Kim JH, Jeon YJ, Rah H, Lee BE, Choi DH, Lee WS, Kim NK. Tumor necrosis factor-alpha promoter polymorphisms are associated with idiopathic primary ovarian insufficiency in Korean women.
Fertil Steril 2012;
98:1260-5.e1-2. [PMID:
22884017 DOI:
10.1016/j.fertnstert.2012.07.1111]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2012] [Revised: 06/30/2012] [Accepted: 07/12/2012] [Indexed: 11/17/2022]
Abstract
OBJECTIVE
To investigate the possible association between primary ovarian insufficiency (POI) and TNF-α gene polymorphisms in Korean women.
DESIGN
Case-control study.
SETTING
An urban university-based hospital in South Korea.
PATIENT(S)
A cohort of 135 Korean POI patients and 236 controls.
INTERVENTION(S)
None.
MAIN OUTCOME MEASURE(S)
We analyzed TNF-α gene variants of all participants using the polymerase chain reaction-restriction fragment length polymorphism assay.
RESULT(S)
The TNF-α -1031TC+CC, -238GA+AA, -1031TC+CC/-308GG, -1031TT/-308GA+AA, -1031TC+CC/-238GA+AA, and -308GG/-238GA+AA genotypes were significantly more frequent in POI patients than in controls. Among the haplotypes for the three TNF-α loci, the -1031C/-308G/-238A haplotype was more frequent in POI patients than in controls and conferred POI susceptibility. In analyses of two loci, the -1031T/-308A, -1031C/-308G, -1031C/-238A, and -308G/-238A haplotypes were more frequent in POI patients.
CONCLUSION(S)
The TNF-α -1031C and -238A alleles had strong association with POI. The TNF-α -308A allele showed limited significance for POI risk with the presence of the -1031T allele. Our data suggest that the minor alleles of TNF-α promoter polymorphisms may increase POI risk in Korean women.
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