“…Some of genes and their associated biochemical pathway leading to PCOS are steroidogenesis (e.g., CYP17A1, CYP11A1, CYP19A1), chronic inflammation (e.g., tumor necrosis factor-alpha, interleukin 6), INS secretion (e.g., INS, insulin receptor [INSR], insulin receptor substrate-1), cancer (e.g., matrix metalloproteinase, INS, androgen receptor type 1), complement and coagulation cascade (e.g., von Willebrand factor), and signaling (e.g., luteinizing hormone/human chorionic gonadotropin receptor [LHCGR], INS, and adiponectin gene, anti-Mullerian hormone [AMH]) pathways [6][7][8][9][10]. One gene associated with the manifestation of PCOS is CYP21A2, and it is one among the cytochrome P450 (CYPs) enzymes involved in steroidogenesis pathways [11,12]. Steroidogenesis in ovaries starts with converting cholesterol to androgen, estrogen, and progestin, all of which act as substrates for synthesizing steroid hormones.…”