Strong evidence for a link between the follistatin gene and polycystic ovar
y syndrome (PCOS) has recently been found in a well-designed large-scale st
udy. Follistatin binds to activin and affects its functions, e.g. stimulati
on of FSH synthesis and secretion. Thus, it may play a role in the function
al impairment of the FSH-granulosa cell axis in PCOS. in this study, we scr
eened 64 Chinese patients with PCOS for mutations in the entire coding regi
on (including the region encoding alternative carboxy-terminals) of the fol
listatin gene using polymerase chain reaction (PCR)-based single-stranded c
onformational polymorphism (SSCP) and DNA sequencing. However, we could not
identify a single mutation of either the activating or inhibiting type, us
ing these techniques. Therefore, it would appear that PCOS in the local Chi
nese population is not caused by mutations in the coding regions of the fol
listatin gene.