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 in | The journal of clinical endocrinology and metabolism Vol. 93; no. 5; pp. 1939 - 1945 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Bethesda, MD
Oxford University Press
01.05.2008
Endocrine Society The Endocrine Society |
Subjects | |
Online Access | Get full text |
ISSN | 0021-972X 1945-7197 |
DOI | 10.1210/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. |
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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 |
Author_xml | – sequence: 1 givenname: Nissar A. surname: Shah fullname: Shah, Nissar A. 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 – sequence: 2 givenname: Heath J. surname: Antoine fullname: Antoine, Heath J. 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 – sequence: 3 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 – sequence: 5 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 – sequence: 6 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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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 |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 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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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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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 |
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