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Genome-wide analyses identify 21 infertility loci and over 400 reproductive hormone loci across the allele frequency spectrum.


ABSTRACT: Genome-wide association studies (GWASs) may help inform treatments for infertility, whose causes remain unknown in many cases. Here we present GWAS meta-analyses across six cohorts for male and female infertility in up to 41,200 cases and 687,005 controls. We identified 21 genetic risk loci for infertility (P≤5E-08), of which 12 have not been reported for any reproductive condition. We found positive genetic correlations between endometriosis and all-cause female infertility (rg=0.585, P=8.98E-14), and between polycystic ovary syndrome and anovulatory infertility (rg=0.403, P=2.16E-03). The evolutionary persistence of female infertility-risk alleles in EBAG9 may be explained by recent directional selection. We additionally identified up to 269 genetic loci associated with follicle-stimulating hormone (FSH), luteinising hormone, oestradiol, and testosterone through sex-specific GWAS meta-analyses (N=6,095-246,862). While hormone-associated variants near FSHB and ARL14EP colocalised with signals for anovulatory infertility, we found no rg between female infertility and reproductive hormones (P>0.05). Exome sequencing analyses in the UK Biobank (N=197,340) revealed that women carrying testosterone-lowering rare variants in GPC2 were at higher risk of infertility (OR=2.63, P=1.25E-03). Taken together, our results suggest that while individual genes associated with hormone regulation may be relevant for fertility, there is limited genetic evidence for correlation between reproductive hormones and infertility at the population level. We provide the first comprehensive view of the genetic architecture of infertility across multiple diagnostic criteria in men and women, and characterise its relationship to other health conditions.

SUBMITTER: Venkatesh SS 

PROVIDER: S-EPMC10984039 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Genome-wide analyses identify 21 infertility loci and over 400 reproductive hormone loci across the allele frequency spectrum.

Venkatesh Samvida S SS   Wittemans Laura B L LBL   Palmer Duncan S DS   Baya Nikolas A NA   Ferreira Teresa T   Hill Barney B   Lassen Frederik Heymann FH   Parker Melody J MJ   Reibe Saskia S   Elhakeem Ahmed A   Banasik Karina K   Bruun Mie T MT   Erikstrup Christian C   Jensen Bitten A BA   Juul Anders A   Mikkelsen Christina C   Nielsen Henriette S HS   Ostrowski Sisse R SR   Pedersen Ole B OB   Rohde Palle D PD   Sorensen Erik E   Ullum Henrik H   Westergaard David D   Haraldsson Asgeir A   Holm Hilma H   Jonsdottir Ingileif I   Olafsson Isleifur I   Steingrimsdottir Thora T   Steinthorsdottir Valgerdur V   Thorleifsson Gudmar G   Figueredo Jessica J   Karjalainen Minna K MK   Pasanen Anu A   Jacobs Benjamin M BM   Hubers Nikki N   Lippincott Margaret M   Fraser Abigail A   Lawlor Deborah A DA   Timpson Nicholas J NJ   Nyegaard Mette M   Stefansson Kari K   Magi Reedik R   Laivuori Hannele H   van Heel David A DA   Boomsma Dorret I DI   Balasubramanian Ravikumar R   Seminara Stephanie B SB   Chan Yee-Ming YM   Laisk Triin T   Lindgren Cecilia M CM  

medRxiv : the preprint server for health sciences 20240320


Genome-wide association studies (GWASs) may help inform treatments for infertility, whose causes remain unknown in many cases. Here we present GWAS meta-analyses across six cohorts for male and female infertility in up to 41,200 cases and 687,005 controls. We identified 21 genetic risk loci for infertility (<i>P</i>≤5E-08), of which 12 have not been reported for any reproductive condition. We found positive genetic correlations between endometriosis and all-cause female infertility (<i>r</i> <su  ...[more]

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