Nesfatin-1 and other hormone alterations in polycystic ovary syndrome

Nesfatin-1 and other hormone alterations in polycystic ovary syndrome
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DOI:
10.1007/s12020-012-9638-7
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发表时间:
2012-12-01
期刊:
影响因子:
3.7
通讯作者:
Gungor, Sami
Gungor, Sami
中科院分区:
医学3区
文献类型:
--
作者:
Deniz, Rulin;Gurates, Bilgin;Gungor, Sami

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多囊卵巢综合征(PCOS)通常以肥胖、胰岛素抵抗(IR)、高雄激素血症和多毛症为特征。Nesfatin-1是最近发现的一种激素,作用于能量平衡、葡萄糖代谢、肥胖,可能还有性腺功能。本研究旨在评估多囊卵巢综合征(PCOS)患者(n = 30)和年龄和体重指数(BMI)匹配的对照组(n = 30)中nesfat -1的循环水平。PCOS患者的nesfatin-1水平(0.88 +/- A 0.36 ng/mL)明显低于健康对照组(2.22 +/- A 1.14 ng/mL)。PCOS患者的促性腺激素和雄激素血浆浓度、Ferriman-Gallwey评分、血糖水平和HOMA-IR指数(HOMA-IR)动态平衡模型也高于健康女性。PCOS患者的相关测试发现nesfatin-1水平与BMI、空腹血糖、胰岛素水平和HOMA-IR指数呈负相关。巢脂素-1浓度的降低可能在PCOS的发生发展中起重要作用。
Polycystic ovary syndrome (PCOS) is commonly characterised by obesity, insulin resistance (IR), hyperandrogenemia and hirsutism. Nesfatin-1 a recently discovered hormone, acts upon energy balance, glucose metabolism, obesity and probably gonadal functions. This study was to evaluate the circulating levels of nesfatin-1 in patients with PCOS (n = 30) and in age and body mass index (BMI)-matched controls (n = 30). PCOS patients had significantly lower levels of nesfatin-1 (0.88 +/- A 0.36 ng/mL) than healthy controls (2.22 +/- A 1.14 ng/mL). PCOS patients also had higher gonadotropin and androgen plasma concentrations, Ferriman-Gallwey scores, blood glucose levels and a homeostasis model of assessment-IR index (HOMA-IR) index than in healthy women. Correlation tests in PCOS subjects detected a negative correlation between nesfatin-1 levels and BMI, fasting blood glucose, insulin levels and a HOMA-IR index. Lower nesfatin-1 concentration may plays a very important role in the development of PCOS.