Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity
Polycystic ovary syndrome (PCOS) is a complex disorder with heterogenous phenotypes and unclear etiology. A recent phenotypic clustering study identified metabolic and reproductive subtypes of PCOS. We hypothesize that the heterogeneity of PCOS manifestations reflects different mechanistic pathways...
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doaj-01119728ffbe4ac18a6afefb8098afb82021-07-01T00:30:37ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-01102688268810.3390/jcm10122688Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological HeterogeneityYanfei Zhang0Vani C. Movva1Marc S. Williams2Ming Ta Michael Lee3Genomic Medicine Institute, Geisinger, Danville, PA 17822, USADepartment of Obstetrics and Gynecology, Geisinger Medical Center, Danville, PA 17822, USAGenomic Medicine Institute, Geisinger, Danville, PA 17822, USAGenomic Medicine Institute, Geisinger, Danville, PA 17822, USAPolycystic ovary syndrome (PCOS) is a complex disorder with heterogenous phenotypes and unclear etiology. A recent phenotypic clustering study identified metabolic and reproductive subtypes of PCOS. We hypothesize that the heterogeneity of PCOS manifestations reflects different mechanistic pathways and can be identified using a genetic approach. We applied k-means clustering to categorize the genome-wide significant PCOS variants into clusters based on their associations with selected quantitative traits that likely reflect PCOS etiological pathways. We evaluated the association of each cluster with PCOS-related traits and disease outcomes. We then applied Mendelian randomization to estimate the causal effects between the traits and PCOS. Three categories of variants were identified: adiposity, insulin resistant, and reproductive. Significant associations were observed for variants in the adiposity cluster with body mass index (BMI), waist circumference and breast cancer, and variants in the insulin-resistant cluster with fasting insulin, glucose values, and homeostatic model assessment of insulin resistance (HOMA-IR). Sex hormone binding globulin (SHBG) has strong association with all three clusters. Mendelian randomization suggested a causal role of BMI and SHBG on PCOS. No causal associations were observed for PCOS on disease outcomes.https://www.mdpi.com/2077-0383/10/12/2688polycystic ovary syndromeclusteringgenetic heterogeneityadiposityinsulin resistanceMendelian randomization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yanfei Zhang Vani C. Movva Marc S. Williams Ming Ta Michael Lee |
spellingShingle |
Yanfei Zhang Vani C. Movva Marc S. Williams Ming Ta Michael Lee Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity Journal of Clinical Medicine polycystic ovary syndrome clustering genetic heterogeneity adiposity insulin resistance Mendelian randomization |
author_facet |
Yanfei Zhang Vani C. Movva Marc S. Williams Ming Ta Michael Lee |
author_sort |
Yanfei Zhang |
title |
Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity |
title_short |
Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity |
title_full |
Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity |
title_fullStr |
Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity |
title_full_unstemmed |
Polycystic Ovary Syndrome Susceptibility Loci Inform Disease Etiological Heterogeneity |
title_sort |
polycystic ovary syndrome susceptibility loci inform disease etiological heterogeneity |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2021-06-01 |
description |
Polycystic ovary syndrome (PCOS) is a complex disorder with heterogenous phenotypes and unclear etiology. A recent phenotypic clustering study identified metabolic and reproductive subtypes of PCOS. We hypothesize that the heterogeneity of PCOS manifestations reflects different mechanistic pathways and can be identified using a genetic approach. We applied k-means clustering to categorize the genome-wide significant PCOS variants into clusters based on their associations with selected quantitative traits that likely reflect PCOS etiological pathways. We evaluated the association of each cluster with PCOS-related traits and disease outcomes. We then applied Mendelian randomization to estimate the causal effects between the traits and PCOS. Three categories of variants were identified: adiposity, insulin resistant, and reproductive. Significant associations were observed for variants in the adiposity cluster with body mass index (BMI), waist circumference and breast cancer, and variants in the insulin-resistant cluster with fasting insulin, glucose values, and homeostatic model assessment of insulin resistance (HOMA-IR). Sex hormone binding globulin (SHBG) has strong association with all three clusters. Mendelian randomization suggested a causal role of BMI and SHBG on PCOS. No causal associations were observed for PCOS on disease outcomes. |
topic |
polycystic ovary syndrome clustering genetic heterogeneity adiposity insulin resistance Mendelian randomization |
url |
https://www.mdpi.com/2077-0383/10/12/2688 |
work_keys_str_mv |
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