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肥胖和非肥胖多囊卵巢综合征患者氧化应激的作用。

Role of Oxidative Stress in Obese and Nonobese PCOS Patients.

机构信息

Van Training and Research Hospital, Department of Obstetrics and Gynecology, Van, Turkey.

Van Yuzuncu Yil University, Department of Biochemistry, Van, Turkey.

出版信息

Int J Clin Pract. 2022 Feb 9;2022:4579831. doi: 10.1155/2022/4579831. eCollection 2022.

Abstract

OBJECTIVE

The aim of this study was to evaluate the relationship between the oxidant-antioxidant status, endothelial dysfunction, lipid metabolism, and metabolic syndrome risk in women with polycystic ovary syndrome (PCOS).

MATERIALS AND METHODS

Forty-five obese (BMI >30 kg/m2) woman diagnosed with PCOS in the study, forty-five nonobese (BMI <30 kg/m) PCOS diagnosis working groups, and forty-nine healthy control groups were created with patients. Serum malondialdehyde (MDA) levels with antioxidant activities, such as SOD, GSH, GPx, and CAT activities, were measured by spectrophotometry.

RESULTS

There was a statistically significant difference in the mean serum MDA level in the obese PCOS group compared to the nonobese group and the control group ( < 0.001). When the antioxidant parameters, such as SOD, GPx, GSH, and CAT, were compared with the healthy control group, nonobese, and obese PCOS groups, the difference between the groups was statistically significant ( < 0.001). A positive correlation was observed between MDA and BMI, triglyceride, LDL, SBP, DBP, and HOMA-IR in the PCOS patient group.

CONCLUSION

Oxidative stress and decreased antioxidant parameters in PCOS patients were correlated with hyperinsulinemia, hypertension, and dyslipidemia findings, and we think that this oxidative stress condition may contribute to metabolic syndrome and cardiovascular diseases in PCOS patients.

摘要

目的

本研究旨在评估多囊卵巢综合征(PCOS)女性的氧化应激状态、内皮功能障碍、脂代谢与代谢综合征风险之间的关系。

材料和方法

研究纳入 45 名肥胖(BMI>30kg/m²)的 PCOS 患者、45 名非肥胖(BMI<30kg/m²)的 PCOS 患者和 49 名健康对照组。采用分光光度法测定血清丙二醛(MDA)水平及超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GPx)、谷胱甘肽(GSH)和过氧化氢酶(CAT)等抗氧化活性。

结果

与非肥胖组和对照组相比,肥胖 PCOS 组的平均血清 MDA 水平存在显著差异( < 0.001)。与健康对照组、非肥胖 PCOS 组相比,SOD、GPx、GSH 和 CAT 等抗氧化参数在 PCOS 患者组中存在显著差异( < 0.001)。在 PCOS 患者组中,MDA 与 BMI、甘油三酯、LDL、SBP、DBP 和 HOMA-IR 呈正相关。

结论

PCOS 患者的氧化应激和抗氧化参数的降低与高胰岛素血症、高血压和血脂异常有关,我们认为这种氧化应激状态可能导致 PCOS 患者发生代谢综合征和心血管疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c66/9159123/8587e2c1bab8/IJCLP2022-4579831.001.jpg

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