Significance of a common single nucleotide polymorphism in exon 10 of the follicle-stimulating hormone (FSH) receptor gene for the ovarian response to FSH: a pharmacogenetic approach to controlled ovarian hyperstimulation

The p.N680S sequence variation of the follicle-stimulating hormone (FSH) receptor gene was previously shown to influence the ovarian response to FSH in normo-ovulatory women undergoing controlled ovarian hyperstimulation. In this prospective, randomized, controlled study, we tested whether the same...

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Veröffentlicht in:Pharmacogenetics and genomics 2005-07, Vol.15 (7), p.451-456
Hauptverfasser: Behre, Hermann M, Greb, Robert R, Mempel, Andrea, Sonntag, Barbara, Kiesel, Ludwig, Kaltwaer, Petra, Seliger, Ewald, Röpke, Friedrich, Gromoll, Jörg, Nieschlag, Eberhard, Simoni, Manuela
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container_issue 7
container_start_page 451
container_title Pharmacogenetics and genomics
container_volume 15
creator Behre, Hermann M
Greb, Robert R
Mempel, Andrea
Sonntag, Barbara
Kiesel, Ludwig
Kaltwaer, Petra
Seliger, Ewald
Röpke, Friedrich
Gromoll, Jörg
Nieschlag, Eberhard
Simoni, Manuela
description The p.N680S sequence variation of the follicle-stimulating hormone (FSH) receptor gene was previously shown to influence the ovarian response to FSH in normo-ovulatory women undergoing controlled ovarian hyperstimulation. In this prospective, randomized, controlled study, we tested whether the same daily dose of FSH results in lower levels of oestradiol in women homozygous for the p.N680S sequence variation, and whether the difference can be overcome by higher FSH doses. Women undergoing controlled ovarian hyperstimulation for in vitro fertilization or intracytoplasmic sperm injection and homozygous for the wild-type or for the p.N680S FSH receptor were randomly assigned to group I (Ser/Ser, n=24), receiving an FSH dose of 150 U/day, or group II (Ser/Ser, n=25), receiving an FSH dose of 225 U/day. In group III (Asn/Asn, n=44), the FSH dose was 150 U/day. Age and basal FSH levels were not different between groups. At ovulation induction, total FSH doses were comparable in group I (1631±96 U) and group III (1640±57 U) but significantly higher in group II (2421±112 U) (P
doi_str_mv 10.1097/01.fpc.0000167330.92786.5e
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In this prospective, randomized, controlled study, we tested whether the same daily dose of FSH results in lower levels of oestradiol in women homozygous for the p.N680S sequence variation, and whether the difference can be overcome by higher FSH doses. Women undergoing controlled ovarian hyperstimulation for in vitro fertilization or intracytoplasmic sperm injection and homozygous for the wild-type or for the p.N680S FSH receptor were randomly assigned to group I (Ser/Ser, n=24), receiving an FSH dose of 150 U/day, or group II (Ser/Ser, n=25), receiving an FSH dose of 225 U/day. In group III (Asn/Asn, n=44), the FSH dose was 150 U/day. Age and basal FSH levels were not different between groups. At ovulation induction, total FSH doses were comparable in group I (1631±96 U) and group III (1640±57 U) but significantly higher in group II (2421±112 U) (P&lt;0.001). Peak oestradiol levels on the day of human chorionic gonadotrophin (hCG) administration were significantly lower in group I (5680±675 pmol/l) compared to group III (8679±804 pmol/l) (P=0.028). Increasing the FSH dose from 150 to 225 U/day overcame the lower oestradiol response in women with Ser/Ser (group II, 7804±983 pmol/l). In women undergoing controlled ovarian hyperstimulation, the p.N680S sequence variation results in lower oestradiol levels following FSH stimulation. 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Peak oestradiol levels on the day of human chorionic gonadotrophin (hCG) administration were significantly lower in group I (5680±675 pmol/l) compared to group III (8679±804 pmol/l) (P=0.028). Increasing the FSH dose from 150 to 225 U/day overcame the lower oestradiol response in women with Ser/Ser (group II, 7804±983 pmol/l). In women undergoing controlled ovarian hyperstimulation, the p.N680S sequence variation results in lower oestradiol levels following FSH stimulation. This lower FSH receptor sensitivity can be overcome by higher FSH doses.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cell receptors</subject><subject>Cell structures and functions</subject><subject>Chorionic Gonadotropin - therapeutic use</subject><subject>Estradiol - secretion</subject><subject>Exons - genetics</subject><subject>Female</subject><subject>Follicle Stimulating Hormone, Human - blood</subject><subject>Follicle Stimulating Hormone, Human - therapeutic use</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>General pharmacology</subject><subject>Genotype</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Molecular and cellular biology</subject><subject>Ovary - drug effects</subject><subject>Ovary - physiology</subject><subject>Ovulation Induction</subject><subject>Pharmacogenetics</subject><subject>Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions</subject><subject>Pharmacology. Drug treatments</subject><subject>Polymerase Chain Reaction</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Prospective Studies</subject><subject>Receptors, FSH - genetics</subject><subject>Recombinant Proteins - therapeutic use</subject><issn>1744-6872</issn><issn>1744-6880</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkcFu1DAURSMEoqXwC8hCApVFgu0kdtIdqlqKVIlFYW15nOeJwbGD7VDmY_kXnM5oxhtbeufed-VbFO8Irgju-SdMKj2rCudDGK9rXPWUd6xq4VlxTnjTlKzr8PPjm9Oz4lWMPzGuWd_Ql8UZaXuOeU_Pi38PZuuMNko6BchrJJHy0-QdisZtLSC3KAs-mQHQ7O1u8mEeTZyQcQj-ZozgVZVGQNpbazJcxmSmxcqUDdDoQzYDdHn7cPcRBVAwJx_QFtwqCE9C_0cGI12extm7CCh5lPGrnGUeZZik8iufjEJynoOXalwR5V0KeScMR4dxN0M4rvfudfFCSxvhzeG-KH7c3ny_vivvv335ev35vlRN29GSDpg07dBJRjsiWdupTrOBDjVnje5rqnsNmtK23nAghPcDx7QFwuuGbbRWsr4oPux9c7rfC8QkJhMVWCsd-CUKxntGGCUZvNqDKvgYA2gxBzPJsBMEi7VcgYnI5YpTueKpXNFCFr89bFk2Ewwn6aHNDLw_ADIqaXXIpZp44lhPWoJ55po99-htyh_2yy6PEMQI0qYxJ8hBMSElxbjFPAcp1zS0_g9dJ8Mt</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Behre, Hermann M</creator><creator>Greb, Robert R</creator><creator>Mempel, Andrea</creator><creator>Sonntag, Barbara</creator><creator>Kiesel, Ludwig</creator><creator>Kaltwaer, Petra</creator><creator>Seliger, Ewald</creator><creator>Röpke, Friedrich</creator><creator>Gromoll, Jörg</creator><creator>Nieschlag, Eberhard</creator><creator>Simoni, Manuela</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><general>Lippincott Williams and Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200507</creationdate><title>Significance of a common single nucleotide polymorphism in exon 10 of the follicle-stimulating hormone (FSH) receptor gene for the ovarian response to FSH: a pharmacogenetic approach to controlled ovarian hyperstimulation</title><author>Behre, Hermann M ; Greb, Robert R ; Mempel, Andrea ; Sonntag, Barbara ; Kiesel, Ludwig ; Kaltwaer, Petra ; Seliger, Ewald ; Röpke, Friedrich ; Gromoll, Jörg ; Nieschlag, Eberhard ; Simoni, Manuela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4582-2d0145d8a6281a658c8f6d2d3764f932f9fef2253b7e1179d7025e17346bffca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cell receptors</topic><topic>Cell structures and functions</topic><topic>Chorionic Gonadotropin - therapeutic use</topic><topic>Estradiol - secretion</topic><topic>Exons - genetics</topic><topic>Female</topic><topic>Follicle Stimulating Hormone, Human - blood</topic><topic>Follicle Stimulating Hormone, Human - therapeutic use</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>General pharmacology</topic><topic>Genotype</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Molecular and cellular biology</topic><topic>Ovary - drug effects</topic><topic>Ovary - physiology</topic><topic>Ovulation Induction</topic><topic>Pharmacogenetics</topic><topic>Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions</topic><topic>Pharmacology. 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In this prospective, randomized, controlled study, we tested whether the same daily dose of FSH results in lower levels of oestradiol in women homozygous for the p.N680S sequence variation, and whether the difference can be overcome by higher FSH doses. Women undergoing controlled ovarian hyperstimulation for in vitro fertilization or intracytoplasmic sperm injection and homozygous for the wild-type or for the p.N680S FSH receptor were randomly assigned to group I (Ser/Ser, n=24), receiving an FSH dose of 150 U/day, or group II (Ser/Ser, n=25), receiving an FSH dose of 225 U/day. In group III (Asn/Asn, n=44), the FSH dose was 150 U/day. Age and basal FSH levels were not different between groups. At ovulation induction, total FSH doses were comparable in group I (1631±96 U) and group III (1640±57 U) but significantly higher in group II (2421±112 U) (P&lt;0.001). Peak oestradiol levels on the day of human chorionic gonadotrophin (hCG) administration were significantly lower in group I (5680±675 pmol/l) compared to group III (8679±804 pmol/l) (P=0.028). Increasing the FSH dose from 150 to 225 U/day overcame the lower oestradiol response in women with Ser/Ser (group II, 7804±983 pmol/l). In women undergoing controlled ovarian hyperstimulation, the p.N680S sequence variation results in lower oestradiol levels following FSH stimulation. This lower FSH receptor sensitivity can be overcome by higher FSH doses.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>15970792</pmid><doi>10.1097/01.fpc.0000167330.92786.5e</doi><tpages>6</tpages></addata></record>
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subjects Adolescent
Adult
Biological and medical sciences
Cell receptors
Cell structures and functions
Chorionic Gonadotropin - therapeutic use
Estradiol - secretion
Exons - genetics
Female
Follicle Stimulating Hormone, Human - blood
Follicle Stimulating Hormone, Human - therapeutic use
Fundamental and applied biological sciences. Psychology
General pharmacology
Genotype
Humans
Medical sciences
Miscellaneous
Molecular and cellular biology
Ovary - drug effects
Ovary - physiology
Ovulation Induction
Pharmacogenetics
Pharmacokinetics. Pharmacogenetics. Drug-receptor interactions
Pharmacology. Drug treatments
Polymerase Chain Reaction
Polymorphism, Single Nucleotide
Prospective Studies
Receptors, FSH - genetics
Recombinant Proteins - therapeutic use
title Significance of a common single nucleotide polymorphism in exon 10 of the follicle-stimulating hormone (FSH) receptor gene for the ovarian response to FSH: a pharmacogenetic approach to controlled ovarian hyperstimulation
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