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多囊卵巢综合征中血管生成素样蛋白 3(ANGPTL3)水平的评估。

Evaluation of angiopoietin-like protein 3 (ANGPTL3) levels in polycystic ovary syndrome.

机构信息

Department of Comparative Biosciences, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran.

Department of Clinical Biochemistry, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Life Sci. 2020 Dec 15;263:118595. doi: 10.1016/j.lfs.2020.118595. Epub 2020 Oct 17.

Abstract

AIM

Angiopoietin-like protein 3 (ANGPTL3) is recognized as a regulator of lipid metabolism. However, little is known about its association with insulin resistance in polycystic ovary syndrome (PCOS) setting. The present study aimed to investigate the serum levels of ANGPTL3 and adiponectin in PCOS women compared to healthy controls.

MAIN METHOD

In this study, a total of 175 premenopausal women (117 PCOS and 58 non-PCOS) were enrolled. Serum concentrations of ANGPTL3, adiponectin, fasting insulin, and other hormonal variables were measured using ELISA technique.

KEY FINDINGS

Results showed that adiponectin levels were significantly lower in PCOS group than those of non-PCOS group. However, serum levels of ANGPTL3, high-sensitivity C-reactive protein (hs-CRP), and homocysteine (Hcy) were found to be higher in PCOS patients, when compared to non-PCOS ones. Moreover, serum ANGPTL3 positively correlated with BMI and serum triglyceride, while it inversely correlated with serum HDL-C in PCOS patients.

SIGNIFICANCE

Our results demonstrated that increased levels of ANGPTL3 correlated with insulin resistance and dyslipidemia in PCOS patients, highlighting the need for future studies targeting its role in the pathogenesis of this disease.

摘要

目的

血管生成素样蛋白 3(ANGPTL3)被认为是脂质代谢的调节剂。然而,关于其在多囊卵巢综合征(PCOS)患者中与胰岛素抵抗的关系知之甚少。本研究旨在调查 PCOS 女性与健康对照组相比血清 ANGPTL3 和脂联素的水平。

主要方法

本研究共纳入 175 名绝经前妇女(117 名 PCOS 和 58 名非 PCOS)。采用 ELISA 技术检测血清 ANGPTL3、脂联素、空腹胰岛素和其他激素变量的浓度。

主要发现

结果表明,PCOS 组的脂联素水平明显低于非 PCOS 组。然而,与非 PCOS 组相比,PCOS 患者的血清 ANGPTL3、高敏 C 反应蛋白(hs-CRP)和同型半胱氨酸(Hcy)水平更高。此外,血清 ANGPTL3 与 PCOS 患者的 BMI 和血清甘油三酯呈正相关,与血清 HDL-C 呈负相关。

意义

我们的结果表明,ANGPTL3 水平升高与 PCOS 患者的胰岛素抵抗和血脂异常相关,这突显了未来研究其在该疾病发病机制中作用的必要性。

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