Role of androgen receptor CAG repeat polymorphism length in hypothalamic progesterone sensitivity in hyperandrogenic adolescent girls
Role of androgen receptor CAG repeat polymorphism length in hypothalamic progesterone sensitivity in hyperandrogenic adolescent girls
Polycystic ovary syndrome (PCOS) is characterized by oligo/anovulation, hyperandrogenism, and in many cases, polycystic ovaries. Women with PCOS often exhibit persistently increased gonadotropin-releasing hormone (GnRH) pulse frequency compared to normal cycling women, contributing to enhanced luteinizing hormone (LH) secretion and increased androgen production [1]. Administration of progesterone (P) decreases GnRH pulse frequency in normal women, but the GnRH pulse generator in women with PCOS is relatively insensitive to P negative feedback [2]. Treatment with the androgen-receptor antagonist flutamide restores GnRH pulse generator sensitivity to P inhibition in women with PCOS [3]. Hyperandrogenemia in adolescence can represent a forerunner of adult PCOS, though the etiology of PCOS remains unclear. As a group, adolescent girls with HA display impaired GnRH pulse generator sensitivity to progesterone inhibition (i.e., reduced P-sensitivity). However, P-sensitivity is varied in HA girls, despite comparable levels of plasma free testosterone (T) [4] . The androgen receptor (AR) gene contains a polymorphic trinucleotide (CAG) repeat sequence located in the N-terminal transactivation domain of the AR [5] , and the number of CAG repeats influences AR activity. In vitro, expression of AR alleles with shorter CAG repeat lengths is associated with increased AR activity [6]. We measured AR CAG repeat length in a subgroup of subjects previously shown to have varied GnRH pulse generator sensitivity to P-mediated slowing [4] , hypothesizing that shorter AR CAG repeat length would be associated with reduced P-sensitivity in HA girls.
- University of Virginia Health System United States
Polymorphism, Genetic, Adolescent, Hypothalamus, Gonadotropin-Releasing Hormone, Trinucleotide Repeats, Receptors, Androgen, Case-Control Studies, Humans, Female, Hyperandrogenism, Alleles, Progesterone
Polymorphism, Genetic, Adolescent, Hypothalamus, Gonadotropin-Releasing Hormone, Trinucleotide Repeats, Receptors, Androgen, Case-Control Studies, Humans, Female, Hyperandrogenism, Alleles, Progesterone
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