Role of the pentanucleotide (tttta)n polymorphism in the promoter of the CYP11a gene in the pathogenesis of hirsutism
Identifieur interne : 001284 ( Istex/Corpus ); précédent : 001283; suivant : 001285Role of the pentanucleotide (tttta)n polymorphism in the promoter of the CYP11a gene in the pathogenesis of hirsutism
Auteurs : José L. San Millán ; José Sancho ; Rosa M. Calvo ; Héctor F. Escobar-MorrealeSource :
- Fertility and Sterility [ 0015-0282 ] ; 2001.
English descriptors
- KwdEn :
Abstract
Objective: To determine if the (tttta)n repeat polymorphism in the promoter region of CYP11a gene is associated with hirsutism and hyperandrogenism in women from Spain. Design: Controlled clinical study. Setting: Tertiary-care institutional hospital. Patient(s): Ninety-two hirsute women and 33 healthy control women. Intervention(s): Basal and adrenocorticotropin-stimulated serum samples and genomic DNA extracted and purified from whole-blood samples were obtained during the follicular phase of the menstrual cycle. Main Outcome Measure(s): CYP11a (tttta)n repeat-polymorphism genotype and serum ovarian and adrenal androgen levels. Result(s): None of the CYP11a (tttta)n polymorphic alleles was associated with hirsutism. The absence of the four–repeat-units allele (4R− genotype), which has been reported by other authors to be associated with polycystic ovary syndrome (PCOS), was found in 22.4% of the women studied here and was equally distributed among patients and controls, independently of the presence of PCOS and/or ovarian or adrenal hyperandrogenism. No differences were observed in serum hormone concentrations in 4R− individuals as compared with subjects with at least one four–repeat-units allele. Conclusion(s): The (tttta)n repeat polymorphism in the promoter region of CYP11a does not appear to play any significant role in the pathogenesis of hirsutism and hyperandrogenism in women from Spain.
Url:
DOI: 10.1016/S0015-0282(01)01677-6
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<front><div type="abstract" xml:lang="en">Objective: To determine if the (tttta)n repeat polymorphism in the promoter region of CYP11a gene is associated with hirsutism and hyperandrogenism in women from Spain. Design: Controlled clinical study. Setting: Tertiary-care institutional hospital. Patient(s): Ninety-two hirsute women and 33 healthy control women. Intervention(s): Basal and adrenocorticotropin-stimulated serum samples and genomic DNA extracted and purified from whole-blood samples were obtained during the follicular phase of the menstrual cycle. Main Outcome Measure(s): CYP11a (tttta)n repeat-polymorphism genotype and serum ovarian and adrenal androgen levels. Result(s): None of the CYP11a (tttta)n polymorphic alleles was associated with hirsutism. The absence of the four–repeat-units allele (4R− genotype), which has been reported by other authors to be associated with polycystic ovary syndrome (PCOS), was found in 22.4% of the women studied here and was equally distributed among patients and controls, independently of the presence of PCOS and/or ovarian or adrenal hyperandrogenism. No differences were observed in serum hormone concentrations in 4R− individuals as compared with subjects with at least one four–repeat-units allele. Conclusion(s): The (tttta)n repeat polymorphism in the promoter region of CYP11a does not appear to play any significant role in the pathogenesis of hirsutism and hyperandrogenism in women from Spain.</div>
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<abstract>Objective: To determine if the (tttta)n repeat polymorphism in the promoter region of CYP11a gene is associated with hirsutism and hyperandrogenism in women from Spain. Design: Controlled clinical study. Setting: Tertiary-care institutional hospital. Patient(s): Ninety-two hirsute women and 33 healthy control women. Intervention(s): Basal and adrenocorticotropin-stimulated serum samples and genomic DNA extracted and purified from whole-blood samples were obtained during the follicular phase of the menstrual cycle. Main Outcome Measure(s): CYP11a (tttta)n repeat-polymorphism genotype and serum ovarian and adrenal androgen levels. Result(s): None of the CYP11a (tttta)n polymorphic alleles was associated with hirsutism. The absence of the four–repeat-units allele (4R− genotype), which has been reported by other authors to be associated with polycystic ovary syndrome (PCOS), was found in 22.4% of the women studied here and was equally distributed among patients and controls, independently of the presence of PCOS and/or ovarian or adrenal hyperandrogenism. No differences were observed in serum hormone concentrations in 4R− individuals as compared with subjects with at least one four–repeat-units allele. Conclusion(s): The (tttta)n repeat polymorphism in the promoter region of CYP11a does not appear to play any significant role in the pathogenesis of hirsutism and hyperandrogenism in women from Spain.</abstract>
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<notesStmt><note>Supported by grants from Consejerı́a de Investigación y Cultura, Comunidad de Madrid (Proyecto 08.6/0022/1998), and Fondo de Investigación Sanitaria, Ministerio de Sanidad y Consumo (Proyecto FIS 00/0414), Spain.</note>
<note type="content">Section title: Reproductive biology</note>
<note type="content">TABLE 1: Distribution of the CYP11a(ttta)n polymorphism genotype among hirsute patients and healthy control women.legend</note>
<note type="content">TABLE 2: Basal and ACTH-stimulated serum hormone concentrations in 4R− and 4R+ individuals, considering patients and controls as a whole (n = 125), considering hirsute patients alone (n = 92), or considering only patients diagnosed with the polycystic ovary syndrome (n = 34).legend legend</note>
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<affiliation>Department of Endocrinology, Hospital Ramón y Cajal, Madrid, Spain</affiliation>
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<note type="biography">Reprint requests: Héctor F. Escobar-Morreale, M.D., Ph.D., Department of Endocrinology, Hospital Ramón y Cajal, Carretera de Colmenar Km 9’1, Madrid 28034, Spain (FAX: 34-91-336 9016;</note>
<affiliation>Reprint requests: Héctor F. Escobar-Morreale, M.D., Ph.D., Department of Endocrinology, Hospital Ramón y Cajal, Carretera de Colmenar Km 9’1, Madrid 28034, Spain (FAX: 34-91-336 9016;</affiliation>
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<abstract xml:lang="en"><p>Objective: To determine if the (tttta)n repeat polymorphism in the promoter region of CYP11a gene is associated with hirsutism and hyperandrogenism in women from Spain. Design: Controlled clinical study. Setting: Tertiary-care institutional hospital. Patient(s): Ninety-two hirsute women and 33 healthy control women. Intervention(s): Basal and adrenocorticotropin-stimulated serum samples and genomic DNA extracted and purified from whole-blood samples were obtained during the follicular phase of the menstrual cycle. Main Outcome Measure(s): CYP11a (tttta)n repeat-polymorphism genotype and serum ovarian and adrenal androgen levels. Result(s): None of the CYP11a (tttta)n polymorphic alleles was associated with hirsutism. The absence of the four–repeat-units allele (4R− genotype), which has been reported by other authors to be associated with polycystic ovary syndrome (PCOS), was found in 22.4% of the women studied here and was equally distributed among patients and controls, independently of the presence of PCOS and/or ovarian or adrenal hyperandrogenism. No differences were observed in serum hormone concentrations in 4R− individuals as compared with subjects with at least one four–repeat-units allele. Conclusion(s): The (tttta)n repeat polymorphism in the promoter region of CYP11a does not appear to play any significant role in the pathogenesis of hirsutism and hyperandrogenism in women from Spain.</p>
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<ce:note-para>Supported by grants from Consejerı́a de Investigación y Cultura, Comunidad de Madrid (Proyecto 08.6/0022/1998), and Fondo de Investigación Sanitaria, Ministerio de Sanidad y Consumo (Proyecto FIS 00/0414), Spain.</ce:note-para>
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<ce:title>Role of the pentanucleotide (tttta)<ce:inf>n</ce:inf>
polymorphism in the promoter of the CYP11a gene in the pathogenesis of hirsutism</ce:title>
<ce:presented>Presented in part at the Endocrine Society’s 81st Annual Meeting, San Diego, California, June 12–15, 1999.</ce:presented>
<ce:author-group><ce:author><ce:indexed-name>San Millan</ce:indexed-name>
<ce:given-name>José L</ce:given-name>
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<ce:e-address>hector.escobar@uam.es</ce:e-address>
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<ce:textfn>Department of Molecular Genetics, Hospital Ramón y Cajal, Madrid, Spain</ce:textfn>
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<ce:textfn>Department of Endocrinology, Hospital Ramón y Cajal, Madrid, Spain</ce:textfn>
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<ce:text>Reprint requests: Héctor F. Escobar-Morreale, M.D., Ph.D., Department of Endocrinology, Hospital Ramón y Cajal, Carretera de Colmenar Km 9’1, Madrid 28034, Spain (FAX: 34-91-336 9016;</ce:text>
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<ce:abstract-sec><ce:simple-para>Objective: To determine if the (tttta)<ce:inf>n</ce:inf>
repeat polymorphism in the promoter region of CYP11a gene is associated with hirsutism and hyperandrogenism in women from Spain.</ce:simple-para>
<ce:simple-para>Design: Controlled clinical study.</ce:simple-para>
<ce:simple-para>Setting: Tertiary-care institutional hospital.</ce:simple-para>
<ce:simple-para>Patient(s): Ninety-two hirsute women and 33 healthy control women.</ce:simple-para>
<ce:simple-para>Intervention(s): Basal and adrenocorticotropin-stimulated serum samples and genomic DNA extracted and purified from whole-blood samples were obtained during the follicular phase of the menstrual cycle.</ce:simple-para>
<ce:simple-para>Main Outcome Measure(s): CYP11a (tttta)<ce:inf>n</ce:inf>
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<ce:simple-para>Result(s): None of the CYP11a (tttta)<ce:inf>n</ce:inf>
polymorphic alleles was associated with hirsutism. The absence of the four–repeat-units allele (4R− genotype), which has been reported by other authors to be associated with polycystic ovary syndrome (PCOS), was found in 22.4% of the women studied here and was equally distributed among patients and controls, independently of the presence of PCOS and/or ovarian or adrenal hyperandrogenism. No differences were observed in serum hormone concentrations in 4R− individuals as compared with subjects with at least one four–repeat-units allele.</ce:simple-para>
<ce:simple-para>Conclusion(s): The (tttta)<ce:inf>n</ce:inf>
repeat polymorphism in the promoter region of CYP11a does not appear to play any significant role in the pathogenesis of hirsutism and hyperandrogenism in women from Spain.</ce:simple-para>
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<ce:keyword><ce:text>CYP11a gene</ce:text>
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<abstract lang="en">Objective: To determine if the (tttta)n repeat polymorphism in the promoter region of CYP11a gene is associated with hirsutism and hyperandrogenism in women from Spain. Design: Controlled clinical study. Setting: Tertiary-care institutional hospital. Patient(s): Ninety-two hirsute women and 33 healthy control women. Intervention(s): Basal and adrenocorticotropin-stimulated serum samples and genomic DNA extracted and purified from whole-blood samples were obtained during the follicular phase of the menstrual cycle. Main Outcome Measure(s): CYP11a (tttta)n repeat-polymorphism genotype and serum ovarian and adrenal androgen levels. Result(s): None of the CYP11a (tttta)n polymorphic alleles was associated with hirsutism. The absence of the four–repeat-units allele (4R− genotype), which has been reported by other authors to be associated with polycystic ovary syndrome (PCOS), was found in 22.4% of the women studied here and was equally distributed among patients and controls, independently of the presence of PCOS and/or ovarian or adrenal hyperandrogenism. No differences were observed in serum hormone concentrations in 4R− individuals as compared with subjects with at least one four–repeat-units allele. Conclusion(s): The (tttta)n repeat polymorphism in the promoter region of CYP11a does not appear to play any significant role in the pathogenesis of hirsutism and hyperandrogenism in women from Spain.</abstract>
<note>Supported by grants from Consejerı́a de Investigación y Cultura, Comunidad de Madrid (Proyecto 08.6/0022/1998), and Fondo de Investigación Sanitaria, Ministerio de Sanidad y Consumo (Proyecto FIS 00/0414), Spain.</note>
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<note type="content">TABLE 1: Distribution of the CYP11a(ttta)n polymorphism genotype among hirsute patients and healthy control women.legend</note>
<note type="content">TABLE 2: Basal and ACTH-stimulated serum hormone concentrations in 4R− and 4R+ individuals, considering patients and controls as a whole (n = 125), considering hirsute patients alone (n = 92), or considering only patients diagnosed with the polycystic ovary syndrome (n = 34).legend legend</note>
<note type="content">TABLE 3: Adrenal enzyme activities in 4R− and 4R+ individuals, considering patients (n = 92) and healthy controls (n = 33) as a whole.legend legend</note>
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