

Features of steroidogenesis gene variants in female patients with a burdened obstetric and gynecological history
https://doi.org/10.25557/2073-7998.2025.08.85-88
Abstract
In women with a complex obstetric and gynecological history, miscarriage is a predominant concern. Steroidogenesis plays a crucial role in female reproductive health. Different genes involved in this process, the polymorphism of which may be associated with the risk of pregnancy loss. We analyzed CYP21A2, HSD3B2, CYP17A1, STAR, CYP11A1, POR genes using NGS, PCR-RFLP and MLPA methods in 30 women with a history of miscarriage and 46 individuals in the control group. A total of 142 nucleotide sequence variants were identified in both coding and non-coding regions of these genes, with different clinical significance. Pathogenic variants in the CYP21A2 gene were detected in 30 % of women with miscarriage compared to 6.5 % in the control group. One missense variant (rs17853284) with a potential pathogenic effect was identified in the POR gene. These findings suggest that heterozygous carriage in steroidogenesis-related genes, particularly CYP21A2, requares further investigation as potential predictors of possible obstetric complications.
About the Authors
N. S. OsinovskayaRussian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
Yu. A. Nasykhova
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
T. E. Lazareva
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
I. Yu. Sultanov
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
O. A. Tarasenko
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
O. B. Glavnova
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
M. I. Yarmolinskaya
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
A. S. Glotov
Russian Federation
199034; 3, Mendeleevskaya line; Saint Petersburg
References
1. Vykidysh. Klinicheskiye rekomendatsii 2024 [Miscarriage. Clinical guidelines 2024]. https://roag-portal.ru/recommendations_obstetrics. (In Russ.)
2. Wang X., Chen C., Wang L., et al. Conception, early pregnancy loss, and time to clinical pregnancy: a population-based prospective study. Fertil Steril. 2003;79(3):577-584. doi: 10.1016/s0015-0282(02)04694-0
3. Larsen E.C., Christiansen O.B., Kolte A.M., Macklon N. New insights into mechanisms behind miscarriage.BMC Med. 2013;11:154. doi: 10.1186/1741-7015-11-154
4. Zaytseva NI, Revina DB, Shcherbakova LN, Panina OB. Geneticheskiye prichiny privychnogo nevynashivaniya beremennosti (obzor literatury) [Genetic origins of recurrent miscarriage : A review of the literature]. Arkhiv akusherstva i ginekologii im. V.F. Snegireva [V.F. Snegirev Archives of Obstetrics and Gynecology]. 2023;10(2):85–94. (In Russ). doi: 10.17816/2313-8726-2023-10-2-85-94
5. Kolte A.M., Nielsen H.S., Moltke I., et al. A genome-wide scan in affected sibling pairs with idiopathic recurrent miscarriage suggests genetic linkage. Mol Hum Reprod. 2011;17(6):379-385. doi: 10.1093/molehr/gar003
6. Davtyan D.A., Kovaleva A.A. Vrozhdonnaya disfunktsiya kory nadpochechnikov i beremennost’ (sistematicheskiy obzor) [Congenital dysfunction of adrenal cortex and pregnancy (systematic review)]. Arkhiv akusherstva i ginekologii im. V.F. Snegireva [V.F. Snegirev Archives of Obstetrics and Gynecology, Russian journal]. 2017; 4(2): 88—92. (In Russ.). doi: 10.18821/2313-8726-2017-4-2-88-92
7. McLaren W., Gil L., Hunt S.E., et al. The Ensembl Variant Effect Predictor. Genome Biol. 2016;17(1):122 doi: 10.1186/s13059-016-0974-4
8. Barbitoff Y.A., Khmelkova D.N., Pomerantseva E.A., et al. Expanding the Russian allele frequency reference via cross-laboratory data integration: insights from 7452 exome samples. Natl Sci Rev. 2024 Sep 14;11(10):nwae326. doi: 10.1093/nsr/nwae326.
9. Landrum M.J., Lee J.M., Riley G.R., et al. ClinVar: public archive of relationships among sequence variation and human phenotype. Nucleic Acids Res. 2014;42(Database issue): 980-985. doi: 10.1093/nar/gkt1113
10. Liu X., Jian X., Boerwinkle E. dbNSFP v2.0: a database of human non-synonymous SNVs and their functional predictions and annotations. Hum Mutat. 2013;34(9):2393-2402. doi: 10.1002/humu.22376
Review
For citations:
Osinovskaya N.S., Nasykhova Yu.A., Lazareva T.E., Sultanov I.Yu., Tarasenko O.A., Glavnova O.B., Yarmolinskaya M.I., Glotov A.S. Features of steroidogenesis gene variants in female patients with a burdened obstetric and gynecological history. Medical Genetics. 2025;24(8):85-88. (In Russ.) https://doi.org/10.25557/2073-7998.2025.08.85-88