The association of polymorphic loci affecting sex hormone-binding globulin levels with the risk of isolated uterine myoma
Ponomarenko M.S., Reshetnikov E.A., Churnosova M.M., Churnosov M.I., Ponomarenko I.V.
Objective: To evaluate the role of polymorphic variants in genes associated with sex hormone-binding globulin (SHBG) levels in the development of isolated uterine myomas.
Materials and methods: The study group comprised 192 patients with isolated uterine myomas and 973 healthy women (controls). Molecular genetic analysis was performed on five gene loci associated with SHBG levels based on data from genome-wide studies: rs8023580 [T/C] NR2F2 (chromosome 15), rs780093 [C/T] GCKR (chromosome 2), rs3779195 [T/A] BAIAP2L1 (chromosome 7), rs7910927 [G/T] JMJD1C (chromosome 10), and rs4149056 [T/C] SLCO1B1 (chromosome 12). Logistic regression with the gPLINK program was used to study the association between polymorphic loci of SHBG candidate genes and the development of isolated uterine fibroids.
Results: An association was found between the rs3779195 [T/A] polymorphism in the BAIAP2L1 gene and the development of isolated uterine fibroids (OR=1.44 for the A allele in the dominant model). The rs3779195 [T/A] polymorphism of BAIAP2L1 and 20 SNPs in linkage disequilibrium with it are functionally significant. These polymorphisms are associated with the interaction of DNA in the BAIAP2L1/BRI3 gene region with 86 transcription factors and regulatory proteins, and with the transcription of 15 genes and splicing of three genes in various organs and tissues related to the pathophysiology of uterine fibroids.
Conclusion: The molecular genetic marker rs3779195 [T/A] of the BAIAP2L1 gene is associated with an increased risk of developing uterine fibroids.
Authors' contributions: Ponomarenko M.S. – conception and design of the study, data synthesis, drafting of the manuscript; Reshetnikov E.A. – drafting of the manuscript; Churnosova M.M. – literature search and analysis; Churnosov M.I. – review, final editing; Ponomarenko I.V. – statistical analysis, editing of the manuscript.
Conflicts of interest: The authors have no conflicts of interest to declare.
Funding: The study was conducted with the support of Russian Science Foundation grant No. 25-25-00034, https://rscf.ru/project/25-25-00034/.
Ethical Approval: The study was reviewed and approved by the Research Ethics Committee of the Belgorod State National Research University.
Patient Consent for Publication: All patients provided informed consent for the publication of their data.
Authors' Data Sharing Statement: The data supporting the findings of this study are available upon request from the corresponding author after approval from the principal investigator.
For citation: Ponomarenko M.S., Reshetnikov E.A., Churnosova M.M., Churnosov M.I., Ponomarenko I.V.
The association of polymorphic loci affecting sex hormone-binding globulin levels with the risk of isolated uterine myoma.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2026; (3): 104-110 (in Russian)
https://dx.doi.org/10.18565/aig.2025.255
Keywords
References
- Bulun S.E., Yin P., Wei J., Zuberi A., Iizuka T., Suzuki T. et al. Uterine fibroids. Physiol. Rev. 2025; 105(4): 1947-88. https://dx.doi.org/10.1152/physrev.00010.2024
- Yang Q., Ciebiera M., Bariani M.V., Ali M., Elkafas H., Boyer T.G. et al. Comprehensive review of uterine fibroids: developmental origin, pathogenesis, and treatment. Endocr. Rev. 2022; 43(4): 678-719. https://dx.doi.org/10.1210/endrev/bnab039
- Пономаренко М.С., Решетников Е.А., Пономаренко И.В., Чурносов М.И. Факторы риска развития миомы матки. Акушерство и гинекология. 2024; 3: 20-7. [Ponomarenko M.S., Reshetnikov E.A., Ponomarenko I.V., Churnosov M.I. Risk factors for uterine fibroids. Obstetrics and Gynecology. 2024; (3): 20-7 (in Russian)]. https://dx.doi.org/10.18565/aig.2023.275
- Koltsova A.S., Efimova O.A., Pendina A.A. A view on uterine leiomyoma genesis through the prism of genetic, epigenetic and cellular heterogeneity. Int. J. Mol. Sci. 2023; 24(6): 5752. https://dx.doi.org/10.3390/ijms24065752
- Пономаренко М.С., Решетников Е.А., Пономаренко И.В., Чурносов М.И. Этиопатогенетические механизмы развития миомы матки. Акушерство и гинекология. 2024; 1: 34-41 [Ponomarenko M.S., Reshetnikov E.A., Ponomarenko I.V., Churnosov M.I. Etiopathogenetic mechanisms of uterine fibroids development. Obstetrics and Gynecology. 2024; (1): 34-41 (in Russian)] https://dx.doi.org/10.18565/ig.2023.241
- Пономаренко И.В., Чурносов М.И. Современные представления об этиопатогенезе и факторах риска лейомиомы матки. Акушерство и гинекология. 2018; 8: 27-32. [Ponomarenko I.V., Churnosov M.I. Current views on the etiopathogenesis and risk factors of uterine leiomyoma. Obstetrics and Gynecology. 2018; (8): 27-32 (in Russian)] https://dx.doi.org/10.18565/aig.2018.8.27-32
- Välimäki N., Kuisma H., Pasanen A., Heikinheimo O., Sjöberg J., Bützow R. et al. Genetic predisposition to uterine leiomyoma is determined by loci for genitourinary development and genome stability. Elife. 2018; 7: e37110. https://dx.doi.org/10.7554/eLife.37110
- Rafnar T., Gunnarsson B., Stefansson O.A., Sulem P., Ingason A., Frigge M.L. et al. Variants associating with uterine leiomyoma highlight genetic background shared by various cancers and hormone-related traits. Nat. Commun. 2018; 9(1): 3636. https://dx.doi.org/10.1038/s41467-018-05428-6
- Пономаренко М.С., Решетников Е.А., Пономаренко И.В., Чурносов М.И. Молекулярно-генетические факторы формирования миомы матки. Медицинский Совет. 2025; 4: 21-5. [Ponomarenko M.S., Reshetnikov E.A., Ponomarenko I.V., Churnosov M.I. Molecular genetic factors of uterine fibroids formation. Medical Council. 2025; 4: 21-5 (in Russian)]. https://dx.doi.org/10.21518/ms2025-051
- Ponomarenko M.S., Reshetnikov E.A., Churnosova M.M., Reshetnikova Y.N., Churnosov V.I., Ponomarenko I.V. Comorbidity and syntropy of benign proliferative diseases of the female reproductive system: non-genetic, genetic, and epigenetic factors (review). Research Results in Biomedicine. 2023;9(4): 544-56. https://dx.doi.org/10.18413/2658- 6533-2023-9-4-0-9
- Lv M., Yu J., Huang Y., Ma J., Xiang J., Wang Y. et al. Androgen signaling in uterine diseases: new insights and new targets. Biomolecules. 2022; 12(11): 1624. https://dx.doi.org/10.3390/biom12111624
- Wong J.Y., Gold E.B., Johnson W.O., Lee J.S. Circulating sex hormones and risk of uterine fibroids: study of women's health across the nation (SWAN). J. Clin. Endocrinol. Metab. 2016; 101(1): 123-30. https://dx.doi.org/10.1210/jc.2015-2935
- Alsudairi H.N., Alrasheed A.T., Dvornyk V. Estrogens and uterine fibroids: an integrated view. Research Results in Biomedicine. 2021; 7(2): 156-63. https://dx.doi.org/10.18413/2658-6533-2021-7-2-0-6
- Goldman A.L., Bhasin S., Wu F.C.W., Krishna M., Matsumoto A.M., Jasuja R. A reappraisal of testosterone's binding in circulation: physiological and clinical implications. Endocr. Rev. 2017; 38(4): 302-24. https://dx.doi.org/10.1210/er.2017-00025
- Чурносов В.И. Ассоциации полиморфных локусов генов-кандидатов с уровнем половых гормонов у больных гиперплазией эндометрия. Научные результаты биомедицинских исследований. 2025; 11(2): 243-62. [Churnosov V.I. Associations of polymorphic loci of candidate genes with the level of sex hormones in patients with endometrial hyperplasia. Research Results in Biomedicine. 2025; 11(2): 243-62 (in Russian)] https://dx.doi.org/10.18413/2658-6533-2025-11-2-0-3
- Balogh A., Karpati E., Schneider A.E., Hetey S., Szilagyi A., Juhasz K. et al. Sex hormone-binding globulin provides a novel entry pathway for estradiol and influences subsequent signaling in lymphocytes via membrane receptor. Sci. Rep. 2019; 9(1): 4. https://dx.doi.org/10.1038/s41598-018-36882-3
- Prescott J., Thompson D.J., Kraft P., Chanock S.J., Audley T., Brown J. et al. Genome-wide association study of circulating estradiol, testosterone, and sex hormone-binding globulin in postmenopausal women. PLoS One. 2012; 7(6): e37815. https://dx.doi.org/10.1371/journal.pone.0037815
- Coviello A.D., Haring R., Wellons M., Vaidya D., Lehtimäki T., Keildson S. et al. A genome-wide association meta-analysis of circulating sex hormone-binding globulin reveals multiple loci implicated in sex steroid hormone regulation. PLoS Genet. 2012; 8(7): e1002805. https://dx.doi.org/10.1371/journal.pgen.1002805
- Harrison S., Davies N.M., Howe L.D., Hughes A. Testosterone and socioeconomic position: mendelian randomization in 306,248 men and women in UK Biobank. Sci. Adv. 2021; 7(31): eabf8257. https://dx.doi.org/10.1126/sciadv.abf8257
- Haas C.B., Hsu L., Lampe J.W., Wernli K.J., Lindström S. Cross-ancestry genome-wide association studies of sex hormone concentrations in pre- and postmenopausal women. Endocrinology. 2022; 163(4): bqac020. https://dx.doi.org/10.1210/endocr/bqac020
- Ruth K.S., Campbell P.J.; Chew S., Lim E.M., Hadlow N., Stuckey B.G. et al. Genome-wide association study with 1000 genomes imputation identifies signals for nine sex hormone-related phenotypes. Eur. J. Hum. Genet. 2016; 24(2): 284-90. https://dx.doi.org/10.1038/ejhg.2015.102
- Ruth K.S., Day F.R., Tyrrell J., Thompson D.J., Wood A.R., Mahajan A. et al. Using human genetics to understand the disease impacts of testosterone in men and women. Nat. Med. 2020; 26(2): 252-8. https://dx.doi.org/10.1038/s41591-020-0751-5
- Ohlsson C., Wallaschofski H., Lunetta K.L., Stolk L., Perry J.R., Koster A. et al. Genetic determinants of serum testosterone concentrations in men. PLoS Genet. 2011; 7(10): e1002313. https://dx.doi.org/10.1371/journal.pgen.1002313
- Пономаренко И.В., Полоников А.В., Чурносов М.И. Полиморфные локусы гена LHCGR, ассоциированные с развитием миомы матки. Акушерство и гинекология. 2018; 10: 86-91. [Ponomarenko I.V., Polonikov A.V., Churnosov M.I. Polymorphic LHCGR gene loci associated with the development of uterine fibroids. Obstetrics and Gynecology. 2018; (10): 86-91 (in Russian)]. https://dx.doi.org/10.18565/aig.2018.10.86-91
- Пасенов К.Н. Особенности ассоциаций SHBG-связанных генов с раком молочной железы у женщин в зависимости от наличия наследственной отягощенности и мутаций в генах BRCA1/CHEK2. Научные результаты биомедицинских исследований. 2024; 10(1): 69-88. [Pasenov K.N. Features of associations of SHBG-related genes with breast cancer in women, depending on the presence of hereditary burden and mutations in the BRCA1/CHEK2 genes. Research Results in Biomedicine. 2024; 10(1): 69-88 (in Russian)]. https://dx.doi.org/10.18413/2658-6533-2024-10-1-0-4
- Пономарева Т.А. Генетические варианты глобулина, связывающего половые гормоны, и гормональный профиль больных генитальным эндометриозом. Научные результаты биомедицинских исследований. 2025; 11(1): 75-90. [Ponomareva TA. Genetic variants of sex hormone-binding globulin and hormonal profile in patients with genital endometriosis. Research Results in Biomedicine. 2025; 11(1): 75-90 (in Russian)]. https://dx.doi.org/10.18413/2658-6533-2025-11-1-0-4
- Purcell S., Neale B., Todd-Brown K., Thomas L., Ferreira M.A., Bender D. et al. PLINK: a tool set for whole-genome association and population-based linkage analyses. Am. J. Hum. Genet. 2007; 81(3): 559-75. https://dx.doi.org/10.1086/519795
- Che R., Jack J.R., Motsinger-Reif A.A., Brown C.C. An adaptive permutation approach for genome-wide association study: evaluation and recommendations for use. BioData Min. 2014; 7: 9. https://dx.doi.org/10.1186/1756-0381-7-9
- Полоников А.В., Клёсова Е.Ю., Азарова Ю.Э. Биоинформатические инструменты и интернет-ресурсы для оценки регуляторного потенциала полиморфных локусов, установленных полногеномными ассоциативными исследованиями мультифакториальных заболеваний (обзор). Научные результаты биомедицинских исследований. 2021; 7(1): 15-31. [Polonikov A.V., Klyosova E.Yu., Azarova I.E. Bioinformatic tools and internet resources for functional annotation of polymorphic loci detected by genome wide association studies of multifactorial diseases (review). Research Results in Biomedicine. 2021; 7(1): 15-31 (in Russian)] https://dx.doi.org/10.18413/2658-6533-2020-7-1-0-2
- Ward L.D., Kellis M. HaploReg v4: systematic mining of putative causal variants, cell types, regulators and target genes for human complex traits and disease. Nucleic Acids Res. 2016; 44(D1): D877-81. https://dx.doi.org/10.1093/nar/gkv1340
- GTEx Consortium. The GTEx Consortium atlas of genetic regulatory effects across human tissues. Science. 2020; 369(6509): 1318-30. https://dx.doi.org/10.1126/science.aaz1776
- Chao A., Tsai C. L., Jung S.M., Chuang W.C., Kao C., Hsu A. et al. BAI1-associated protein 2-like 1 (BAIAP2L1) is a potential biomarker in ovarian cancer. PLoS One. 2015; 10(7): e0133081. https://dx.doi.org/10.1371/journal.pone.0133081
- Song Y., Zhuang G., Li J., Zhang M. BAIAP2L2 facilitates the malignancy of prostate cancer (PCa) via VEGF and apoptosis signaling pathways. Genes Genomics. 2021; 43(4): 421-32. https://dx.doi.org/10.1007/s13258-021-01061-8
- Lu Y., Zhou X.Y., Zhou C.L., Liu J., Yong T., Fan Y. et al. Insulin receptor tyrosine kinase substrate (IRTKS) promotes the tumorigenesis of pancreatic cancer via PI3K/AKT signaling. Hum. Cell. 2022; 35(6): 1885-99. https://dx.doi.org/10.1007/s13577-022-00770-w
- Zhao C., Shang A., Wu H., Li Q., Peng L., Yue C. Causal relationship between genetically predicted uterine leio-myoma and cancer risk: a two-sample Mendelian randomization. Front. Endocrinol. (Lausanne). 2024; 15: 1429165. https://dx.doi.org/10.3389/fendo.2024.1429165
- Ponomarenko M., Reshetnikov E., Churnosova M., Aristova I., Abramova M., Novakov V. et al. Genetic variants linked with the concentration of sex hormone-binding globulin correlate with uterine fibroid risk. Life (Basel). 2025; 15(7): 1150. https://dx.doi.org/10.3390/life15071150
- Hammond G.L. Plasma steroid-binding proteins: primary gatekeepers of steroid hormone action. J. Endocrinol. 2016; 230(1): 13-25. https://dx.doi.org/10.1530/JOE-16-0070
- Xing C., Zhang J., Zhao H., He B. Effect of sex hormone-binding globulin on polycystic ovary syndrome: mechanisms, manifestations, genetics, and treatment. Int. J. Womens Health. 2022; 14: 91-105. https://dx.doi.org/10.2147/IJWH.S344542
Received 17.09.2025
Accepted 12.02.2026
About the Authors
Marina S. Ponomarenko, PhD student at the Department of Biomedical Disciplines, Belgorod State National Research University, 308015, Russia, Belgorod, Pobedy str., 85, +7(4722)30-13-83, ponomarenkomc@yandex.ru, https://orcid.org/0009-0009-0312-0829Evgeny A. Reshetnikov, Dr. Sci. (Bio), Professor at the Department of Medical and Biological Disciplines, Belgorod State National Research University, 308015, Russia, Belgorod, Pobedy str., 85, +7(4722)30-13-83, reshetnikov@bsuedu.ru, http://orcid.org/0000-0002-5429-6666
Maria M. Churnosova, student at the Medical Institute, Belgorod State National Research University, 308015, Russia, Belgorod, Pobedy str., 85, +7(4722)30-13-83, churnosovamary@gmail.com, https://orcid.org/0000-0001-6444-8806
Mikhail I. Churnosov, Dr. Med. Sci., Head of the Department of Medical and Biological Disciplines, Belgorod State National Research University, 308015, Russia, Belgorod, Pobedy str., 85, +7(4722)30-13-83, churnosov@bsuedu.ru, http://orcid.org/0000-0003-1254-6134
Irina V. Ponomarenko, Dr. Med. Sci., Professor at the Department of Medical and Biological Disciplines, Belgorod State National Research University, 308015, Russia, Belgorod, Pobedy str., 85, +7(4722)30-13-83, ponomarenko_i@bsuedu.ru, https://orcid.org/0000-0002-5652-0166
Corresponding author: Irina V. Ponomarenko, ponomarenko_i@bsuedu.ru



