Association of Androgen Receptor CAG Repeat Polymorphism and Polycystic Ovary Syndrome

Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS. Objective: We tested the hypothesis that a lower number...

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Published inThe journal of clinical endocrinology and metabolism Vol. 93; no. 5; pp. 1939 - 1945
Main Authors Shah, Nissar A., Antoine, Heath J., Pall, Marita, Taylor, Kent D., Azziz, Ricardo, Goodarzi, Mark O.
Format Journal Article
LanguageEnglish
Published Bethesda, MD Oxford University Press 01.05.2008
Endocrine Society
The Endocrine Society
Subjects
Online AccessGet full text
ISSN0021-972X
1945-7197
DOI10.1210/jc.2008-0038

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Abstract Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS. Objective: We tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls. Design: Women with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed. Setting: Subjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles. Participants: Participants included 330 women with PCOS and 289 controls (77% white, 23% black). Main Measurements: Androgen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured. Results: A smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women. Conclusions: Association of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS.
AbstractList Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS. Objective: We tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls. Design: Women with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed. Setting: Subjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles. Participants: Participants included 330 women with PCOS and 289 controls (77% white, 23% black). Main Measurements: Androgen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured. Results: A smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women. Conclusions: Association of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS.
Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS.CONTEXTGenetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS.We tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls.OBJECTIVEWe tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls.Women with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed.DESIGNWomen with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed.Subjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles.SETTINGSubjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles.Participants included 330 women with PCOS and 289 controls (77% white, 23% black).PARTICIPANTSParticipants included 330 women with PCOS and 289 controls (77% white, 23% black).Androgen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured.MAIN MEASUREMENTSAndrogen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured.A smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women.RESULTSA smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women.Association of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS.CONCLUSIONSAssociation of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS.
Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS. We tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls. Women with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed. Subjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles. Participants included 330 women with PCOS and 289 controls (77% white, 23% black). Androgen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured. A smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women. Association of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS.
Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS. Objective: We tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls. Design: Women with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed. Setting: Subjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles. Participants: Participants included 330 women with PCOS and 289 controls (77% white, 23% black). Main Measurements: Androgen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured. Results: A smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women. Conclusions: Association of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS. This study suggests that in addition to excess androgen production, the risk of polycystic ovary syndrome is associated with the inheritance of androgen receptors with shorter polyglutamine tracts, suggesting that genetic differences in androgen sensitivity may contribute to the development of the syndrome.
Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen receptor exon 1 polymorphic CAG repeat have produced conflicting results in PCOS. Objective: We tested the hypothesis that a lower number of CAG repeats is associated with increased odds of PCOS. We also compared X-chromosome inactivation between cases and controls. Design: Women with and without PCOS were genotyped for the CAG repeat and assessed for X-chromosome methylation. Association analyses were performed. Setting: Subjects were recruited from the reproductive endocrinology clinic at the University of Alabama at Birmingham; controls were recruited from the surrounding community. Genotyping took place at Cedars-Sinai Medical Center in Los Angeles. Participants: Participants included 330 women with PCOS and 289 controls (77% white, 23% black). Main Measurements: Androgen receptor genotype, X-chromosome methylation, and phenotyping for PCOS were measured. Results: A smaller biallelic mean of CAG repeats was associated with increased odds of PCOS. X-chromosome inactivation was not different comparing cases with controls; however, in the subset with nonrandom inactivation, the chromosome bearing the shorter CAG allele was preferentially active in PCOS women. Conclusions: Association of shorter CAG repeats with PCOS is consistent with in vitro functional studies demonstrating higher activity of androgen receptors expressed from alleles with fewer CAG repeats, suggesting inherited alteration in androgen sensitivity may contribute to PCOS. In some women, such heightened sensitivity may also result from preferential expression of androgen receptors with shorter alleles. Thus, genetic and epigenetic changes may be involved in the pathogenesis of PCOS.
Author Antoine, Heath J.
Shah, Nissar A.
Goodarzi, Mark O.
Taylor, Kent D.
Azziz, Ricardo
Pall, Marita
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  givenname: Nissar A.
  surname: Shah
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  organization: 1Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine (N.A.S., H.J.A., M.O.G.), Cedars-Sinai Medical Center, Los Angeles, California 90048
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  givenname: Heath J.
  surname: Antoine
  fullname: Antoine, Heath J.
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  givenname: Marita
  surname: Pall
  fullname: Pall, Marita
  organization: 2Department of Obstetrics and Gynecology (M.P., R.A., M.O.G.), Cedars-Sinai Medical Center, Los Angeles, California 90048
– sequence: 4
  givenname: Kent D.
  surname: Taylor
  fullname: Taylor, Kent D.
  organization: 3Department of Medical Genetics Institute (K.D.T., M.O.G.), Cedars-Sinai Medical Center, Los Angeles, California 90048
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  givenname: Ricardo
  surname: Azziz
  fullname: Azziz, Ricardo
  organization: 2Department of Obstetrics and Gynecology (M.P., R.A., M.O.G.), Cedars-Sinai Medical Center, Los Angeles, California 90048
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  givenname: Mark O.
  surname: Goodarzi
  fullname: Goodarzi, Mark O.
  email: mark.goodarzi@cshs.org
  organization: 1Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine (N.A.S., H.J.A., M.O.G.), Cedars-Sinai Medical Center, Los Angeles, California 90048
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Issue 5
Keywords Obesity
Genetic variability
Nutrition
Nutrition disorder
Female sterility
Genotype
Metabolic diseases
Polycystic ovary
Female genital diseases
Ovarian diseases
Association
Microsatellite DNA
Cyst
Androgen receptor
Benign neoplasm
Endocrinology
Nutritional status
Polymorphism
Hormonal receptor
Language English
License CC BY 4.0
LinkModel OpenURL
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Address all correspondence and requests for reprints to: Mark O. Goodarzi, M.D., Ph.D., Division of Endocrinology, Diabetes, and Metabolism, Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Room B-131, Los Angeles, California 90048. E-mail: mark.goodarzi@cshs.org.
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PublicationDate 2008-05-01
PublicationDateYYYYMMDD 2008-05-01
PublicationDate_xml – month: 05
  year: 2008
  text: 2008-05-01
  day: 01
PublicationDecade 2000
PublicationPlace Bethesda, MD
PublicationPlace_xml – name: Bethesda, MD
– name: United States
– name: Washington
PublicationTitle The journal of clinical endocrinology and metabolism
PublicationTitleAlternate J Clin Endocrinol Metab
PublicationYear 2008
Publisher Oxford University Press
Endocrine Society
The Endocrine Society
Publisher_xml – name: Oxford University Press
– name: Endocrine Society
– name: The Endocrine Society
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SSID ssj0014453
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Snippet Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the...
Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the androgen...
CONTEXT: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the...
Context: Genetically determined heightened androgen sensitivity may influence the phenotype of polycystic ovary syndrome (PCOS). To date, studies of the...
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proquest
pubmed
pascalfrancis
crossref
oup
SourceType Open Access Repository
Aggregation Database
Index Database
Enrichment Source
Publisher
StartPage 1939
SubjectTerms Adolescent
Adult
Alleles
Androgen receptors
Androgens
Biological and medical sciences
Endocrinology
Endocrinopathies
Epigenetics
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gene polymorphism
Genotyping
Humans
Medical sciences
Methylation
Middle Aged
Original
Ovaries
Phenotypes
Phenotyping
Polycystic ovary syndrome
Polycystic Ovary Syndrome - genetics
Polyglutamine
Polymorphism, Genetic
Receptors, Androgen - genetics
Trinucleotide Repeats
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
X Chromosome Inactivation
X chromosomes
Title Association of Androgen Receptor CAG Repeat Polymorphism and Polycystic Ovary Syndrome
URI https://www.ncbi.nlm.nih.gov/pubmed/18303071
https://www.proquest.com/docview/3164393437
https://www.proquest.com/docview/20879760
https://www.proquest.com/docview/69193734
https://pubmed.ncbi.nlm.nih.gov/PMC2386276
Volume 93
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