Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Provincial Key Laboratory for Research and Development of Tropical Herbs, Haikou Key Laboratory of Li Nationality Medicine, School of Pharmacy, Hainan Medical University, Haikou, China.
Key Laboratory of Tropical Cardiovascular Diseases Research of Hainan Province, Cardiovascular Diseases Institute of the First Affiliated Hospital, Hainan Medical University, Haikou, China.
Front Endocrinol (Lausanne). 2023 Mar 9;14:1151723. doi: 10.3389/fendo.2023.1151723. eCollection 2023.
Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age. Its clinical characteristics are mainly oligo-ovulation or anovulation, hyperandrogenemia (HA) and insulin resistance (IR). PCOS is considered to be one of the main causes of infertility in women of childbearing age, and its pathogenesis is still unclear. Intestinal flora, known as the "second genome" of human beings, is closely related to metabolic diseases, immune diseases and infectious diseases. At the same time, mounting evidence suggests that intestinal flora can regulate insulin synthesis and secretion, affect androgen metabolism and follicular development, and is involved in the occurrence of chronic inflammation and obesity. The imbalance of intestinal flora is caused by the abnormal interaction between intestinal flora and host cells caused by the change of intestinal microbial diversity, which is related to the occurrence and development of PCOS. The adjustment of intestinal flora may be a potential direction for the treatment of PCOS.
多囊卵巢综合征(PCOS)是生育期妇女常见的内分泌疾病。其临床特征主要为稀发排卵或无排卵、高雄激素血症(HA)和胰岛素抵抗(IR)。PCOS 被认为是育龄妇女不孕的主要原因之一,其发病机制尚不清楚。肠道菌群被称为人类的“第二基因组”,与代谢性疾病、免疫性疾病和传染性疾病密切相关。同时,越来越多的证据表明,肠道菌群可以调节胰岛素的合成和分泌,影响雄激素代谢和卵泡发育,并参与慢性炎症和肥胖的发生。肠道菌群失衡是由于肠道微生物多样性的变化导致肠道菌群与宿主细胞的异常相互作用引起的,与 PCOS 的发生和发展有关。肠道菌群的调节可能是治疗 PCOS 的一个潜在方向。