Asian Journal of Fertility, Endocrinology, and Reproduction
Vol. 1 No. 3 (2026): July 2026

CYP17A1 Genetic Polymorphisms Influencing Hyperandrogenism in Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis

Zelin Patarena Dawi Pramesti (Master of Midwifery, Faculty of Medicine, Universitas Brawijaya, Malang, East Java)
Leny Silviana Farida (Department of Obstetrics and Gynecology, Faculty of Medicine, University of Brawijaya, Malang, East Java)
Sutrisno (Department of Obstetrics and Gynecology, Faculty of Medicine, University of Brawijaya, Malang, East Java)



Article Info

Publish Date
30 Jul 2026

Abstract

Introduction : Polycystic ovary syndrome (PCOS) is a prevalent polygenic endocrine disorder affecting women during their reproductive years. It is marked by excessive androgen levels, irregular ovulation, and the presence of multiple ovarian follicles. The CYP17A1 gene has been implicated in androgen overproduction, yet the extent to which CYP17A1 genetic variants influence the susceptibility to PCOS is still uncertain. The following section summarizes studies that have examined the link between the CYP17A1 rs743572 polymorphism and PCOS risk in women of reproductive age. Method:  A thorough literature search was performed across three databases: SCOPUS, ScienceDirect, and PubMed, to identify studies meeting the inclusion criteria. The risk of bias for the included studies was evaluated using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Collected data were subsequently analyzed using RevMan version 5.4. Result: Four studies involving 1,542 PCOS cases and 1,438 controls were included in the meta-analysis. CYP17A1 (rs743572) polymorphism was significantly associated with increased PCOS risk across all genetic models: allele model (OR = 1.39, 95% CI: 1.09-1.76, P = 0.007, I² = 51%), dominant model (OR = 1.53, 95% CI: 1.10-2.11, P = 0.01, I² = 43%), and recessive model (OR = 1.52, 95% CI: 1.10-2.10, P = 0.01, I² = 9%), indicating consistent positive associations with low to moderate heterogeneity. Conclusion: The CYP17 T/C (rs74357) polymorphism is a significant factor contributing to heightened susceptibility to polycystic ovary syndrome in individuals carrying the C allele. These findings indicate that CYP17 gene polymorphisms could serve as a potential risk factor for developing polycystic ovary syndrome, or may play an important role in the associated metabolic and hormonal disorders

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Journal Info

Abbrev

AJFER

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Social Sciences

Description

The Asian Journal of Fertility, Endocrinology, and Reproduction (AJFER), first launched in 2025, is a peer-reviewed and open-access scientific journal dedicated to advancing knowledge in the fields of fertility, endocrinology, and reproduction health published by the Pusat Pelatihan Profesional ...