Вариабельность овариального ответа среди пациенток в программах экстракорпорального оплодотворения исключает возможность единого подхода к стимуляции функции яичников. Генетический скрининг может позволить прогнозировать исходы стимуляции супер- овуляции, индивидуализировать тем самым терапию бесплодия. Цель исследования – поиск молекулярно-генетических предикторов осо- бенностей фолликулогенеза, оогенеза, эмбриогенеза в программах вспомогательных репродуктивных технологий.
Variability in the subfertile patient population excludes the possibility of a single approach to controlled ovarian stimulation. Genetic screening may allow an individual patient’s response to stimulation during controlled ovarian stimulation to be predicted based on genotype. The objective of the study was to analyze the specific features of folliculogenesis, oogenesis, and embryogenesis in patients in relation to single nucleotide polymorphisms in assisted repro- ductive technology.
1. Zegers-Hochschild F, Adamson GD, de Mouzon J et al. The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminol- ogy, 2009. Hum Reprod 2009; 24 (11): 2683–7.
2. Rosenbluth EM, van Voorhis BJ. Evolving role of assisted reproductive technologies. Clin Obstet Gynecol 2011; 54 (4): 734–45.
3. Lledo B, Ortiz JA, Llacer J, Bernabeu R. Pharmacogenetics of ovarian re- sponse. Pharmacogenomics 2014; 15 (6): 885–93.
4. Boudjenah R, Molina-Gomes D, Torre A et al. Genetic polymorphisms in- fluence the ovarian response to rFSH stimulation in patients undergoing in vitro fertilization programs with ICSI. PloS one 2012; 7 (6): e38700.
5. Sunkara SK, Rittenberg V, Raine-Fenning N et al. Association between the number of eggs and live birth in IVF treatment: an analysis of 400 135 treatment cycles. Hum Reprod 2011; 26 (7): 1768–74.
6. Oehninger S. Ovulation induction in IVF. Minerva Ginecol 2011; 63 (2): 137–56.
7. Mutsatsa S, Currid TJ. Pharmacogenetics: a reality or misplaced opti- mism? J Psychiatr Ment Health Nurs 2013; 20 (4): 314–20.
8. Fauser BC, Diedrich K, Devroey P. Predictors of ovarian response: progress towards individualized treatment in ovulation induction and ovarian stimulation. Hum Reprod Update. 2008; 14 (1): 1–14.
9. Wang J, Pang GS, Chong SS, Lee CG. SNP web resources and their potential applications in personalized medicine. Current Drug Metab 2012; 13 (7): 978–90.
10. Altmae S, Hovatta O, Stavreus-Evers A, Salumets A. Genetic predictors of controlled ovarian hyperstimulation: where do we stand today? Hum Re- prod Update 2011; 17 (6): 813–28.
11. Laan M, Grigorova M, Huhtaniemi IT. Pharmacogenetics of follicle- stimulating hormone action. Curr Opinion Endocrinol Diabetes Obes 2012; 19 (3): 220–7.
12. Livshyts G, Podlesnaja S, Kravchenko S et al. A distribution of two SNPs in exon 10 of the FSHR gene among the women with a diminished ovarian reserve in Ukraine. J Assist Reprod Genet 2009; 26 (1): 29–34.
13. Lledo B, Guerrero J, Turienzo A et al. Effect of follicle-stimulating hor- mone receptor N680S polymorphism on the efficacy of follicle-stimulating hormone stimulation on donor ovarian response. Pharmacogenet Ge- nomics 2013; 23 (5): 262–8.
14. Mohiyiddeen L, Newman WG, Cerra C et al. FSH receptor genotype does not predict metaphase-II oocyte output or fertilization rates in ICSI pa- tients. Reprod Biomed Online 2013; 27 (3): 305–9.
15. Desai SS, Achrekar SK, Paranjape SR et al. Association of allelic combi- nations of FSHR gene polymorphisms with ovarian response. Reprod Bio- med Online 2013; 27 (4): 400–6.
16. Desai SS, Achrekar SK, Pathak BR et al. Follicle-stimulating hormone re- ceptor polymorphism (G-29A) is associated with altered level of receptor expression in Granulosa cells. J Clin Endocrinol Metab 2011; 96 (9): 2805–12.
17. Alviggi C, Clarizia R, Pettersson K et al. Suboptimal response to GnRHa long protocol is associated with a common LH polymorphism. Reprod Bio- med Online 2009; 18 (1): 9–14.
18. Bentov Y, Kenigsberg S, Casper RF. A novel luteinizing hormone/chori- onic gonadotropin receptor mutation associated with amenorrhea, low oocyte yield, and recurrent pregnancy loss. Fertil Steril 2012; 97 (5): 1165–8.
19. Haasl RJ, Ahmadi MR, Meethal SV et al. A luteinizing hormone receptor intronic variant is significantly associated with decreased risk of Alzheimer's disease in males carrying an apolipoprotein E epsilon4 allele. BMC Med Genet 2008; 9: 37.
20. Altmae S, Haller K, Peters M et al. Allelic estrogen receptor 1 (ESR1) gene variants predict the outcome of ovarian stimulation in in vitro fertilization. Mol Human Reprod 2007; 13 (8): 521–6.
21. Ayvaz OU, Ekmekci A, Baltaci V et al. Evaluation of in vitro fertilization parameters and estrogen receptor alpha gene polymorphisms for women with unexplained infertility. J Assist Reprod Genetics 2009; 26 (9–10): 503–10.
22. Hanevik HI, Hilmarsen HT, Skjelbred CF et al. Single nucleotide poly- morphisms in the anti-Mullerian hormone signalling pathway do not de- termine high or low response to ovarian stimulation. Reprod Biomed On- line 2010; 21 (5): 616–23.
23. Yoshida Y, Yamashita Y, Saito N et al. Analyzing the possible involvement of anti-Mullerian hormone and anti-Mullerian hormone receptor II single nucleotide polymorphism in infertility. J Assist Reprod Genet 2014; 31 (2): 163–8.
24. Dupakuntla M, Mahale SD. Accessibility of the extracellular loops of fol- licle stimulating hormone receptor and their role in hormone-receptor in- teraction. Mol Cell Endocrinol 2010; 315 (1–2): 131–7.
25. Moron FJ, Galan JJ, Ruiz A. Controlled ovarian hyperstimulation phar- macogenetics: a simplified model to genetically dissect estrogen-related diseases. Pharmacogenomics 2007; 8 (7): 775–85.
26. Yao Y, Ma CH, Tang HL, Hu YF. Influence of follicle-stimulating hormone receptor (FSHR) Ser680Asn polymorphism on ovarian function and in- vitro fertilization outcome: a meta-analysis. Mol Genet Metab 2011; 103 (4): 388–93.
27. Jun JK, Yoon JS, Ku SY et al. Follicle-stimulating hormone receptor gene polymorphism and ovarian responses to controlled ovarian hyperstimula- tion for IVF-ET. J Hum Genet 2006; 51 (8): 665–70.
28. Jiang X, Dias JA, He X. Structural biology of glycoprotein hormones and their receptors: insights to signaling. Mol Cell Endocrinol 2014; 382 (1): 424–51.
29. Berger K, Billerbeck AE, Costa EM et al. Frequency of the allelic variant (Trp8Arg/Ile15Thr) of the luteinizing hormone gene in a Brazilian cohort of healthy subjects and in patients with hypogonadotropic hypogonadism. Clinics 2005; 60 (6): 461–4.
30. Ziecik AJ, Kaczmarek MM, Blitek A et al. Novel biological and possible applicable roles of LH/hCG receptor. Mol Cell Endocrinol 2007; 269 (1–2): 51–60.
31. Perrier d’Hauterive S, Berndt S, Tsampalas M et al. Dialogue between blastocyst hCG and endometrial LH/hCG receptor: which role in implanta- tion? Gynecol Obstet Investig 2007; 64 (3): 156–60.
32. O’Brien T, Kalmin MM, Harralson AF et al. Association between the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) rs4073366 polymorphism and ovarian hyperstimulation syndrome dur- ing controlled ovarian hyperstimulation. Reprod Biol Endocrinol 2013; 11 (1): 71.
33. O’Brien TJ, Kalmin MM, Harralson AF et al. Association between the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) rs4073366 polymorphism and ovarian hyperstimulation syndrome dur- ing controlled ovarian hyperstimulation. Reproductive biology and en- docrinology 2013; 11 (1): 71.
34. Anagnostou E, Mavrogianni D, Theofanakis C et al. ESR1, ESR2 and FSH receptor gene polymorphisms in combination: a useful genetic tool for the prediction of poor responders. Curr Pharmaceutical Biotech 2012; 13 (3): 426–34.
35. Nelson SM, Yates RW, Lyall H et al. Anti-Mullerian hormone-based ap- proach to controlled ovarian stimulation for assisted conception. Hum Re- prod 2009; 24 (4): 867–75.
36. Kevenaar ME, Themmen AP, Laven JS et al. Anti-Mullerian hormone and anti-Mullerian hormone type II receptor polymorphisms are associ- ated with follicular phase estradiol levels in normo-ovulatory women. Hum Reprod 2007; 22 (6): 1547–54.
37. Ferraretti AP, La Marca A, Fauser BC et al. ESHRE consensus on the defi- nition of 'poor response' to ovarian stimulation for in vitro fertilization: the Bologna criteria. Hum Reprod 2011; 26 (7): 1616–24.
38. American Society of Reproductive Medicine. Ovarian hyperstimulation syndrome. Fertil Steril 2008; 90 (5. Suppl.): S188–193.
39. Delvigne A. Symposium: Update on prediction and management of OHSS. Epidemiology of OHSS. Reprod Biomed Online 2009; 19 (1): 8–13.
40. The Istanbul consensus workshop on embryo assessment: proceedings of an expert meeting. Hum Reprod 2011; 26 (6): 1270–83.
________________________________________________
1. Zegers-Hochschild F, Adamson GD, de Mouzon J et al. The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminol- ogy, 2009. Hum Reprod 2009; 24 (11): 2683–7.
2. Rosenbluth EM, van Voorhis BJ. Evolving role of assisted reproductive technologies. Clin Obstet Gynecol 2011; 54 (4): 734–45.
3. Lledo B, Ortiz JA, Llacer J, Bernabeu R. Pharmacogenetics of ovarian re- sponse. Pharmacogenomics 2014; 15 (6): 885–93.
4. Boudjenah R, Molina-Gomes D, Torre A et al. Genetic polymorphisms in- fluence the ovarian response to rFSH stimulation in patients undergoing in vitro fertilization programs with ICSI. PloS one 2012; 7 (6): e38700.
5. Sunkara SK, Rittenberg V, Raine-Fenning N et al. Association between the number of eggs and live birth in IVF treatment: an analysis of 400 135 treatment cycles. Hum Reprod 2011; 26 (7): 1768–74.
6. Oehninger S. Ovulation induction in IVF. Minerva Ginecol 2011; 63 (2): 137–56.
7. Mutsatsa S, Currid TJ. Pharmacogenetics: a reality or misplaced opti- mism? J Psychiatr Ment Health Nurs 2013; 20 (4): 314–20.
8. Fauser BC, Diedrich K, Devroey P. Predictors of ovarian response: progress towards individualized treatment in ovulation induction and ovarian stimulation. Hum Reprod Update. 2008; 14 (1): 1–14.
9. Wang J, Pang GS, Chong SS, Lee CG. SNP web resources and their potential applications in personalized medicine. Current Drug Metab 2012; 13 (7): 978–90.
10. Altmae S, Hovatta O, Stavreus-Evers A, Salumets A. Genetic predictors of controlled ovarian hyperstimulation: where do we stand today? Hum Re- prod Update 2011; 17 (6): 813–28.
11. Laan M, Grigorova M, Huhtaniemi IT. Pharmacogenetics of follicle- stimulating hormone action. Curr Opinion Endocrinol Diabetes Obes 2012; 19 (3): 220–7.
12. Livshyts G, Podlesnaja S, Kravchenko S et al. A distribution of two SNPs in exon 10 of the FSHR gene among the women with a diminished ovarian reserve in Ukraine. J Assist Reprod Genet 2009; 26 (1): 29–34.
13. Lledo B, Guerrero J, Turienzo A et al. Effect of follicle-stimulating hor- mone receptor N680S polymorphism on the efficacy of follicle-stimulating hormone stimulation on donor ovarian response. Pharmacogenet Ge- nomics 2013; 23 (5): 262–8.
14. Mohiyiddeen L, Newman WG, Cerra C et al. FSH receptor genotype does not predict metaphase-II oocyte output or fertilization rates in ICSI pa- tients. Reprod Biomed Online 2013; 27 (3): 305–9.
15. Desai SS, Achrekar SK, Paranjape SR et al. Association of allelic combi- nations of FSHR gene polymorphisms with ovarian response. Reprod Bio- med Online 2013; 27 (4): 400–6.
16. Desai SS, Achrekar SK, Pathak BR et al. Follicle-stimulating hormone re- ceptor polymorphism (G-29A) is associated with altered level of receptor expression in Granulosa cells. J Clin Endocrinol Metab 2011; 96 (9): 2805–12.
17. Alviggi C, Clarizia R, Pettersson K et al. Suboptimal response to GnRHa long protocol is associated with a common LH polymorphism. Reprod Bio- med Online 2009; 18 (1): 9–14.
18. Bentov Y, Kenigsberg S, Casper RF. A novel luteinizing hormone/chori- onic gonadotropin receptor mutation associated with amenorrhea, low oocyte yield, and recurrent pregnancy loss. Fertil Steril 2012; 97 (5): 1165–8.
19. Haasl RJ, Ahmadi MR, Meethal SV et al. A luteinizing hormone receptor intronic variant is significantly associated with decreased risk of Alzheimer's disease in males carrying an apolipoprotein E epsilon4 allele. BMC Med Genet 2008; 9: 37.
20. Altmae S, Haller K, Peters M et al. Allelic estrogen receptor 1 (ESR1) gene variants predict the outcome of ovarian stimulation in in vitro fertilization. Mol Human Reprod 2007; 13 (8): 521–6.
21. Ayvaz OU, Ekmekci A, Baltaci V et al. Evaluation of in vitro fertilization parameters and estrogen receptor alpha gene polymorphisms for women with unexplained infertility. J Assist Reprod Genetics 2009; 26 (9–10): 503–10.
22. Hanevik HI, Hilmarsen HT, Skjelbred CF et al. Single nucleotide poly- morphisms in the anti-Mullerian hormone signalling pathway do not de- termine high or low response to ovarian stimulation. Reprod Biomed On- line 2010; 21 (5): 616–23.
23. Yoshida Y, Yamashita Y, Saito N et al. Analyzing the possible involvement of anti-Mullerian hormone and anti-Mullerian hormone receptor II single nucleotide polymorphism in infertility. J Assist Reprod Genet 2014; 31 (2): 163–8.
24. Dupakuntla M, Mahale SD. Accessibility of the extracellular loops of fol- licle stimulating hormone receptor and their role in hormone-receptor in- teraction. Mol Cell Endocrinol 2010; 315 (1–2): 131–7.
25. Moron FJ, Galan JJ, Ruiz A. Controlled ovarian hyperstimulation phar- macogenetics: a simplified model to genetically dissect estrogen-related diseases. Pharmacogenomics 2007; 8 (7): 775–85.
26. Yao Y, Ma CH, Tang HL, Hu YF. Influence of follicle-stimulating hormone receptor (FSHR) Ser680Asn polymorphism on ovarian function and in- vitro fertilization outcome: a meta-analysis. Mol Genet Metab 2011; 103 (4): 388–93.
27. Jun JK, Yoon JS, Ku SY et al. Follicle-stimulating hormone receptor gene polymorphism and ovarian responses to controlled ovarian hyperstimula- tion for IVF-ET. J Hum Genet 2006; 51 (8): 665–70.
28. Jiang X, Dias JA, He X. Structural biology of glycoprotein hormones and their receptors: insights to signaling. Mol Cell Endocrinol 2014; 382 (1): 424–51.
29. Berger K, Billerbeck AE, Costa EM et al. Frequency of the allelic variant (Trp8Arg/Ile15Thr) of the luteinizing hormone gene in a Brazilian cohort of healthy subjects and in patients with hypogonadotropic hypogonadism. Clinics 2005; 60 (6): 461–4.
30. Ziecik AJ, Kaczmarek MM, Blitek A et al. Novel biological and possible applicable roles of LH/hCG receptor. Mol Cell Endocrinol 2007; 269 (1–2): 51–60.
31. Perrier d’Hauterive S, Berndt S, Tsampalas M et al. Dialogue between blastocyst hCG and endometrial LH/hCG receptor: which role in implanta- tion? Gynecol Obstet Investig 2007; 64 (3): 156–60.
32. O’Brien T, Kalmin MM, Harralson AF et al. Association between the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) rs4073366 polymorphism and ovarian hyperstimulation syndrome dur- ing controlled ovarian hyperstimulation. Reprod Biol Endocrinol 2013; 11 (1): 71.
33. O’Brien TJ, Kalmin MM, Harralson AF et al. Association between the luteinizing hormone/chorionic gonadotropin receptor (LHCGR) rs4073366 polymorphism and ovarian hyperstimulation syndrome dur- ing controlled ovarian hyperstimulation. Reproductive biology and en- docrinology 2013; 11 (1): 71.
34. Anagnostou E, Mavrogianni D, Theofanakis C et al. ESR1, ESR2 and FSH receptor gene polymorphisms in combination: a useful genetic tool for the prediction of poor responders. Curr Pharmaceutical Biotech 2012; 13 (3): 426–34.
35. Nelson SM, Yates RW, Lyall H et al. Anti-Mullerian hormone-based ap- proach to controlled ovarian stimulation for assisted conception. Hum Re- prod 2009; 24 (4): 867–75.
36. Kevenaar ME, Themmen AP, Laven JS et al. Anti-Mullerian hormone and anti-Mullerian hormone type II receptor polymorphisms are associ- ated with follicular phase estradiol levels in normo-ovulatory women. Hum Reprod 2007; 22 (6): 1547–54.
37. Ferraretti AP, La Marca A, Fauser BC et al. ESHRE consensus on the defi- nition of 'poor response' to ovarian stimulation for in vitro fertilization: the Bologna criteria. Hum Reprod 2011; 26 (7): 1616–24.
38. American Society of Reproductive Medicine. Ovarian hyperstimulation syndrome. Fertil Steril 2008; 90 (5. Suppl.): S188–193.
39. Delvigne A. Symposium: Update on prediction and management of OHSS. Epidemiology of OHSS. Reprod Biomed Online 2009; 19 (1): 8–13.
40. The Istanbul consensus workshop on embryo assessment: proceedings of an expert meeting. Hum Reprod 2011; 26 (6): 1270–83.
Авторы
И.В.Владимирова, Е.А.Калинина, А.Е.Донников
ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России, Москва