G-protein-coupled estrogen receptor-30 gene polymorphisms are associated with uterine leiomyoma risk

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This study identified that specific GPR30 gene polymorphisms, particularly the rs3808351 GG genotype and G allele, are associated with increased risk and characteristics of uterine leiomyoma in a Turkish population.

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This study investigated the association between G-protein-coupled estrogen receptor-30 (GPR30) gene polymorphisms and the risk of uterine leiomyoma in a cohort of perimenopausal women. Researchers compared hormone levels and genotyped specific single nucleotide polymorphisms in 111 patients with leiomyomas against 78 healthy controls, finding that the G allele and GG genotype of rs3808351 significantly increased susceptibility to the condition. The analysis also revealed that these genetic variants were linked to the development of single rather than multiple leiomyomas, although no significant correlation was observed with tumor volume. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

The G-protein-coupled estrogen receptor (GPR30, GPER-1) is a member of the G-protein-coupled receptor 1 family and is expressed significantly in uterine leiomyomas. To understand the relationship between GPR30 single nucleotide polymorphisms and the risk of leiomyoma, we measured the follicle-stimulating hormone (FSH) and estradiol (E2) levels of 78 perimenopausal healthy women and 111 perimenopausal women with leiomyomas. The participants' leiomyoma number and volume were recorded. DNA was extracted from whole blood with a GeneJET Genomic DNA Purification Kit. An amplification-refractory mutation system polymerase chain reaction approach was used for genotyping of the GPR30 gene (rs3808350, rs3808351, and rs11544331). The differences in genotype and allele frequencies between the leiomyoma and control groups were calculated using the chi-square (χ2) and Fischer's exact test. The median FSH level was higher in controls (63 vs. 10 IU/L, p=0.000), whereas the median E2 level was higher in the leiomyoma group (84 vs. 9.1 pg/mL, p=0.000). The G allele of rs3808351 and the GG genotype of both the rs3808350 and rs3808351 polymorphisms and the GGC haplotype increased the risk of developing leiomyoma. There was no significant difference in genotype frequencies or leiomyoma volume. However, the GG genotype of the GPR30 rs3808351 polymorphism and G allele of the GPR30 rs3808351 polymorphism were associated with the risk of having a single leiomyoma. Our results suggest that the presence of the GG genotype of the GPR30 rs3808351 polymorphism and the G allele of the GPR30 rs3808351 polymorphism affect the characteristics and development of leiomyomas in the Turkish population.
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G-protein-coupled estrogen receptor-30 gene polymorphisms are associated with uterine leiomyoma risk DOI: https://doi.org/10.17305/bjbms.2016.683Keywords: uterine leiomyoma, GPR30 (GPER1), gene, polymorphism, estrogen receptorAbstract The G-protein-coupled estrogen receptor (GPR30, GPER-1) is a member of the G-protein-coupled receptor 1 family and is expressed significantly in uterine leiomyomas. To understand the relationship between GPR30 single nucleotide polymorphisms and the risk of leiomyoma, we measured the follicle-stimulating hormone (FSH) and estradiol (E2) levels of 78 perimenopausal healthy women and 111 perimenopausal women with leiomyomas. The participants’ leiomyoma number and volume were recorded. DNA was extracted from whole blood with a GeneJET Genomic DNA Purification Kit. An amplification-refractory mutation system polymerase chain reaction approach was used for genotyping of the GPR30 gene (rs3808350, rs3808351, and rs11544331). The differences in genotype and allele frequencies between the leiomyoma and control groups were calculated using the chi-square (χ2) and Fischer’s exact test. The median FSH level was higher in controls (63 vs. 10 IU/L, p=0.000), whereas the median E2 level was higher in the leiomyoma group (84 vs. 9.1 pg/mL, p=0.000). The G allele of rs3808351 and the GG genotype of both the rs3808350 and rs3808351 polymorphisms and the GGC haplotype increased the risk of developing leiomyoma. There was no significant difference in genotype frequencies or leiomyoma volume. However, the GG genotype of the GPR30 rs3808351 polymorphism and G allele of the GPR30 rs3808351 polymorphism were associated with the risk of having a single leiomyoma. Our results suggest that the presence of the GG genotype of the GPR30 rs3808351 polymorphism and the G allele of the GPR30 rs3808351 polymorphism affect the characteristics and development of leiomyomas in the Turkish population. 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MeSH descriptors

Leiomyoma Polymorphism, Single Nucleotide Receptors, Estrogen Receptors, G-Protein-Coupled Uterine Neoplasms Adult Alleles Case-Control Studies Estradiol Estradiol Female Follicle Stimulating Hormone Follicle Stimulating Hormone Gene Frequency Genetic Predisposition to Disease Genotype Humans Leiomyoma Middle Aged Models, Statistical

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