ASSOCIATION OF FOLLICLE STIMULATING HORMONE RECEPTOR PROMOTER WITH OVARIAN RESPONSE IN IVF-ET PATIENTS

Iranian journal of reproductive medicine

YING ZENG¹  ZHANG TING¹  XIA LIANGBIN¹  WANG DANG¹  JING GAO¹ 

关键词: FOLLICLE STIMULATING HORMONE RECEPTOR;    OVARIAN GRANULOSA CELLS;    INFERTILITY;    OVARIAN RESPONSE;    PROMOTER;   

DOI  :  

学科分类：药学、药理学、毒理学（综合）

来源: Shahid Sadoughi University of Medical Sciences, Yazd

【 摘 要 】

Background: Poor ovarian response phenomenon has been observed in some of the in vitro fertilization-embryo transfer patients. Some investigations found that follicle stimulating hormone receptor (FSHR) gene plays a role in the process, but no direct evidence shows the correlation between genotypes of FSHR and ovarian response.Objective: Exploring the molecular mechanism behind the mutation of FSHR promoter association with ovarian granulosa cells and poor ovarian response.Materials and Methods: This cross sectional study was performed using 158 women undergoing the controlled short program ovarian stimulation for IVF treatment. The 263 bp DNA fragments before the follicle stimulating hormone (FSH) receptor 5' initiation site were sequenced in the patients under IVF cycle, 70 of which had poor ovarian response and 88 showed normal ovarian responses.Results: With a mutation rate of 40%, 63 in 158 cases showed a 29th site G®A point mutation; among the mutated cases, the mutation rate of the poor ovarian responders was significantly higher than the normal group (60% versus 23.9%; ?2=21.450, p<0.001). Besides, the variability was also obvious in antral follicle count, and ovum pick-ups. The estradiol peak values and the number of mature eggs between the two groups had significant difference. However, there was no obvious variability (t=0.457, p=0.324) in the basic FSH values between the two groups (normal group, 7.2±2.3 U/L; mutation group, 7.1±2.0 U/L).Conclusion: The activity of FSHR promoter is significantly affected by the 29th site G®A mutation that will weaken promoter activity and result in poor response to FSH.

【 授权许可】

Unknown