Devi Kusuma, Malleshappa K, Jeyalakshmi L
Bangalore Medical College & Research Institute, Bangalore, Karnataka, India.
Indian J Physiol Pharmacol. 2012 Apr-Jun;56(2):147-53.
The study was done to investigate the effects of cyclical changes of endogenous sex hormones during different phases of menstrual cycle on Acylation stimulating Protein (ASP) and its correlation with lipid profile parameters in healthy reproductive women. Twenty nine healthy reproductive women with regular menstrual cycles were included in this longitudinal study. The levels of FSH, LH, progesterone and estradiol were measured along with ASP. The total cholesterol, triglycerides, HDL-C, LDL-C levels were estimated during follicular, ovulatory and luteal phases of the menstrual cycle. There was a significant rise in ASP levels during luteal phase when compared to follicular phase (P < 0.01). The rise in ASP levels during the luteal phase correlated with elevated progesterone levels (r = 0.472, p = 0.027). Multiple regression analysis including all measured variables in the study showed that progesterone was the only significant predictor of ASP levels. The level of LDL-C as well as total cholesterol/ HDL-C and LDL-C/HDL-C ratios showed significant decreases during the luteal phase compared with the follicular phase (P < 0.05). No correlation was seen between ASP levels and the lipid profile parameters. The findings of this study suggest that adipokines such as ASP levels are increased during luteal phase associated with elevated progesterone levels which may contribute to increased fat storage & distribution in women of reproductive age.
本研究旨在探讨健康育龄女性月经周期不同阶段内源性性激素的周期性变化对酰化刺激蛋白(ASP)的影响及其与血脂参数的相关性。29名月经周期规律的健康育龄女性被纳入这项纵向研究。同时检测FSH、LH、孕酮和雌二醇水平以及ASP水平。在月经周期的卵泡期、排卵期和黄体期评估总胆固醇、甘油三酯、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平。与卵泡期相比,黄体期ASP水平显著升高(P < 0.01)。黄体期ASP水平的升高与孕酮水平升高相关(r = 0.472,p = 0.027)。包括研究中所有测量变量的多元回归分析表明,孕酮是ASP水平的唯一显著预测因子。与卵泡期相比,黄体期LDL-C水平以及总胆固醇/HDL-C和LDL-C/HDL-C比值显著降低(P < 0.05)。未发现ASP水平与血脂参数之间存在相关性。本研究结果表明,黄体期与孕酮水平升高相关的ASP等脂肪因子水平升高,这可能导致育龄女性脂肪储存和分布增加。