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对胰岛素的抵抗和雄激素水平升高:多囊卵巢综合征的主要病因。

Resistance to the Insulin and Elevated Level of Androgen: A Major Cause of Polycystic Ovary Syndrome.

机构信息

Department of Gynecology, Shaoxing Maternity and Child Health Care Hospital, Shaoxing, China.

Obstetrics and Gynecology Hospital of Shaoxing University, Shaoxing, China.

出版信息

Front Endocrinol (Lausanne). 2021 Oct 20;12:741764. doi: 10.3389/fendo.2021.741764. eCollection 2021.

Abstract

PCOS has a wide range of negative impacts on women's health and is one of the most frequent reproductive systemic endocrine disorders. PCOS has complex characteristics and symptom heterogeneity due to the several pathways that are involved in the infection and the absence of a comm14on cause. A recent study has shown that the main etiology and endocrine aspects of PCOS are the increased level of androgen, which is also known as "hyperandrogenemia (HA)" and secondly the "insulin resistance (IR)". The major underlying cause of the polycystic ovary is these two IR and HA, by initiating the disease and its severity or duration. As a consequence, study on Pathogenesis is crucial to understand the effect of "HA" and "IR" on the pathophysiology of numerous symptoms linked to PCOS. A deep understanding of the pattern of the growth in PCOS for HA and IR can help ameliorate the condition, along with adjustments in nutrition and life, as well as the discovery of new medicinal products. However, further research is required to clarify the mutual role of IR and HA on PCOS development.

摘要

多囊卵巢综合征(PCOS)对女性健康有广泛的负面影响,是最常见的生殖系统内分泌紊乱之一。由于涉及多种感染途径,且不存在共同的病因,PCOS 具有复杂的特征和症状异质性。最近的一项研究表明,PCOS 的主要病因和内分泌方面是雄激素水平升高,也称为“高雄激素血症(HA)”,其次是“胰岛素抵抗(IR)”。多囊卵巢的主要潜在原因是这两种 IR 和 HA,它们会引发疾病及其严重程度或持续时间。因此,研究发病机制对于理解“HA”和“IR”对与 PCOS 相关的众多症状的病理生理学的影响至关重要。深入了解 HA 和 IR 对 PCOS 生长模式的理解可以帮助改善病情,同时进行营养和生活方式的调整,以及发现新的药物。然而,需要进一步的研究来阐明 IR 和 HA 在 PCOS 发展中的相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e0f/8564180/de32053efab0/fendo-12-741764-g001.jpg

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