“…These genes are mainly related to the insulin signaling pathway and IR, chronic inflammation, reproductive hormone disorders, and biosynthesis of androgens; such as those encoding insulin (INS), INS receptor (INSR), INSR substrates (IRS), methylenetetrahydrofolate reductase (MTHFR), IL family members, TNF-a, toll-like receptor 2 (TLR2), fat mass and obesity-associated protein (FTO), paraoxonase 1 (PON1), calpain 10 (CAPN10), peroxisome proliferatoractivated receptor g (PPAR-g), FSH receptor (FSHR), LH/ choriogonadotropin receptor (LHCGR), LH-b, sex hormonebinding globulin (SHBG), androgen receptor, transforming growth factor b (TGF-b), fibrillin 3 (FBN3), and vitamin D receptor (VDR) (17,(33)(34)(35)(36)(37). Nevertheless, the vast majority of candidate gene variants associated with PCOS in previous studies have not been replicated, indicating the possibility of substantial genetic heterogeneity across various ethnic populations or different genetic architectures underlying specific PCOS phenotypes (38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49).…”