FSH receptor gene polymorphisms have a role for different ovarian response to stimulation in patients entering IVF/ICSI-ET programs

J Assist Reprod Genet. 2006 Apr;23(4):177-84. doi: 10.1007/s10815-005-9015-z. Epub 2006 May 19.

Abstract

Purpose: To examine the frequency distribution of the Ser680Asn polymorphism of the follicle-stimulating hormone receptor (FSHR) gene in ovarian dysfunction (OD) infertile women, "poor responders" (PR) and "good responders" (GR).

Methods: The hormonal profiles and treatment of all patients were analyzed and FSHR polymorphism was examined by PCR and RFLP. Women from all groups were classified as Asn/Asn, Asn/Ser, and Ser/Ser genotypes.

Results: The frequency distribution of Ser/Ser, Asn/Ser and Asn/Asn variants in OD patients was 45.5, 22.7, and 31.8%, respectively. Day 3 FSH levels in OD and GR patients were higher in Ser/Ser and Asn/Asn subgroups. Asn/Ser carriers from OD and GR groups provided more follicles and oocytes compared to other allelic variants.

Conclusions: GR patients carry more often the Asn/Ser genotype. The latter is correlated with more follicles and oocytes in both OD and GR patients. The Ser/Ser variant might be related to higher serum FSH levels, while the Asn/Ser with lower.

MeSH terms

  • Adult
  • Embryo Transfer*
  • Female
  • Fertilization in Vitro*
  • Humans
  • Luteinizing Hormone / blood
  • Ovary / physiology*
  • Ovulation Induction*
  • Polymerase Chain Reaction
  • Polymorphism, Genetic*
  • Polymorphism, Restriction Fragment Length
  • Pregnancy
  • Primary Ovarian Insufficiency / genetics
  • Receptors, FSH / blood
  • Receptors, FSH / genetics*

Substances

  • Receptors, FSH
  • Luteinizing Hormone