Review Article

Fat Mass and Obesity Associated Gene Polymorphism and the Risk of Polycystic Ovary Syndrome: A Meta-analysis

Abstract

Background: We aimed to elucidate the association between fat mass and obesity associated gene (FTO) polymorphism and the risk of polycystic ovary syndrome (PCOS) by meta-analysis.

Methods: We searched PubMed and Embase databases to find the relevant studies. Odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) were used for pooled analysis. Statistical analyses were carried out by using R 3.12 software. Heterogeneity was assessed using I2 and Q statistics. I2>50% or P<0.05 was considered as heterogeneity statistically, and random effects model was used for pooled analysis. Otherwise, fixed-effect model was used.

Results: Twelve eligible studies that published from 2008 to 2015 were included in this meta-analysis. The pooled analyses showed that rs9939609 polymorphism of FTO gene was significantly associated with risk of PCOS under A vs. T, AT vs. TT, AA vs. TT, AA vs. AT+TT and AA+AT vs. TT genetic models. However, for rs8050136 and rs1421085, significant association was only found under recessive genetic model.

Conclusion: rs9939609 variation of FTO gene is significantly associated with risk of PCOS. However, the association between rs8050136, rs1421085, and PCOS is still unclear and needs further confirmation.

 

Moran C, Tena G, Moran S, Ruiz P, Reyna R, Duque X (2010). Prevalence of polycystic ovary syndrome and related disorders in Mexican women. Gynecol Obstet Invest, 69 (4): 274-280.

Teede H, Deeks A, Moran L (2010). Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med, 8: 41.

Tehrani FR, Simbar M, Tohidi M, Hosseinpanah F, Azizi F (2011). The prevalence of polycystic ovary syndrome in a community sample of Iranian population: Iranian PCOS prevalence study. Reprod Biol Endocrinol, 9: 39.

Jedel E, Waern M, Gustafson D, Landen M, Eriksson E, Holm G, et al. (2010). Anxiety and depression symptoms in women with polycystic ovary syndrome compared with controls matched for body mass index. Hum Reprod, 25 (2): 450-456.

Legro RS, Brzyski RG, Diamond MP, Coutifaris C, Schlaff WD, et al. (2014). Letrozole versus clomiphene for infertility in the polycystic ovary syndrome. N Engl J Med, 371 (2): 119-129.

Tang T, Lord JM, Norman RJ, Yasmin E, Balen AH (2010). Insulin‐sensitising drugs (metformin, rosiglitazone, pioglitazone, D‐chiro‐inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility. Cochrane Database Syst Rev, (1):CD003053.

Altersitz K, Tiver A (2014). Obesity, PCOS led to severe insulin resistance in adolescent females. http://www.healio.com/endocrinology/pediatric-endocrinology/news/online/%7Bf1c53183-aef8-4b3d-8493-12979750251b%7D/obesity-pcos-led-to-severe-insulin-resistance-in-adolescent-females

Song DK, Lee H, Oh JY, Hong YS, Sung YA (2014). FTO Gene Variants Are Associated with PCOS Susceptibility and Hyperandrogenemia in Young Korean Women. Diabetes Metab J, 38 (4): 302-310.

Yan Q, Hong J, Gu W, Zhang Y, Liu Q, Su Y, Zhang Y, Li X, Cui B, Ning G (2009). Association of the common rs9939609 variant of FTO gene with polycystic ovary syndrome in Chinese women. Endocrine, 36 (3): 377-382.

Kim JJ, Choi YM, Hong MA, Kim JM, Hwang SS, Lee GH, et al. (2014). Gene dose effect between a fat mass and obesity-associated polymorphism and body mass index was observed in Korean women with polycystic ovary syndrome but not in control women. Fertil Steril, 102 (4): 1143-1148.

Wells GA, Shea B, O’connell D, Peterson JEA, Welch V, Losos M, Tugwell P (2000). The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. http://www.evidencebasedpublichealth.de/download/Newcastle_Ottowa_Scale_Pope_Bruce.pdf.

Schaid DJ, Jacobsen SJ (1999). Biased Tests of Association: comparisons of allele frequencies when departing from Hardy-Weinberg proportions. Am J Epidemiol, 149 (8): 706-711.

Lau J, Ioannidis JP, Schmid CH (1997). Quantitative synthesis in systematic reviews. Ann Intern Med, 127 (9): 820-6.

Egger M, Smith GD, Schneider M, Minder C (1997). Bias in meta-analysis detected by a simple, graphical test. BMJ, 315 (7109): 629-634.

Attaoua R, El Mkadem SA, Radian S, Fica S, Hanzu F, Albu A, Gheorghiu M, Coculescu M, Grigorescu F (2008). FTO gene associates to metabolic syndrome in women with polycystic ovary syndrome. Biochem Biophys Res Commun, 373 (2): 230-4.

Barber T, Bennett A, Groves C, Sovio U, Ruokonen A, Martikainen H, Pouta A, Hartikainen A-L, Elliott P, Lindgren C, et al. (2008). Association of variants in the fat mass and obesity associated (FTO) gene with polycystic ovary syndrome. Diabetologia, 51 (7): 1153-1158.

Hatziagelaki E, Wagner R, Kantartzis K, Heni M, Linder K, Ketterer C, et al. (2012). Insulin resistant phenotype of polycystic ovary syndrome does not seem to be caused by variation in FTO. Horm Metab Res, 44 (11): 810-3.

Kim JJ, Choi YM, Cho YM, Hong MA, Chae SJ, Hwang KR, et al. (2012). Polycystic ovary syndrome is not associated with polymorphisms in the TCF7L2, CDKAL1, HHEX, KCNJ11, FTO and SLC30A8 genes. Clin Endocrinol (Oxf), 77 (3): 439-445.

Li T, Wu K, You L, Xing X, Wang P, Cui L, Liu H, Cui Y, Bian Y, et al. (2013). Common variant rs9939609 in gene FTO confers risk to polycystic ovary syndrome. PloS One, 8 (7): e66250.

Ramos RB, Spritzer PM (2015). FTO gene variants are not associated with polycystic ovary syndrome in women from Southern Brazil. Gene, 560 (1): 25-29.

Saxena R, Welt C (2013). Polycystic ovary syndrome is not associated with genetic variants that mark risk of type 2 diabetes. Acta Diabetol, 50 (3): 451-457.

Xue H, Zhao H, Zhao Y, Liu X, Chen Z, Ma J (2015). Association of common variants of FTO in women with polycystic ovary syndrome. Int J Clin Exp Pathol, 8 (10): 13505-9.

Yuan H, Zhu G, Wang F, Wang X, Guo H, Shen M (2015). Interaction between common variants of FTO and MC4R is associated with risk of PCOS. Reprod Biol Endocrinol, 13:55.

Cai X, Liu C, Mou S (2014). Association between fat mass-and obesity-associated (FTO) gene polymorphism and polycystic ovary syndrome: a meta-analysis. PloS One, 9 (1): e86972.

Kim JJ, Choi YM, Hwang KR, Chae SJ, Lee GH, Moon SY (2013). A gene dosage effect between FTO gene and BMI was observed mainly in non-obese women with polycystic ovary syndrome. Fertil Steril, 100 (3): S127.

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IssueVol 46 No 1 (2017) QRcode
SectionReview Article(s)
Keywords
FTO gene SNP PCOS Meta-analysis

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How to Cite
1.
LIU Y, CHEN Y. Fat Mass and Obesity Associated Gene Polymorphism and the Risk of Polycystic Ovary Syndrome: A Meta-analysis. Iran J Public Health. 2017;46(1):4-11.