Volume 72, Issue 12 (March 2015)                   Tehran Univ Med J 2015, 72(12): 808-813 | Back to browse issues page

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Asadi R, Mohamadynejad P, Davari Tanha F, Safarpour M, Ebrahimi A. The -351A>G genetic polymorphism in the estrogen receptor alpha gene and risk of endometriosis: a case-control study. Tehran Univ Med J. 2015; 72 (12) :808-813
URL: http://tumj.tums.ac.ir/article-1-6531-en.html
1- Department of Biology, Faculty of Basic Sciences, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran.
2- Department of Obstetrics & Gynecology, and Reproductive Endocrinology, Vali-e-asr Reproductive Health Center, Tehran, University of Medical Science, Tehran, Iran.
3- Cellular and Molecular Research Center, Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Cellular and Molecular Research Center, Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , ae35m@yahoo.com
Abstract:   (4789 Views)
Background: The major issue to address in endometriosis etiology is to identify the genetic changes in the disease and their occurrence in different populations. Uncovering these genetic changes may be important in developing potential biomarkers for early diagnosis and prognosis of endometriosis. Among all endometriosis susceptibility genes studied before, convincing association has been found with variants in the estrogen receptor alpha (ESR1) gene and this disease however, the contributions of these genetic variants in different populations and ethnic groups are not similar. Accordingly, this study was carried out to replicate the previous findings to assess whether this polymorphism is associated with endometriosis in Iranian women. Methods: A case-control study was designed to determine the possible association between ESR1-351A>G variant and occurrence of endometriosis. The study group consisted of 100 subjects diagnosed with endometriosis as case group and 100 fertile women without endometriosis as controls recruited from subjects referred to the Tehran Women’s General Hospital between January to September 2013. All subjects were genotyped for this marker using amplification refractory mutation system- polymerase chain reaction (ARMS-PCR). Association of risk allele (G) with endometriosis was as-sessed using PLINK software after age adjustment. Results: The results showed that the genotype frequencies were in Hardy-Weinberg Equilibrium (HWE) in both case (F=0.04, P:0.67) and control (F=0.02, P:0.83) groups. In addition, there were no significant differences between case and control groups in terms of genotype frequencies (P=0.17). Moreover, the results indicated that the presence of risk allele (G) did not significantly increase risk of endometriosis (OR: 1.43, 95%CI: 0.96-2.13, P=0.07). Conclusion: The results do not support the previous findings of an association between -351A>G genetic polymorphism in ESR1 gene and endometriosis. Therefore, comprehensive genetic approaches including linkage analyses and family-based tests, together with a number of replication studies with large sample size, are needed to make conclusive claims about the role of this genetic polymorphism in susceptibility to endometriosis.
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