Ala16Val SOD2 polymorphism is associated with higher pregnancy rates in in vitro fertilization cycles.

Abstract:

OBJECTIVE:To investigate whether the Ala16Val polymorphism in the SOD2 gene, encoding for mitochondrial manganese superoxide dismutase (SOD), is associated with [1] infertility and [2] the pregnancy rate (PR) in IVF cycles. DESIGN:Prospective case-control study. SETTING:Public university and public university hospital. PATIENT(S):A total of 362 newborns (nonselected population) and 148 infertile women undergoing an IVF cycle, from which 44 became pregnant and 104 did not. INTERVENTION(S):Blood samples extracted from the patients and newborn umbilical cord. MAIN OUTCOME MEASURE(S):Genotype and allele distribution of the Ala16Val polymorphism in the SOD2 gene using the tetra-primer amplification refractory mutation system-polymerase chain reaction (PCR). RESULT(S):The polymorphism distribution of the subfertile women was similar to that of a nonselected population. The SOD2 Ala allele frequency was 49% both in controls and IVF patients. In IVF population the Ala/Ala SOD2 genotype was 25%, with a 28% Val/Val homozygous. In contrast, the Ala/Ala genotype was associated with higher PRs in IVF (47% in Ala/Ala vs. 23% in no Ala/Ala). A multivariate logistic regression analysis revealed that the Ala/Ala genotype was an independent predictor of pregnancy (odds ratio [OR] = 3.29), followed by the number of transferred embryos (OR = 2.37) and age (OR = 0.84). CONCLUSION(S):The Ala/Ala SOD2 genotype is a significant independent predictor of the occurrence of pregnancy in IVF. Data also support a role for antioxidant defense, particularly in the mitochondria, in conception in IVF.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Ruiz-Sanz JI,Aurrekoetxea I,Matorras R,Ruiz-Larrea MB

doi

10.1016/j.fertnstert.2010.11.022

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

1601-5

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(10)02808-6

journal_volume

95

pub_type

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