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Endocrine
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Endocrine
Article . 2011 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
Endocrine
Article . 2012
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Role of androgen receptor CAG repeat polymorphism length in hypothalamic progesterone sensitivity in hyperandrogenic adolescent girls

Authors: Michelle Y, Abshire; Susan K, Blank; Sandhya, Chhabra; Christopher R, McCartney; Christine A, Eagleson; John C, Marshall;

Role of androgen receptor CAG repeat polymorphism length in hypothalamic progesterone sensitivity in hyperandrogenic adolescent girls

Abstract

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.

Related Organizations
Keywords

Polymorphism, Genetic, Adolescent, Hypothalamus, Gonadotropin-Releasing Hormone, Trinucleotide Repeats, Receptors, Androgen, Case-Control Studies, Humans, Female, Hyperandrogenism, Alleles, Progesterone

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
bronze