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维生素D与多囊卵巢综合征(PCOS):综述

Vitamin D and polycystic ovary syndrome (PCOS): a review.

作者信息

Mohan Anmol, Haider Ramsha, Fakhor Hajar, Hina Fnu, Kumar Vikash, Jawed Aleeza, Majumder Koushik, Ayaz Aliza, Lal Priyanka Mohan, Tejwaney Usha, Ram Nanik, Kazeem Saka

机构信息

Karachi Medical & Dental College.

Asselin Hedelin Hospital, Yvetot, France.

出版信息

Ann Med Surg (Lond). 2023 Jun 5;85(7):3506-3511. doi: 10.1097/MS9.0000000000000879. eCollection 2023 Jul.

Abstract

A common health problem known as polycystic ovarian syndrome (PCOS), is characterized by irregular periods, an excess of androgen production, and polycystic ovaries. It is one of the most prevalent endocrine disorders in women of reproductive age, affecting 4-20% of women worldwide. Numerous studies have found a connection between the onset and symptoms of PCOS and Vitamin D insufficiency. Vitamin D insufficiency causes calcium dysregulation and follicular arrest in women with PCOS, which is connected to menstrual irregularities and fertility issues. Studies have connected PCOS metabolic alterations to VDR polymorphisms such as iApa-I, Taq-I, Cdx2, and Fok-I. Insulin resistance is directly related to Vitamin D, is one of the most distinctive characteristics of the PCOS phenotype. Thus, it is suggested that Vitamin D therapy may help PCOS patients with their insulin sensitivity. In addition to insulin resistance, cardiovascular issues are a second metabolic disturbance that PCOS patients with low Vitamin D levels experience. Dyslipidemia is not linked to an increased risk of cardiovascular disease in PCOS-affected women. Vitamin D dramatically improves glucose metabolism by increasing insulin production, insulin receptor expression and reducing pro-inflammatory cytokines. The effect of Vitamin D on the metabolic and reproductive dysfunctions associated with PCOS may be mediated by an overall impact on insulin resistance. Vitamin D supplementation improved menstrual periods, increased folliculogenesis, and decreased blood testosterone levels in PCOS patients, all of which had a significant impact on the ability to procreate. As a result, it might be a cutting-edge therapeutic strategy for treating PCOS concurrently.

摘要

一种常见的健康问题称为多囊卵巢综合征(PCOS),其特征是月经不规律、雄激素分泌过多和多囊卵巢。它是育龄女性中最普遍的内分泌疾病之一,影响着全球4%-20%的女性。众多研究发现PCOS的发病和症状与维生素D缺乏之间存在联系。维生素D缺乏会导致PCOS女性出现钙调节异常和卵泡停滞,这与月经不调和生育问题有关。研究已将PCOS的代谢改变与VDR多态性如iApa-I、Taq-I、Cdx2和Fok-I联系起来。胰岛素抵抗与维生素D直接相关,是PCOS表型最显著的特征之一。因此,有人认为维生素D疗法可能有助于PCOS患者提高胰岛素敏感性。除了胰岛素抵抗外,心血管问题是维生素D水平低的PCOS患者经历的第二种代谢紊乱。血脂异常与PCOS女性患心血管疾病的风险增加无关。维生素D通过增加胰岛素分泌、胰岛素受体表达和减少促炎细胞因子,显著改善葡萄糖代谢。维生素D对与PCOS相关的代谢和生殖功能障碍的影响可能是通过对胰岛素抵抗的整体作用介导的。补充维生素D改善了PCOS患者的月经周期,增加了卵泡生成,并降低了血液睾酮水平,所有这些对生育能力都有显著影响。因此,它可能是一种同时治疗PCOS的前沿治疗策略。

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