900–910

    Article  PubMed  CAS  Google Scholar 

  21. Mamluk R, Greber Y, Meidan R (1999) Hormonal regulation of messenger ribonucleic acid expression for steroidogenic factor-1, steroidogenic acute regulatory protein, and cytochrome P450 side-chain cleavage in bovine luteal cells. Biol Reprod 60(3):628–634

    Article  PubMed  CAS  Google Scholar 

  22. Miro F, Smyth CD, Whitelaw PF, Milne M, Hillier SG (1995) Regulation of 3 beta-hydroxysteroid dehydrogenase delta 5/delta 4-isomerase and cholesterol side-chain cleavage cytochrome P450 by activin in rat granulosa cells. Endocrinology 136(8):3247–3252

    Article  PubMed  CAS  Google Scholar 

  23. Swan CL, Agostini MC, Bartlewski PM, Feyles V, Urban RJ, Chedrese PJ (2002) Effects of progestins on progesterone synthesis in a stable porcine granulosa cell line: control of transcriptional activity of the cytochrome p450 side-chain cleavage gene. Biol Reprod 66(4):959–965

    Article  PubMed  CAS  Google Scholar 

  24. Xu YP, Chedrese PJ, Thacker PA (1995) Growth hormone amplifies insulin-like growth factor I induced progesterone accumulation and P450scc mRNA expression. Mol Cell Endocrinol 111(2):199–206

    Article  PubMed  CAS  Google Scholar 

  25. Havelock JC, Smith AL, Seely JB, Dooley CA, Rodgers RJ, Rainey WE, Carr BR (2005) The NGFI-B family of transcription factors regulates expression of 3beta-hydroxysteroid dehydrogenase type 2 in the human ovary. Mol Hum Reprod 11(2):79–85

    Article  PubMed  CAS  Google Scholar 

  26. Kim JW, Havelock JC, Carr BR, Attia GR (2005) The orphan nuclear receptor, liver receptor homolog-1, regulates cholesterol side-chain cleavage cytochrome p450 enzyme in human granulosa cells. J Clin Endocrinol Metab 90(3):1678–1685

    Article  PubMed  CAS  Google Scholar 

  27. Jeyasuria P, Ikeda Y, Jamin SP, Zhao L, De Rooij DG, Themmen AP, Behringer RR, Parker KL (2004) Cell-specific knockout of steroidogenic factor 1 reveals its essential roles in gonadal function. Mol Endocrinol 18(7):1610–1619

    Article  PubMed  CAS  Google Scholar 

  28. Tripodi G, Citterio L, Kouznetsova T, Lanzani C, Florio M, Modica R, Messaggio E, Hamlyn JM, Zagato L, Bianchi G, Staessen JA, Manunta P (2009) Steroid biosynthesis and renal excretion in human essential hypertension: association with blood pressure and endogenous ouabain. Am J Hypertens 22(4):357–363

    Article  PubMed  CAS  Google Scholar 

  29. Setiawan VW, Cheng IN, Stram DO, Giorgi E, Pike MC, Van Den Berg D, Pooler L, Burtt NP, Le Marchand L, Altshuler D, Hirschhorn J, Henderson BE, Haiman CA (2006) A systematic assessment of common genetic variation in CYP11A and risk of breast cancer. Cancer Res 66(24):12019–12025

    Article  PubMed  CAS  Google Scholar 

  30. Escobar-Morreale HF, San Millan JL, San Millan JL, Sancho J, Calvo RM (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  PubMed  Google Scholar 

  31. 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 Technolog Med Sci 25(2):212–214

    Article  PubMed  CAS  Google Scholar 

  32. Chen ZJ, Hao CF, Bao HC, Zhang N, Gu HF (2009) Evaluation of association between the CYP11 alpha promoter pentannucleotide (TTTTA)n polymorphism and polycystic ovarian syndrome among Han Chinese women. Neuroendocrinology Letters 30(1):56–60

    PubMed  Google Scholar 

  33. Sekar N, Veldhuis JD (2001) Concerted transcriptional activation of the low density lipoprotein receptor gene by insulin and luteinizing hormone in cultured porcine granulosa-luteal cells: possible convergence of protein kinase a, phosphatidylinositol 3-kinase, and mitogen-activated protein kinase signaling pathways. Endocrinology 142(7):2921–2928

    Article  PubMed  CAS  Google Scholar 

  34. Xing FQ, Liu Y, Jiang H, He LY, Huang WJ, He XY (2011) Abnormal expression of uncoupling protein-2 correlates with CYP11A1 expression in polycystic ovary syndrome. Reprod Fert Develop 23(4):520–526

    Article  Google Scholar 

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Acknowledgments

We are extremely grateful to all the women who participated in our study. This study was supported by the National Natural Science Foundation of China (81170541) and the Natural Basic Research Program of China (973 program 2010CB945103).

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Correspondence to Yong Wang.

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Cheng-wei Zhang and Xin-lin Zhang contributed equally to this work.

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Zhang, Cw., Zhang, Xl., Xia, Yj. et al. Association between polymorphisms of the CYP11A1 gene and polycystic ovary syndrome in Chinese women. Mol Biol Rep 39, 8379–8385 (2012). https://doi.org/10.1007/s11033-012-1688-7

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  • DOI: https://doi.org/10.1007/s11033-012-1688-7

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