ARTICLES those of Asians in the HapMap database (http://hapmap. ncbi. nlm.nih.gov). For the AA genotype in AMHR2 –482A>G polymorphism, the distribution was 62.5% in this study versus 65.2% in the Rotterdam Cohort, 64.1% in the LASA cohort, 63.0% in an Italian cohort, 65.0% in a Dutch cohort and 60.9% in a Korean cohort (Kevenaar et al., 2007; Rigon et al., 2010; Voorhuis et al., 2011; Yoon et al., 2013). Because POI is a complex trait like menopause, genetic interaction with other factors or other genetic variants of the AMH signalling pathway might also influence the development of POI. Braem et al. (2013) searched for pairwise interactions between the SNP in five genes (AMH, AMHR2, BMP15, FOXL2, GDF9). They found a statistically significant interaction between rs10407022 in AMH and rs11170547 in AMHR2 (P = 0.019) associated with age at natural menopause. These might imply that complex interactions between AMH and AMHR2 play a role in POI and early ANM. In conclusion, these results suggest that POI patients and normal-ANM women in China share AMH and AMHR2 genetic variants. The AMH signalling pathway associated with ANM may also contribute to POI. However, the number of patients studied limits the interpretation of the results obtained, as does the fact that no molecular study has been performed to support the functional significance of AMH and AMHR2 genetic variants. More research is required to confirm such findings. Acknowledgements This study was supported by the Shenzhen City Science and Technology Project (grant numbers 201102094 and 201202073). The authors are thankful to Dr Qian Gen and Dr Chai-chun Luo of Department of Central Laboratory, the Page 50 – Fertility Genetics Magazine • Volume 2 • www.FertMag.com
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