Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population

Introduction: Premature ejaculation (PE) is widely regarded as one of the most common sexual dysfunctions in men. The neurobiogenesis of PE is complex and involves the serotoninergic (5-HT) system. Aim: In this study, we investigated whether polymorphisms in the tryptophan hydroxylase 2 (TPH2) gene...

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Main Authors: Xu Fu, MD, Xiansheng Zhang, MD, PhD, Tao Jiang, MD, Yuanyuan Huang, MD, Peng Cheng, MD, Dongdong Tang, MD, Jingjing Gao, MD, JunHua Du, MD
Format: Article
Language:English
Published: Oxford University Press 2020-06-01
Series:Sexual Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2050116120300271
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author Xu Fu, MD
Xiansheng Zhang, MD, PhD
Tao Jiang, MD
Yuanyuan Huang, MD
Peng Cheng, MD
Dongdong Tang, MD
Jingjing Gao, MD
JunHua Du, MD
author_facet Xu Fu, MD
Xiansheng Zhang, MD, PhD
Tao Jiang, MD
Yuanyuan Huang, MD
Peng Cheng, MD
Dongdong Tang, MD
Jingjing Gao, MD
JunHua Du, MD
author_sort Xu Fu, MD
collection DOAJ
description Introduction: Premature ejaculation (PE) is widely regarded as one of the most common sexual dysfunctions in men. The neurobiogenesis of PE is complex and involves the serotoninergic (5-HT) system. Aim: In this study, we investigated whether polymorphisms in the tryptophan hydroxylase 2 (TPH2) gene were associated with lifelong PE (LPE). Methods: A total of 121 men diagnosed with LPE were recruited from our outpatient clinics and 94 healthy controls from the health examination center. Intravaginal ejaculation latency time (IELT) was measured using a stopwatch. The PE diagnostic tool (PEDT) data were collected at the same time. All subjects with LPE and healthy controls were genotyped for polymorphisms in the TPH2 gene. Allele and genotype frequencies of single-nucleotide polymorphisms (SNPs) were compared between the patients and controls. Main Outcome Measure: The main outcome measures are IELT and PEDT to diagnose LPE. The association of LPE with TPH2 gene polymorphisms in these areas was investigated. Results: The IELT, PEDT scores, and education levels in the LPE group were significantly different from those in the control group. Statistically significant differences were found in the SNPs of SNV019 and rs4290270. The frequencies of the G allele and G/A genotype of SNV019 were significantly higher in the patients with LPE than in the controls (P = .045 and .037, respectively). The A allele and A/A genotype of rs4290270 were more frequent in the patients with LPE than in the controls (P = .037 and .049, respectively). In the dominant model of inheritance, the SNV019 polymorphism in the patients with LPE was significantly different from that in the controls (odds ratio [95% confidence interval] = 2.936 [1.066–8.084], P = .037). In men with LPE, there was no statistically significant association between genotype and median IELT. Conclusion: The SNPs SNV019 and rs4290270 of the TPH2 gene seemed to be associated with LPE in the Han population. Men with the A allele of SNV019 or the T allele of rs4290270 may be less likely to suffer from LPE.Fu X, Zhang X, Jiang T, et al. Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population. Sex Med 2020;8:223–229.
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spelling doaj.art-7b4a9edb61ae408ab8742fda5f27bea82023-09-02T19:11:33ZengOxford University PressSexual Medicine2050-11612020-06-0182223229Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han PopulationXu Fu, MD0Xiansheng Zhang, MD, PhD1Tao Jiang, MD2Yuanyuan Huang, MD3Peng Cheng, MD4Dongdong Tang, MD5Jingjing Gao, MD6JunHua Du, MD7Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China; Corresponding Author: Xiansheng Zhang, MD, PhD, Department of Urology, The First Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China. Tel: 86-551-62922046; Fax: 86-551-62922046Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Urology, The Fourth Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Urology, The Second Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, ChinaDepartment of Obstetrics and Gynecology, Reproductive Medicine Center, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaDepartment of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, ChinaIntroduction: Premature ejaculation (PE) is widely regarded as one of the most common sexual dysfunctions in men. The neurobiogenesis of PE is complex and involves the serotoninergic (5-HT) system. Aim: In this study, we investigated whether polymorphisms in the tryptophan hydroxylase 2 (TPH2) gene were associated with lifelong PE (LPE). Methods: A total of 121 men diagnosed with LPE were recruited from our outpatient clinics and 94 healthy controls from the health examination center. Intravaginal ejaculation latency time (IELT) was measured using a stopwatch. The PE diagnostic tool (PEDT) data were collected at the same time. All subjects with LPE and healthy controls were genotyped for polymorphisms in the TPH2 gene. Allele and genotype frequencies of single-nucleotide polymorphisms (SNPs) were compared between the patients and controls. Main Outcome Measure: The main outcome measures are IELT and PEDT to diagnose LPE. The association of LPE with TPH2 gene polymorphisms in these areas was investigated. Results: The IELT, PEDT scores, and education levels in the LPE group were significantly different from those in the control group. Statistically significant differences were found in the SNPs of SNV019 and rs4290270. The frequencies of the G allele and G/A genotype of SNV019 were significantly higher in the patients with LPE than in the controls (P = .045 and .037, respectively). The A allele and A/A genotype of rs4290270 were more frequent in the patients with LPE than in the controls (P = .037 and .049, respectively). In the dominant model of inheritance, the SNV019 polymorphism in the patients with LPE was significantly different from that in the controls (odds ratio [95% confidence interval] = 2.936 [1.066–8.084], P = .037). In men with LPE, there was no statistically significant association between genotype and median IELT. Conclusion: The SNPs SNV019 and rs4290270 of the TPH2 gene seemed to be associated with LPE in the Han population. Men with the A allele of SNV019 or the T allele of rs4290270 may be less likely to suffer from LPE.Fu X, Zhang X, Jiang T, et al. Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population. Sex Med 2020;8:223–229.http://www.sciencedirect.com/science/article/pii/S2050116120300271Lifelong Premature EjaculationSerotoninTryptophan Hydroxylase 2Single Nucleotide Polymorphism
spellingShingle Xu Fu, MD
Xiansheng Zhang, MD, PhD
Tao Jiang, MD
Yuanyuan Huang, MD
Peng Cheng, MD
Dongdong Tang, MD
Jingjing Gao, MD
JunHua Du, MD
Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population
Sexual Medicine
Lifelong Premature Ejaculation
Serotonin
Tryptophan Hydroxylase 2
Single Nucleotide Polymorphism
title Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population
title_full Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population
title_fullStr Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population
title_full_unstemmed Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population
title_short Association Between Lifelong Premature Ejaculation and Polymorphism of Tryptophan Hydroxylase 2 Gene in the Han Population
title_sort association between lifelong premature ejaculation and polymorphism of tryptophan hydroxylase 2 gene in the han population
topic Lifelong Premature Ejaculation
Serotonin
Tryptophan Hydroxylase 2
Single Nucleotide Polymorphism
url http://www.sciencedirect.com/science/article/pii/S2050116120300271
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