The impact in older women of ovarian FMR1 genotypes and sub-genotypes on ovarian reserve

PLoS One. 2012;7(3):e33638. doi: 10.1371/journal.pone.0033638. Epub 2012 Mar 16.

Abstract

We recently associated ovarian FMR1genotypes and sub-genotypes with distinct ovarian aging patterns. How they impact older females is, however, unknown. We, therefore, investigated 217 consecutive first in vitro fertilization (IVF) cycles in women >40 assessing oocyte yields, stratified for better (anti-Müllerian hormone, AMH >1.05 ng/mL) or poorer (AMH ≤ 1.05 ng/mL) functional reserve (FOR)). Mean age was 42.4 ± 2.0 years, mean AMH 0.76 ± 0.92 ng/mL and mean oocyte yield 5.3 ± 5.4. Overall, and in women with better FOR, FMR1 did not affect oocyte yields. With poorer FOR (AMH ≤ 1.05 ng/mL) women with het-norm/high, however, demonstrated higher oocyte yields (5.0 ± 3.8) than those with het-norm/low sub-genotype 3.1 ± 2.5; P = 0.03), confirmed after log conversion. Known associated with low FOR at young age, het-norm/high, thus, appears to preserve FOR into older age, and both het sub-genotypes appear to expand female reproductive lifespan into opposite directions.

MeSH terms

  • Adult
  • Aging / genetics*
  • Aging / physiology*
  • Anti-Mullerian Hormone / blood
  • Female
  • Fertilization in Vitro
  • Fragile X Mental Retardation Protein / genetics*
  • Genotype
  • Heterozygote
  • Homozygote
  • Humans
  • Oocytes / cytology
  • Ovarian Function Tests
  • Ovary / cytology
  • Ovary / physiology*
  • Pregnancy

Substances

  • FMR1 protein, human
  • Fragile X Mental Retardation Protein
  • Anti-Mullerian Hormone