IMR Press / FBL / Volume 28 / Issue 6 / DOI: 10.31083/j.fbl2806122
Open Access Original Research
Melatonin Receptor 1B and Corticosteroid Receptor Polymorphisms in Infertile Women with Implantation Failure and Miscarriages
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1 Department of Endocrinology, Medical Faculty, Medical University-Sofia, 1000 Sofia, Bulgaria
2 ART Division, Medical Center ReproBioMed, 1000 Sofia, Bulgaria
3 National Genetic Laboratory, USHATOG “Maichin dom”, Medical Faculty, Medical University-Sofia, 1000 Sofia, Bulgaria
4 Department of Cell and Developmental Biology, Faculty of Biology, Sofia University “St. Kliment Ohridski", 1164 Sofia, Bulgaria
5 Department of Rheumatology, SofiaMed University Hospital, Sofia University “St. Kliment Ohridski”, 1164 Sofia, Bulgaria
*Correspondence: gn_georgiev@uni-sofia.bg (Georgi Nikolaev)
Front. Biosci. (Landmark Ed) 2023, 28(6), 122; https://doi.org/10.31083/j.fbl2806122
Submitted: 15 February 2023 | Revised: 1 June 2023 | Accepted: 9 June 2023 | Published: 27 June 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: The development of assisted reproductive techniques has significantly improved fertility chances in many women, but recurrent implantation failure (RIF) and miscarriages (RM) might preclude successful pregnancy. Alterations in the intrinsic secretory patterns of melatonin and cortisol influence reproduction in humans, and imperfection of receptor — dependent signaling may additionally compromise the hormonal effects. Therefore, the present study aims to investigate the influence of certain melatonin and cortisol receptor polymorphisms in infertile women. Methods: A total of 111 female infertile patients suffering from implantation failure and/or miscarriages were genotyped for MTNR1B rs1562444, MTNR1Brs10830962, GCCR rs41423247, and GCCR ER22/23EK variants. Additionally, 106 female volunteers were genotyped for the same polymorphisms. Results: The allele and genotype distribution of the investigated polymorphisms did not differ between infertile women and the control group. Significantly more women with history of RIF have MTNR1B rs1562444 G-allele-containing genotypes in comparison to AA carriers (19.3% vs. 3.6%, p = 0.004). The minor allele of the ER22/23EK variant was more frequent in infertile patients with three or more unsuccessful implantation attempts than in other women (12.5% vs. 2.4%, p = 0.025). Conclusions: Melatonin receptor 1B polymorphisms might affect embryo implantation and early pregnancy loss, while their influence on late pregnancy complications needs further evaluation. The possible association between the cortisol receptor ER22/23EK variant and recurrent implantation failure might help to differentiate women who could benefit from corticosteroid treatment.

Keywords
MTNR1B polymorphism
GCCR polymorphism
infertility
implantation failure
Funding
KП-06-Н33/13/National Science Fund of Bulgaria
Figures
Fig. 1.
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