{"title":"格鲁吉亚多囊卵巢综合征妇女同型半胱氨酸水平、MTHFR C677T和A1298C多态性与妊娠结局的关系：一项病例对照研究","authors":"Elene Asanidze, Zurab R Tsetskhladze, Jenaro Kristesashvili, Marina Pirtskhalava, Manana Urjumelashvili, Shorena Tchiokadze, Malkhaz Vakhania, Nino Parunashvili, Aleksandre Asanidze","doi":"10.22074/ijfs.2024.2008377.1504","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Over the past decade, numerous studies have been conducted to determine the role of homocysteine and methylenetetrahydrofolate reductase (<i>MTHFR</i>) gene polymorphisms in the pathogenesis of polycystic ovary syndrome (PCOS), yet the results are inconsistent. The aim of the current study was to determine the association between homocysteine levels (Hcy), <i>MTHFR</i>) <i>C677T</i> and A1298C polymorphisms, and pregnancy outcomes in Georgian women with PCOS.</p><p><strong>Materials and methods: </strong>This case-control study included 177 female participants, of which 96 women were diagnosed with PCOS, and 81 age-matched women were without PCOS. Participants were divided into four groups; group I: 59 PCOS patients with history of recurrent pregnancy loss (RPL), group II: 37 PCOS patients with live birth in history and without RPL, group III: 39 women with RPL, without PCOS, group IV: controls, 42 women with live birth in history, without RPL and PCOS. These groups were compared based on their serum Hcy and the presence of two common single nucleotide polymorphisms (SNPs) in the <i>MTHFR</i>) gene: <i>C677T</i> and A1298C.</p><p><strong>Results: </strong>The mean Hcy, frequency of hyperhomocysteinemia (Hhcy) and the prevalence of <i>C677T</i> and <i>A1298C</i> polymorphisms in <i>MTHFR</i>) gene in PCOS patients were significantly higher than those without PCOS (P<0.05). Group I (PCOS with RPL) showed significantly elevated Hcy (13.7 ± 2.7) compared to group II (10.3 ± 2.6), group III (11.5 ± 2.3), and group IV (7.3 ± 2.2), P<0.001. In group I, the frequencies of the <i>C677T-CT, A1298CAC</i> genotypes, and the compound heterozygous of <i>C677T</i>-CT/<i>A1298C</i>-AC were significantly higher than in the other groups (P<0.05). The prevalence of <i>MTHFR) A1298C</i> (CC) was significantly higher in group II (PCOS patients with live birth) than in other comparison groups (P<0.05).</p><p><strong>Conclusion: </strong>The study reveals a significant correlation between hyperhomocysteinemia, <i>MTHFR</i>) polymorphisms (<i>C677T and A1298C</i>), and PCOS, impacting pregnancy outcomes.</p>","PeriodicalId":14080,"journal":{"name":"International Journal of Fertility & Sterility","volume":"19 1","pages":"50-57"},"PeriodicalIF":2.3000,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744196/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Relationship between Homocysteine Levels, <i>MTHFR C677T and A1298C</i> Polymorphism, and Pregnancy Outcomes in Georgian Women with Polycystic Ovary Syndrome: A Case-Control Study.\",\"authors\":\"Elene Asanidze, Zurab R Tsetskhladze, Jenaro Kristesashvili, Marina Pirtskhalava, Manana Urjumelashvili, Shorena Tchiokadze, Malkhaz Vakhania, Nino Parunashvili, Aleksandre Asanidze\",\"doi\":\"10.22074/ijfs.2024.2008377.1504\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Over the past decade, numerous studies have been conducted to determine the role of homocysteine and methylenetetrahydrofolate reductase (<i>MTHFR</i>) gene polymorphisms in the pathogenesis of polycystic ovary syndrome (PCOS), yet the results are inconsistent. The aim of the current study was to determine the association between homocysteine levels (Hcy), <i>MTHFR</i>) <i>C677T</i> and A1298C polymorphisms, and pregnancy outcomes in Georgian women with PCOS.</p><p><strong>Materials and methods: </strong>This case-control study included 177 female participants, of which 96 women were diagnosed with PCOS, and 81 age-matched women were without PCOS. Participants were divided into four groups; group I: 59 PCOS patients with history of recurrent pregnancy loss (RPL), group II: 37 PCOS patients with live birth in history and without RPL, group III: 39 women with RPL, without PCOS, group IV: controls, 42 women with live birth in history, without RPL and PCOS. These groups were compared based on their serum Hcy and the presence of two common single nucleotide polymorphisms (SNPs) in the <i>MTHFR</i>) gene: <i>C677T</i> and A1298C.</p><p><strong>Results: </strong>The mean Hcy, frequency of hyperhomocysteinemia (Hhcy) and the prevalence of <i>C677T</i> and <i>A1298C</i> polymorphisms in <i>MTHFR</i>) gene in PCOS patients were significantly higher than those without PCOS (P<0.05). Group I (PCOS with RPL) showed significantly elevated Hcy (13.7 ± 2.7) compared to group II (10.3 ± 2.6), group III (11.5 ± 2.3), and group IV (7.3 ± 2.2), P<0.001. In group I, the frequencies of the <i>C677T-CT, A1298CAC</i> genotypes, and the compound heterozygous of <i>C677T</i>-CT/<i>A1298C</i>-AC were significantly higher than in the other groups (P<0.05). The prevalence of <i>MTHFR) A1298C</i> (CC) was significantly higher in group II (PCOS patients with live birth) than in other comparison groups (P<0.05).</p><p><strong>Conclusion: </strong>The study reveals a significant correlation between hyperhomocysteinemia, <i>MTHFR</i>) polymorphisms (<i>C677T and A1298C</i>), and PCOS, impacting pregnancy outcomes.</p>\",\"PeriodicalId\":14080,\"journal\":{\"name\":\"International Journal of Fertility & Sterility\",\"volume\":\"19 1\",\"pages\":\"50-57\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-01-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744196/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Fertility & Sterility\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.22074/ijfs.2024.2008377.1504\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Fertility & Sterility","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.22074/ijfs.2024.2008377.1504","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
The Relationship between Homocysteine Levels, MTHFR C677T and A1298C Polymorphism, and Pregnancy Outcomes in Georgian Women with Polycystic Ovary Syndrome: A Case-Control Study.
Background: Over the past decade, numerous studies have been conducted to determine the role of homocysteine and methylenetetrahydrofolate reductase (MTHFR) gene polymorphisms in the pathogenesis of polycystic ovary syndrome (PCOS), yet the results are inconsistent. The aim of the current study was to determine the association between homocysteine levels (Hcy), MTHFR) C677T and A1298C polymorphisms, and pregnancy outcomes in Georgian women with PCOS.
Materials and methods: This case-control study included 177 female participants, of which 96 women were diagnosed with PCOS, and 81 age-matched women were without PCOS. Participants were divided into four groups; group I: 59 PCOS patients with history of recurrent pregnancy loss (RPL), group II: 37 PCOS patients with live birth in history and without RPL, group III: 39 women with RPL, without PCOS, group IV: controls, 42 women with live birth in history, without RPL and PCOS. These groups were compared based on their serum Hcy and the presence of two common single nucleotide polymorphisms (SNPs) in the MTHFR) gene: C677T and A1298C.
Results: The mean Hcy, frequency of hyperhomocysteinemia (Hhcy) and the prevalence of C677T and A1298C polymorphisms in MTHFR) gene in PCOS patients were significantly higher than those without PCOS (P<0.05). Group I (PCOS with RPL) showed significantly elevated Hcy (13.7 ± 2.7) compared to group II (10.3 ± 2.6), group III (11.5 ± 2.3), and group IV (7.3 ± 2.2), P<0.001. In group I, the frequencies of the C677T-CT, A1298CAC genotypes, and the compound heterozygous of C677T-CT/A1298C-AC were significantly higher than in the other groups (P<0.05). The prevalence of MTHFR) A1298C (CC) was significantly higher in group II (PCOS patients with live birth) than in other comparison groups (P<0.05).
Conclusion: The study reveals a significant correlation between hyperhomocysteinemia, MTHFR) polymorphisms (C677T and A1298C), and PCOS, impacting pregnancy outcomes.
期刊介绍：
International Journal of Fertility & Sterility is a quarterly English publication of Royan Institute . The aim of the journal is to disseminate information through publishing the most recent scientific research studies on Fertility and Sterility and other related topics. Int J Fertil Steril has been certified by Ministry of Culture and Islamic Guidance in 2007 and was accredited as a scientific and research journal by HBI (Health and Biomedical Information) Journal Accreditation Commission in 2008. Int J Fertil Steril is an Open Access journal.
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