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Please use this identifier to cite or link to this item:
https://ir.csmu.edu.tw:8080/ir/handle/310902500/23808
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Title: | Association between GnRH Receptor Polymorphisms and Luteinizing Hormone Levels for Low Ovarian Reserve Infertile Women |
Authors: | Weng, SL;Tzeng, SL;Lee, CI;Liu, CH;Huang, CC;Yang, SF;Lee, MS;Lee, TH |
Keywords: | GnRH receptor;anti-Mullerian hormone;assisted reproduction technology;single nucleotide polymorphism;poor responders;POSEIDON criteria;GnRH antagonist;GnRH agonist |
Date: | 2021 |
Issue Date: | 2022-08-05T09:43:12Z (UTC)
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Publisher: | MDPI |
Abstract: | The choice of ovarian stimulation protocols in assisted reproduction technology (ART) cycles for low ovarian reserve patients is challenging. Our previous report indicated that the gonadotrophin-releasing (GnRH) agonist (GnRHa) protocol is better than the GnRH antagonist (GnRHant) protocol for young age poor responders. Here, we recruited 269 patients with anti-Mullerian hormone (AMH) < 1.2 ng/mL undergoing their first ART cycles for this nested case-control study. We investigated the genetic variants of the relevant genes, including follicular stimulating hormone receptor (FSHR; rs6166), AMH (rs10407022), GnRH (rs6185), and GnRH receptor (GnRHR; rs3756159) in patients <35 years (n = 86) and patients >= 35 years of age (n = 183). Only the genotype of GnRHR (rs3756159) is distributed differently in young (CC 39.5%, CT/TT 60.5%) versus advanced (CC 24.0%, CT/TT 76.0%) age groups (recessive model, p = 0.0091). Furthermore, the baseline luteinizing hormone (LH) levels (3.60 (2.45 to 5.40) vs. 4.40 (2.91 to 6.48)) are different between CC and CT/TT genotype of GnRHR (rs3756159). In conclusion, the genetic variants of GnRHR (rs3756159) could modulate the release of LH in the pituitary gland and might then affect the outcome of ovarian stimulation by GnRHant or GnRHa protocols for patients with low AMH levels. |
URI: | http://dx.doi.org/10.3390/ijerph18137006 https://www.webofscience.com/wos/woscc/full-record/WOS:000671168300001 https://ir.csmu.edu.tw:8080/handle/310902500/23808 |
Relation: | INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH ,2021,v18,issue 13 |
Appears in Collections: | [中山醫學大學研究成果] 期刊論文
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