Pathology of hyperandrogenemia in the oocyte of polycystic ovary syndrome.

Pathology of hyperandrogenemia in the oocyte of polycystic ovary syndrome.
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DOI:
10.1016/j.steroids.2022.108989
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发表时间:
2022-04
期刊:
影响因子:
2.7
通讯作者:
Blesson CS
Blesson CS
中科院分区:
医学3区
文献类型:
--
作者:
Chappell NR;Gibbons WE;Blesson CS

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多囊卵巢综合征(PCOS)是世界上最常见的排卵障碍,与多种不良结局相关。表型差异很大,有几种病理因素导致了这种疾病,包括胰岛素抵抗、肥胖和高雄激素血症。其中,高雄激素血症的作用及其导致功能障碍的机制仍然知之甚少。早期的研究表明,雄激素可能会影响细胞的代谢途径,这可能会在线粒体水平上造成危险。由于线粒体是严格的母系遗传,这不仅将为PCOS作为一种疾病的病理生理学提供一个令人兴奋的解释,也将为遗传模式提供一个令人兴奋的解释。本综述旨在总结已知的多囊卵巢综合征及其相关不良后果,重点关注高雄激素血症的作用以及对卵母细胞的特别重视。
Polycystic ovary syndrome (PCOS) is the most common ovulatory disorder in the world and is associated with multiple adverse outcomes. The phenotype is widely varied, with several pathologies contributing to the spectrum of the disease including insulin resistance, obesity and hyperandrogenemia. Of these, the role of hyperandrogenemia and the mechanism by which it causes dysfunction remains poorly understood. Early studies have shown that androgens may affect the metabolic pathways of a cell, and this may pose hazards at the level of the mitochondria. As mitochondria are strictly maternally inherited, this would provide an exciting explanation not only to the pathophysiology of PCOS as a disease, but also to the inheritance pattern. This review seeks to summarize what is known about PCOS and associated adverse outcomes with focus on the role of hyperandrogenemia and specific emphasis on the oocyte.
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