Variants in SULT2A1 Affect the DHEA Sulphate to DHEA Ratio in Patients With Polycystic Ovary Syndrome But Not the Hyperandrogenic Phenotype

Context: Because of the elevated dehydroepiandrosterone sulfate (DHEAS) levels in polycystic ovary syndrome (PCOS) and the heritability of DHEAS serum levels, genes encoding the enzymes that control the sulfation of dehydroepiandrosterone (DHEA) to DHEAS and vice versa are obvious candidate genes to...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2013-09, Vol.98 (9), p.3848-3855
Hauptverfasser: Louwers, Yvonne V, de Jong, Frank H, van Herwaarden, Nathalie A. A, Stolk, Lisette, Fauser, Bart C. J. M, Uitterlinden, André G, Laven, Joop S. E
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container_end_page 3855
container_issue 9
container_start_page 3848
container_title The journal of clinical endocrinology and metabolism
container_volume 98
creator Louwers, Yvonne V
de Jong, Frank H
van Herwaarden, Nathalie A. A
Stolk, Lisette
Fauser, Bart C. J. M
Uitterlinden, André G
Laven, Joop S. E
description Context: Because of the elevated dehydroepiandrosterone sulfate (DHEAS) levels in polycystic ovary syndrome (PCOS) and the heritability of DHEAS serum levels, genes encoding the enzymes that control the sulfation of dehydroepiandrosterone (DHEA) to DHEAS and vice versa are obvious candidate genes to explain part of the heritability of PCOS. Objective: The objective of the study was to determine the role of genetic variants in sulfotransferase (SULT2A1), 3-phosphoadenosine 5-phosphosulfate synthase isoform 2 (PAPSS2), and steroid sulfatase (STS) in PCOS and in hormone levels related to the hyperandrogenic phenotype of PCOS. Design: This was a candidate-gene study. Patients: The discovery set consisted of 582 patients and 2017 controls. Main Outcome Measures: A pruned subset of 28 single-nucleotide polymorphisms (SNPs) in SULT2A1, PAPSS2, and STS was generated based on pairwise genotypic correlation. Association with PCOS was tested, and we studied whether the SNPs modulate DHEAS levels, DHEA levels, and their ratio in PCOS. Significant SNPs were replicated in an independent sample of patients. Results: None of the SNPs in SULT2A1, PAPSS2, and STS constituted risk alleles for PCOS. SNP rs2910397 in SULT2A1 decreased the DHEAS to DHEA ratio in PCOS by 5% in the discovery sample. Meta-analysis of discovery and replication sample resulted in a combined effect of −0.095 (P = .027). However, carrying the minor T allele did not contribute to differences in the hyperandrogenic phenotype, including the levels of T and androstenedione, of PCOS patients. Conclusions: Genetic variants in SULT2A1, PAPSS2, and STS do not predispose to PCOS. Although a variant in SULT2A1 decreased the DHEAS to DHEA ratio, no changes in other androgenic hormone levels were observed.
doi_str_mv 10.1210/jc.2013-1976
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Patients: The discovery set consisted of 582 patients and 2017 controls. Main Outcome Measures: A pruned subset of 28 single-nucleotide polymorphisms (SNPs) in SULT2A1, PAPSS2, and STS was generated based on pairwise genotypic correlation. Association with PCOS was tested, and we studied whether the SNPs modulate DHEAS levels, DHEA levels, and their ratio in PCOS. Significant SNPs were replicated in an independent sample of patients. Results: None of the SNPs in SULT2A1, PAPSS2, and STS constituted risk alleles for PCOS. SNP rs2910397 in SULT2A1 decreased the DHEAS to DHEA ratio in PCOS by 5% in the discovery sample. Meta-analysis of discovery and replication sample resulted in a combined effect of −0.095 (P = .027). However, carrying the minor T allele did not contribute to differences in the hyperandrogenic phenotype, including the levels of T and androstenedione, of PCOS patients. Conclusions: Genetic variants in SULT2A1, PAPSS2, and STS do not predispose to PCOS. 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Psychology ; Genetic Predisposition to Disease ; Genotype ; Humans ; Hyperandrogenism - blood ; Hyperandrogenism - genetics ; Medical sciences ; Multienzyme Complexes - genetics ; Polycystic Ovary Syndrome - blood ; Polycystic Ovary Syndrome - genetics ; Polymorphism, Single Nucleotide ; Steryl-Sulfatase - genetics ; Sulfate Adenylyltransferase - genetics ; Sulfotransferases - genetics ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vertebrates: endocrinology</subject><ispartof>The journal of clinical endocrinology and metabolism, 2013-09, Vol.98 (9), p.3848-3855</ispartof><rights>Copyright © 2013 by The Endocrine Society</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4481-8d9406447087a014992d4a82db31981f7ac88234dcfe8493fe703a1e77a81f263</citedby><cites>FETCH-LOGICAL-c4481-8d9406447087a014992d4a82db31981f7ac88234dcfe8493fe703a1e77a81f263</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27722709$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23861462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Louwers, Yvonne V</creatorcontrib><creatorcontrib>de Jong, Frank H</creatorcontrib><creatorcontrib>van Herwaarden, Nathalie A. A</creatorcontrib><creatorcontrib>Stolk, Lisette</creatorcontrib><creatorcontrib>Fauser, Bart C. J. M</creatorcontrib><creatorcontrib>Uitterlinden, André G</creatorcontrib><creatorcontrib>Laven, Joop S. E</creatorcontrib><title>Variants in SULT2A1 Affect the DHEA Sulphate to DHEA Ratio in Patients With Polycystic Ovary Syndrome But Not the Hyperandrogenic Phenotype</title><title>The journal of clinical endocrinology and metabolism</title><addtitle>J Clin Endocrinol Metab</addtitle><description>Context: Because of the elevated dehydroepiandrosterone sulfate (DHEAS) levels in polycystic ovary syndrome (PCOS) and the heritability of DHEAS serum levels, genes encoding the enzymes that control the sulfation of dehydroepiandrosterone (DHEA) to DHEAS and vice versa are obvious candidate genes to explain part of the heritability of PCOS. Objective: The objective of the study was to determine the role of genetic variants in sulfotransferase (SULT2A1), 3-phosphoadenosine 5-phosphosulfate synthase isoform 2 (PAPSS2), and steroid sulfatase (STS) in PCOS and in hormone levels related to the hyperandrogenic phenotype of PCOS. Design: This was a candidate-gene study. Patients: The discovery set consisted of 582 patients and 2017 controls. Main Outcome Measures: A pruned subset of 28 single-nucleotide polymorphisms (SNPs) in SULT2A1, PAPSS2, and STS was generated based on pairwise genotypic correlation. Association with PCOS was tested, and we studied whether the SNPs modulate DHEAS levels, DHEA levels, and their ratio in PCOS. Significant SNPs were replicated in an independent sample of patients. Results: None of the SNPs in SULT2A1, PAPSS2, and STS constituted risk alleles for PCOS. SNP rs2910397 in SULT2A1 decreased the DHEAS to DHEA ratio in PCOS by 5% in the discovery sample. Meta-analysis of discovery and replication sample resulted in a combined effect of −0.095 (P = .027). However, carrying the minor T allele did not contribute to differences in the hyperandrogenic phenotype, including the levels of T and androstenedione, of PCOS patients. Conclusions: Genetic variants in SULT2A1, PAPSS2, and STS do not predispose to PCOS. Although a variant in SULT2A1 decreased the DHEAS to DHEA ratio, no changes in other androgenic hormone levels were observed.</description><subject>Adult</subject><subject>Alleles</subject><subject>Biological and medical sciences</subject><subject>Dehydroepiandrosterone - blood</subject><subject>Dehydroepiandrosterone Sulfate - blood</subject><subject>Endocrinopathies</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetic Predisposition to Disease</subject><subject>Genotype</subject><subject>Humans</subject><subject>Hyperandrogenism - blood</subject><subject>Hyperandrogenism - genetics</subject><subject>Medical sciences</subject><subject>Multienzyme Complexes - genetics</subject><subject>Polycystic Ovary Syndrome - blood</subject><subject>Polycystic Ovary Syndrome - genetics</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Steryl-Sulfatase - genetics</subject><subject>Sulfate Adenylyltransferase - genetics</subject><subject>Sulfotransferases - genetics</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Vertebrates: endocrinology</subject><issn>0021-972X</issn><issn>1945-7197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE1v1DAQhi0Eokvhxhn5gsSBFH81to_bUlikFV2xLXCzXGdCsmTjYDtU-xv40zjKAhd8sWfmeWc8L0LPKTmjjJI3O3fGCOUF1bJ8gBZUi_NC5uAhWhDCaKEl-3qCnsS4I4QKcc4foxPGVUlFyRbo12cbWtuniNseb2_XN2xJ8bKuwSWcGsBvV1dLvB27obEJcPJz4pNNrZ8Um_yASf2lTQ3e-O7gDjG1Dl__tOGAt4e-Cn4P-GJM-KOfW64OAwQ7Fb5Bn9FNA71POfkUPaptF-HZ8T5Ft--ubi5Xxfr6_YfL5bpwQihaqEoLUgohiZI2r6Q1q4RVrLrjVCtaS-uUYlxUrgYlNK9BEm4pSGlzlZX8FL2a-w7B_xghJrNvo4Ousz34MRoqOGVaE0Uy-npGXfAxBqjNENp9Xs1QYib7zc6ZyX4z2Z_xF8fO490eqr_wH78z8PII2OhsV2cfXBv_cVIyJonOnJi5e98lCPF7N95DMA3YLjWG5CNKqYppMtE5KqYMzTI-y6CvvAttD0OAGM3Oj6HPlv7_178BFTesKQ</recordid><startdate>201309</startdate><enddate>201309</enddate><creator>Louwers, Yvonne V</creator><creator>de Jong, Frank H</creator><creator>van Herwaarden, Nathalie A. 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Psychology</topic><topic>Genetic Predisposition to Disease</topic><topic>Genotype</topic><topic>Humans</topic><topic>Hyperandrogenism - blood</topic><topic>Hyperandrogenism - genetics</topic><topic>Medical sciences</topic><topic>Multienzyme Complexes - genetics</topic><topic>Polycystic Ovary Syndrome - blood</topic><topic>Polycystic Ovary Syndrome - genetics</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Steryl-Sulfatase - genetics</topic><topic>Sulfate Adenylyltransferase - genetics</topic><topic>Sulfotransferases - genetics</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vertebrates: endocrinology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Louwers, Yvonne V</creatorcontrib><creatorcontrib>de Jong, Frank H</creatorcontrib><creatorcontrib>van Herwaarden, Nathalie A. A</creatorcontrib><creatorcontrib>Stolk, Lisette</creatorcontrib><creatorcontrib>Fauser, Bart C. J. M</creatorcontrib><creatorcontrib>Uitterlinden, André G</creatorcontrib><creatorcontrib>Laven, Joop S. E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of clinical endocrinology and metabolism</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Louwers, Yvonne V</au><au>de Jong, Frank H</au><au>van Herwaarden, Nathalie A. A</au><au>Stolk, Lisette</au><au>Fauser, Bart C. J. M</au><au>Uitterlinden, André G</au><au>Laven, Joop S. E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Variants in SULT2A1 Affect the DHEA Sulphate to DHEA Ratio in Patients With Polycystic Ovary Syndrome But Not the Hyperandrogenic Phenotype</atitle><jtitle>The journal of clinical endocrinology and metabolism</jtitle><addtitle>J Clin Endocrinol Metab</addtitle><date>2013-09</date><risdate>2013</risdate><volume>98</volume><issue>9</issue><spage>3848</spage><epage>3855</epage><pages>3848-3855</pages><issn>0021-972X</issn><eissn>1945-7197</eissn><coden>JCEMAZ</coden><abstract>Context: Because of the elevated dehydroepiandrosterone sulfate (DHEAS) levels in polycystic ovary syndrome (PCOS) and the heritability of DHEAS serum levels, genes encoding the enzymes that control the sulfation of dehydroepiandrosterone (DHEA) to DHEAS and vice versa are obvious candidate genes to explain part of the heritability of PCOS. Objective: The objective of the study was to determine the role of genetic variants in sulfotransferase (SULT2A1), 3-phosphoadenosine 5-phosphosulfate synthase isoform 2 (PAPSS2), and steroid sulfatase (STS) in PCOS and in hormone levels related to the hyperandrogenic phenotype of PCOS. Design: This was a candidate-gene study. Patients: The discovery set consisted of 582 patients and 2017 controls. Main Outcome Measures: A pruned subset of 28 single-nucleotide polymorphisms (SNPs) in SULT2A1, PAPSS2, and STS was generated based on pairwise genotypic correlation. Association with PCOS was tested, and we studied whether the SNPs modulate DHEAS levels, DHEA levels, and their ratio in PCOS. Significant SNPs were replicated in an independent sample of patients. Results: None of the SNPs in SULT2A1, PAPSS2, and STS constituted risk alleles for PCOS. SNP rs2910397 in SULT2A1 decreased the DHEAS to DHEA ratio in PCOS by 5% in the discovery sample. Meta-analysis of discovery and replication sample resulted in a combined effect of −0.095 (P = .027). However, carrying the minor T allele did not contribute to differences in the hyperandrogenic phenotype, including the levels of T and androstenedione, of PCOS patients. Conclusions: Genetic variants in SULT2A1, PAPSS2, and STS do not predispose to PCOS. Although a variant in SULT2A1 decreased the DHEAS to DHEA ratio, no changes in other androgenic hormone levels were observed.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>23861462</pmid><doi>10.1210/jc.2013-1976</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Alleles
Biological and medical sciences
Dehydroepiandrosterone - blood
Dehydroepiandrosterone Sulfate - blood
Endocrinopathies
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Genetic Predisposition to Disease
Genotype
Humans
Hyperandrogenism - blood
Hyperandrogenism - genetics
Medical sciences
Multienzyme Complexes - genetics
Polycystic Ovary Syndrome - blood
Polycystic Ovary Syndrome - genetics
Polymorphism, Single Nucleotide
Steryl-Sulfatase - genetics
Sulfate Adenylyltransferase - genetics
Sulfotransferases - genetics
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vertebrates: endocrinology
title Variants in SULT2A1 Affect the DHEA Sulphate to DHEA Ratio in Patients With Polycystic Ovary Syndrome But Not the Hyperandrogenic Phenotype
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