title: Chromosomal abnormalities & oxidative stress in women with premature ovarian failure (POF).
abstract: OBJECTIVE
  Premature ovarian failure (POF) is defined as the cessation of ovarian function under the age of 40 yr and is characterized by amenorrhoea, hypoestrogenism and elevated serum gonadotrophin levels. The cause of POF remains undetermined in majority of the cases. This study was aimed to investigate the type and frequency of cytogenetic abnormalities in patients with idiopathic POF and also to study the role of oxidative stress in such cases.
  
  
  METHODS
  Seventy five women with idiopathic POF were included in this study. Chromosome analysis was done in peripheral blood lymphocytes by conventional GTG banding to identify numerical or structural abnormalities. Cytogenetically normal cases were investigated for reactive oxygen species (ROS) levels in their blood by luminol-chemiluminescence assay.
  
  
  RESULTS
  Eighteen chromosomal anomalies were identified in POF patients (24%). Majority of the cases were found to have X-chromosome abnormalities (28%). Overall median ROS range was found to be significantly higher (P<0.01) in POF patients [50480 (120,132966) RLU/min] compared to controls [340 (120,5094) RLU/min]. Among these, 50 per cent of the POF patients had higher ROS levels, 20 per cent had medium elevation and 30 per cent were found to have normal values comparable to controls.
  
  
  CONCLUSIONS
  X-chromosome anomalies were found to be the major contributor of POF. Oxidative stress may be the underlying aetiology in idiopathic premature ovarian failure. Thus the results of this study highlight the role of cytogenetic abnormalities and supraphysiological levels of ROS in causation of idiopathic POF. But the role of oxidative stress needs to be confirmed by other studies on patients from different geographical areas and from different ethnicities.
authors.affiliation: Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Manoj
authors.initials: M
authors.lastname: Kumar
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Pathak
authors.forename: Sundararajan
authors.initials: S
authors.lastname: Venkatesh
authors.forename: Alka
authors.initials: A
authors.lastname: Kriplani
authors.forename: A C
authors.initials: AC
authors.lastname: Ammini
authors.forename: Rima
authors.initials: R
authors.lastname: Dada
mesh_terms: D000293:Adolescent; D002869:Chromosome Aberrations; D002871:Chromosome Banding / Q000379:methods*; D041321:Chromosomes, Human, X; D005260:Female; D006801:Humans; D018384:Oxidative Stress / Q000235:genetics; D016649:Primary Ovarian Insufficiency / Q000235:genetics* / Q000473:pathology; D017382:Reactive Oxygen Species / Q000097:blood*; D055815:Young Adult
chemical_list: D017382:Reactive Oxygen Species