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多囊卵巢综合征:对其流行率、诊断和治疗的深入了解,特别提到肠道微生物失调。

Polycystic ovary syndrome: Insights into its prevalence, diagnosis, and management with special reference to gut microbial dysbiosis.

机构信息

Research Scholar, Department of Pharmacology, Gujarat Technological University, Ahmedabad, Gujarat, India; Department of Pharmacology, L. M. College of Pharmacy, Ahmedabad, Gujarat, India.

Department of Pharmacology, L. M. College of Pharmacy, Ahmedabad, Gujarat, India.

出版信息

Steroids. 2024 Aug;208:109455. doi: 10.1016/j.steroids.2024.109455. Epub 2024 Jun 13.

DOI:10.1016/j.steroids.2024.109455
PMID:38876407
Abstract

Polycystic ovary syndrome (PCOS) represents major endocrine and metabolic disorder among women largely characterized by hyperandrogenism and oligomenorrhea precipitates serious complications such as type 2 diabetes, early atherosclerosis, infertility, and endometrial cancer. Several etiological theories were proposed to define the exact cause of the PCOS, which is characterized, by the hypothalamic-pituitary axis, ovarian morphology, and release of adrenal steroid hormones, metabolic syndrome, and hereditary factors. The review explored the role of dysbiosis and the mechanisms through which microbial dysbiosis can affect PCOS development. In recent time, various research groups highlighted the role of microbial gut dysbiosis associated with obesity as potential etiological factor for the PCOS. In the present review, we reviewed the mechanisms attributed to the microbial dysbiosis and treatment approaches to deal with the situation.

摘要

多囊卵巢综合征(PCOS)是女性主要的内分泌和代谢紊乱,其主要特征是高雄激素血症和少经,会引发 2 型糖尿病、早发动脉粥样硬化、不孕和子宫内膜癌等严重并发症。已经提出了几种病因理论来确定 PCOS 的确切病因,其特征是下丘脑-垂体轴、卵巢形态和肾上腺类固醇激素的释放、代谢综合征和遗传因素。本综述探讨了菌群失调的作用以及微生物菌群失调影响 PCOS 发展的机制。最近,许多研究小组强调了与肥胖相关的肠道微生物菌群失调作为 PCOS 潜在病因的作用。在本综述中,我们回顾了微生物菌群失调的机制以及处理这种情况的治疗方法。

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