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多囊卵巢综合征患者血清chemerin、vaspin和网膜素-1水平的评估。

Assessment of serum chemerin, vaspin and omentin-1 levels in patients with polycystic ovary syndrome.

作者信息

Guvenc Yesim, Var Ahmet, Goker Asli, Kuscu Naci Kemal

机构信息

Department of Medical Biochemistry, Faculty of Medicine, Celal Bayar University, Manisa, Turkey

Department of Medical Biochemistry, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.

出版信息

J Int Med Res. 2016 Aug;44(4):796-805. doi: 10.1177/0300060516645421. Epub 2016 May 25.

Abstract

OBJECTIVE

To determine serum chemerin, vaspin and omentin-1 in overweight and normal weight patients with polycystic ovary syndrome (PCOS) and investigate the possible relationship between these adipokines and metabolic syndrome.

METHODS

This cross sectional study enrolled women with PCOS and healthy women. Serum chemerin, vaspin and omentin-1 were assessed by enzyme-linked immunosorbent assay methods.

RESULTS

Forty patients with PCOS and 30 healthy controls were included in the study. In the PCOS group, 18 women were overweight (body mass index [BMI] = 25.0-29.9 kg/m(2)) and 22 had normal weight (BMI = 18.5-24.9 kg/m(2)). Chemerin, total cholesterol, dehydroepiandrosterone sulphate and free androgen index (FAI) were significantly higher; and high-density lipoprotein cholesterol and sex hormone binding globulin were significantly lower in overweight PCOS patients compared with normal weight PCOS patients. A positive correlation was found between chemerin and BMI, triglyceride, insulin, homeostatic model assessment of insulin resistance and FAI in the PCOS group. There was no difference in serum chemerin, vaspin and omentin-1 between PCOS patients and healthy controls.

CONCLUSION

Circulating chemerin was increased in overweight compared with normal weight PCOS patients. The most predictive variables for circulating chemerin in PCOS patients were BMI, FAI and age.

摘要

目的

测定超重和体重正常的多囊卵巢综合征(PCOS)患者血清中趋化素、内脏脂肪素和网膜素-1水平,并探讨这些脂肪因子与代谢综合征之间的可能关系。

方法

本横断面研究纳入了PCOS女性患者和健康女性。采用酶联免疫吸附测定法评估血清趋化素、内脏脂肪素和网膜素-1水平。

结果

本研究纳入了40例PCOS患者和30例健康对照者。在PCOS组中,18名女性超重(体重指数[BMI]=25.0-29.9kg/m²),22名体重正常(BMI=18.5-24.9kg/m²)。与体重正常的PCOS患者相比,超重的PCOS患者趋化素、总胆固醇、硫酸脱氢表雄酮和游离雄激素指数(FAI)显著升高;高密度脂蛋白胆固醇和性激素结合球蛋白显著降低。PCOS组中趋化素与BMI、甘油三酯、胰岛素、胰岛素抵抗稳态模型评估及FAI呈正相关。PCOS患者与健康对照者血清趋化素、内脏脂肪素和网膜素-1水平无差异。

结论

与体重正常的PCOS患者相比,超重的PCOS患者循环趋化素水平升高。PCOS患者循环趋化素的最具预测性的变量是BMI、FAI和年龄。

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