Association study to evaluate Foxo1 and Foxo3 gene polymorphisms in polycystic ovary syndrome: a preliminary case-control study and in silico analysis

Mol Biol Rep. 2023 Apr;50(4):3569-3580. doi: 10.1007/s11033-023-08292-w. Epub 2023 Feb 15.

Abstract

Background: Polycystic ovary syndrome (PCOS) is known as a multifactorial and multi-gene-mediated endocrine disorder among women of reproductive age. FoxO1 and FoxO3 are members of the forkhead transcriptional factors family that play a pivotal role in the function of ovaries. The current work is aimed at investigating the association between gene variants of FoxO1 and FoxO3 and the risk of PCOS in a sample of the Iranian population.

Methods and results: We recruited 200 women diagnosed with PCOS and 200 healthy women. Both polymerase PCR-RFLP and ARMS-PCR methods were used for genotyping. Sanger sequencing was recruited to confirm the genotyping results. The T allele of rs17592236 and the C allele of rs12585277 decreased PCOS risk by 29 and 28%, respectively. In contrast, the C allele of rs2253310 and G allele of rs2802292 increased the risk of PCOS by 1.39 and 1.63 folds, correspondingly. Bioinformatics results showed that some genes, including matrix metallopeptidase 9 (MMP-9), phosphoinositide-3-Kinase Regulatory Subunit 224 1 (PIK3R1), peroxisome proliferator-activated receptor Gamma (PPARG), and glycogen synthase 225 kinase-3 beta (GSK-3 beta) have significant interactions with FoxO1, suggesting that FoxO1 might have crucial roles in regulating different signaling pathways in ovarian cells.

Conclusion: We found that FoxO1 rs17592236C > T and rs12585277C > T had a protective role against PCOS, while FoxO3 rs2253310C > G and rs2802292G > T enhanced the risk of this metabolic disorder in our population. Additional studies on larger populations with varying races are needed to confirm these findings.

Keywords: Forkhead transcription factors; FoxO1; FoxO3; Polycystic ovary syndrome; Single nucleotide polymorphism.

MeSH terms

  • Case-Control Studies
  • Female
  • Forkhead Box Protein O1 / genetics
  • Forkhead Box Protein O3 / genetics
  • Genetic Predisposition to Disease
  • Glycogen Synthase Kinase 3 / genetics
  • Humans
  • Iran
  • Polycystic Ovary Syndrome* / genetics
  • Polycystic Ovary Syndrome* / metabolism
  • Polymorphism, Single Nucleotide / genetics

Substances

  • Glycogen Synthase Kinase 3
  • FOXO1 protein, human
  • Forkhead Box Protein O1
  • FOXO3 protein, human
  • Forkhead Box Protein O3