Clinical and Experimental Reproductive Medicine

The Korean Society for Reproductive Medicine (대한생식의학회)
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Association of single-nucleotide polymorphisms in the ESR2 and FSHR genes with poor ovarian response in infertile Jordanian women

  • Sindiani, Amer Mahmoud (Department of Obstetrics and Gynecology, Faculty of Medicine, Jordan University of Science and Technology) ;
  • Batiha, Osamah (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Al-zoubi, Esra'a (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Khadrawi, Sara (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Alsoukhni, Ghadeer (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Alkofahi, Ayesha (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Alahmad, Nour Alhoda (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Shaaban, Sherin (Department of Biotechnology and Genetic Engineering, Jordan University of Science and Technology) ;
  • Alshdaifat, Eman (Department of Obstetrics and Gynecology, Faculty of Medicine, Yarmouk University) ;
  • Abu-Halima, Masood (Institute of Human Genetics, Saarland University)
  • Received : 2020.03.28
  • Accepted : 2020.08.17
  • Published : 2021.03.31
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Abstract

Objective: Poor ovarian response (POR) refers to a subnormal follicular response that leads to a decrease in the quality and quantity of the eggs retrieved after ovarian stimulation during assisted reproductive treatment (ART). The present study investigated the associations of multiple variants of the estrogen receptor 2 (ESR2) and follicle-stimulating hormone receptor (FSHR) genes with POR in infertile Jordanian women undergoing ART. Methods: Four polymorphisms, namely ESR2 rs1256049, ESR2 rs4986938, FSHR rs6165, and FSHR rs6166, were investigated in 60 infertile Jordanian women undergoing ART (the case group) and 60 age-matched fertile women (the control group), with a mean age of 33.60±6.34 years. Single-nucleotide polymorphisms (SNPs) were detected by restriction fragment length polymorphism and then validated using Sanger sequencing. Results: The p-value of the difference between the case and control groups regarding FSHR rs6166 was very close to 0.05 (p=0.054). However, no significant differences were observed between the two groups in terms of the other three SNPs, namely ESR2 rs1256049, ESR2 rs4986938, and FSHR rs6165 (p=0.561, p=0.433, and p=0.696, respectively). Conclusion: The association between FSHR rs6166 and POR was not statistically meaningful in the present study, but the near-significant result of this experiment suggests that statistical significance might be found in a future study with a larger number of patients.

Keywords

Acknowledgement

The authors would like to extend their gratitude to Dr. Mohammed Altaleb, who is affiliated with the Department of Statistics at Yarmouk University in Jordan, for his assistance with the statistical analysis.

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