Polycystic ovary syndrome is not associated with genetic variants that mark risk of type 2 diabetes

Acta Diabetol. 2013 Jun;50(3):451-7. doi: 10.1007/s00592-012-0383-4. Epub 2012 Mar 3.

Abstract

Polycystic ovary syndrome (PCOS) is a disorder of irregular menses, hyperandrogenism and/or polycystic ovary morphology. A large proportion of women with PCOS also exhibit insulin resistance, β-cell dysfunction, impaired glucose tolerance and/or type 2 diabetes (T2D). We therefore hypothesized that genetic variants that predispose to risk of T2D also result in risk of PCOS. Variants robustly associated with T2D in candidate gene or genome-wide association studies (GWAS; n = 56 SNPs from 33 loci) were genotyped in women of European ancestry with PCOS (n = 525) and controls (n = 472), aged 18-45 years. Metabolic, reproductive and anthropomorphic data were examined as a function of the T2D variants. All genetic association analyses were adjusted for age, BMI and ancestry and were reported after correction for multiple testing. There was a nominal association between variants in KCNJ11 and risk of PCOS. However, a risk score of 33 independent T2D-associated variants from GWAS was not significantly associated with PCOS. T2D variants were associated with PCOS phenotype parameters including those in THADA and WFS1 with testosterone levels, ENPP/PC1 with triglyceride levels, FTO with glucose levels and KCNJ11 with FSH levels. Diabetes risk variants are not important risk variants for PCOS.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Case-Control Studies
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / genetics*
  • Diabetes Mellitus, Type 2 / metabolism
  • Female
  • Follicle Stimulating Hormone, Human / blood
  • Genetic Variation
  • Genome-Wide Association Study
  • Humans
  • Hyperandrogenism / epidemiology
  • Hyperandrogenism / genetics*
  • Hyperandrogenism / metabolism
  • Membrane Proteins / genetics
  • Middle Aged
  • Neoplasm Proteins / genetics
  • Phosphoric Diester Hydrolases / genetics
  • Polycystic Ovary Syndrome / epidemiology*
  • Polycystic Ovary Syndrome / genetics*
  • Polycystic Ovary Syndrome / metabolism
  • Potassium Channels, Inwardly Rectifying / genetics
  • Pyrophosphatases / genetics
  • Quantitative Trait Loci / genetics
  • Risk Factors
  • Testosterone / blood
  • Triglycerides / blood
  • Young Adult

Substances

  • Follicle Stimulating Hormone, Human
  • Kir6.2 channel
  • Membrane Proteins
  • Neoplasm Proteins
  • Potassium Channels, Inwardly Rectifying
  • THADA protein, human
  • Triglycerides
  • wolframin protein
  • Testosterone
  • Phosphoric Diester Hydrolases
  • ectonucleotide pyrophosphatase phosphodiesterase 1
  • Pyrophosphatases