PMID- 17540666 OWN - NLM STAT- MEDLINE DCOM- 20071113 LR - 20220310 IS - 1360-9947 (Print) IS - 1360-9947 (Linking) VI - 13 IP - 8 DP - 2007 Aug TI - Allelic estrogen receptor 1 (ESR1) gene variants predict the outcome of ovarian stimulation in in vitro fertilization. PG - 521-6 AB - The outcome of in vitro fertilization (IVF) depends substantially on the effectiveness of controlled ovarian hyperstimulation (COH) induced by administration of follicle-stimulating hormone (FSH). In COH, endogenously produced estrogens extend the action of FSH in stimulating folliculogenesis. We determined the associations between genetic variations in estrogen receptor ESR1 and ESR2 genes and etiology of female infertility, and analysed the influence of these variations on COH outcome-the quantity and quality of oocytes retrieved. ESR1 PvuII T/C (rs2234693) and XbaI A/G (rs9340799) single-nucleotide polymorphisms (SNPs) and (TA)n microsatellite polymorphism, as well as ESR2 RsaI G/A (rs1256049) SNP and (CA)n microsatellite polymorphism were genotyped in 159 IVF patients. The ovarian response to FSH was diminished in patients with endometriosis when compared to tubal factor infertility. ESR1 PvuII and XbaI as well as ESR2 RsaI SNPs were associated with the microsatellite length of the respective genes. Shorter ESR1 (TA)n was linked with a higher risk for unexplained infertility, whereas longer ESR1 (TA)n associated with PvuII*C allele were predictive of a better COH, but not clinical pregnancy outcome in an age-independent manner. These data suggest the variations in ESR1 gene, in addition to the age of a woman, may predict the COH outcome in IVF. FAU - Altmae, Signe AU - Altmae S AD - Department of Biotechnology, Institute of Molecular and Cell Biology, Estonian Genome Project, University of Tartu, Estonia, and Department of Clinical Science, Intervention and Technology, Karolinska University Hospital Huddinge, Stockholm, Sweden. FAU - Haller, Kadri AU - Haller K FAU - Peters, Maire AU - Peters M FAU - Hovatta, Outi AU - Hovatta O FAU - Stavreus-Evers, Anneli AU - Stavreus-Evers A FAU - Karro, Helle AU - Karro H FAU - Metspalu, Andres AU - Metspalu A FAU - Salumets, Andres AU - Salumets A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20070530 PL - England TA - Mol Hum Reprod JT - Molecular human reproduction JID - 9513710 RN - 0 (Estrogen Receptor alpha) RN - 0 (Estrogen Receptor beta) RN - 9002-68-0 (Follicle Stimulating Hormone) SB - IM MH - Adult MH - Alleles MH - Estrogen Receptor alpha/*genetics MH - Estrogen Receptor beta/genetics MH - Female MH - *Fertilization in Vitro MH - Follicle Stimulating Hormone/*therapeutic use MH - Humans MH - Infertility, Female/genetics/*therapy MH - Microsatellite Repeats/genetics MH - *Ovulation Induction MH - Polymorphism, Single Nucleotide MH - Pregnancy MH - Pregnancy Outcome/*genetics MH - Prognosis EDAT- 2007/06/02 09:00 MHDA- 2007/11/14 09:00 CRDT- 2007/06/02 09:00 PHST- 2007/06/02 09:00 [pubmed] PHST- 2007/11/14 09:00 [medline] PHST- 2007/06/02 09:00 [entrez] AID - gam035 [pii] AID - 10.1093/molehr/gam035 [doi] PST - ppublish SO - Mol Hum Reprod. 2007 Aug;13(8):521-6. doi: 10.1093/molehr/gam035. Epub 2007 May 30.