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多囊卵巢综合征患者氧化应激与炎症的评估

Evaluation of oxidative stress and inflammation in patients with polycystic ovary syndrome.

作者信息

Sen Berra, Gonultas Senem, Albayrak Ceren, Temur Sevval, Acar Ilgar, Ozkan Beyza Nur, Islek Havva Sevde, Yilmaz Muserref Banu, Kale Ebru, Guler Eray Metin

机构信息

Department of Medical School Education, University of Health Sciences Turkey, Hamidiye Faculty of Medicine, Istanbul, Turkey.

Department of Medical Biochemistry, University of Health Sciences Turkey, Hamidiye Faculty of Medicine, Istanbul, Turkey.

出版信息

Obstet Gynecol Sci. 2024 Jul;67(4):414-420. doi: 10.5468/ogs.24031. Epub 2024 May 17.

Abstract

OBJECTIVE

Polycystic ovary syndrome (PCOS) is a heterogeneous endocrine and metabolic disorder characterized by hyperandrogenism, hyperinsulinemia, and insulin resistance. The prevalence of PCOS is increasing worldwide. Although the etiology of this disease is currently unknown, it is thought to be closely related to inflammation and oxidative stress. Our study aimed to compare patients have PCOS to healthy volunteers and assess the changes in oxidative stress and inflammatory parameters in these patients.

METHODS

Thirty patients between the ages of 18-45 diagnosed with PCOS and 30 healthy volunteers with the same demographic characteristics were included in this study. Clinical parameters were measured using immunoassays. Oxidative stress biomarkers, total oxidant (TOS), total antioxidant (TAS), total thiol (TT), and native thiol (NT) levels were measured using photometric methods according to Erel's method. The dynamic disulfide level (DIS) and oxidative stress index (OSI) were calculated using mathematical equations. Among the inflammatory parameters, values for interleukin (IL)-1β, IL-6, and tumor necrosis factor-α (TNF-α) were measured photometrically using commercially purchased kits.

RESULTS

Moreover, TT and NT levels were lower in patients with PCOS compared to those in the healthy group statistically significantly (P<0.001). In addition, TAS, TOS, OSI, DIS, IL-1β, IL-6, and TNF-α levels were identified to be significantly higher in the patients with PCOS than those in the healthy group (P<0.001).

CONCLUSION

Evaluation of oxidative stress and clinical parameters used in the follow-up may be beneficial for the disease.

摘要

目的

多囊卵巢综合征(PCOS)是一种异质性内分泌和代谢紊乱疾病,其特征为高雄激素血症、高胰岛素血症和胰岛素抵抗。PCOS在全球的患病率正在上升。尽管目前该疾病的病因尚不清楚,但认为与炎症和氧化应激密切相关。我们的研究旨在比较PCOS患者与健康志愿者,并评估这些患者氧化应激和炎症参数的变化。

方法

本研究纳入了30例年龄在18 - 45岁之间诊断为PCOS的患者和30例具有相同人口统计学特征的健康志愿者。使用免疫测定法测量临床参数。根据埃雷尔方法,采用光度法测量氧化应激生物标志物、总氧化剂(TOS)、总抗氧化剂(TAS)、总硫醇(TT)和天然硫醇(NT)水平。使用数学公式计算动态二硫键水平(DIS)和氧化应激指数(OSI)。在炎症参数中,使用商业购买的试剂盒通过光度法测量白细胞介素(IL)-1β、IL-6和肿瘤坏死因子-α(TNF-α)的值。

结果

此外,PCOS患者的TT和NT水平在统计学上显著低于健康组(P<0.001)。此外,PCOS患者的TAS、TOS、OSI、DIS、IL-1β、IL-6和TNF-α水平被确定显著高于健康组(P<0.001)。

结论

评估随访中使用的氧化应激和临床参数可能对该疾病有益。

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本文引用的文献

1
Role of Oxidative Stress in Obese and Nonobese PCOS Patients.肥胖和非肥胖多囊卵巢综合征患者氧化应激的作用。
Int J Clin Pract. 2022 Feb 9;2022:4579831. doi: 10.1155/2022/4579831. eCollection 2022.
2
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J Clin Med. 2022 Mar 9;11(6):1507. doi: 10.3390/jcm11061507.
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Endogenous non-enzymatic antioxidants in the human body.人体内的内源性非酶抗氧化剂。
Adv Med Sci. 2018 Mar;63(1):68-78. doi: 10.1016/j.advms.2017.05.005. Epub 2017 Aug 17.
10
Oxidative Stress: Harms and Benefits for Human Health.氧化应激:对人类健康的危害与益处
Oxid Med Cell Longev. 2017;2017:8416763. doi: 10.1155/2017/8416763. Epub 2017 Jul 27.

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