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多囊卵巢综合征:最新研究与治疗进展

Polycystic ovary syndrome: Recent research and therapeutic advancements.

作者信息

Dilliyappan Shanmugapriya, Kumar Avanthika Satish, Venkatesalu Sneha, Palaniyandi Thirunavukkarasu, Baskar Gomathy, Sivaji Asha, Rab Safia Obaidur, Saeed Mohd, Shivaranjani K S

机构信息

Department of Biotechnology, Dr.M.G.R. Educational and Research Institute, Chennai, India.

Department of Biotechnology, Dr.M.G.R. Educational and Research Institute, Chennai, India; ACS-Advanced Medical Research Institute, Dr. M.G.R Educational and Research Institute, Maduravoyal, Chennai 600095, India.

出版信息

Life Sci. 2024 Dec 15;359:123221. doi: 10.1016/j.lfs.2024.123221. Epub 2024 Nov 8.

Abstract

Polycystic ovary syndrome is often characterized by the appearance of several tiny cysts (fluid-filled sacs) in the ovaries. It is the most significant endocrinopathy affecting 8-13 % of women during their lifetime. Within the dynamic domain of women's health, this syndrome is a widespread issue that presents with an array of signs, including insulin resistance, hirsutism, androgen development, and menstrual flaws prompted by genetic, diet/lifestyle, gut microbiota dysbiosis, and environmental toxins. Impaired folliculogenesis, aberrant cortisol metabolism, and genes associated with steroidogenesis contribute to the pathophysiology of the disease. Moreover, it combines with various concurrent metabolic and idiopathic conditions specifically type 2 diabetes, heart disease, cancer, and infertility. On persuading the reproductive framework of women from ontogeny to menopause, the complexity of the syndrome hereditates generations due to maternal inheritance of hyperandrogenism. The advancement in diagnostic norms paved the way from the Rotterdam criteria to metabolomics, 3D ultrasound, and assisted reproductive technologies. The management and treatment of this hormonal disorder can be prevailed through lifestyle modifications and prompt medications. This review entails the aforementioned benchmarks of the syndrome's complexity and its ongoing research in alleviating its intricate behavioral changes in women from in-utero to menopause.

摘要

多囊卵巢综合征通常的特征是卵巢中出现多个微小囊肿(充满液体的囊)。它是影响8%至13%女性一生的最重要的内分泌病。在女性健康的动态领域中,这种综合征是一个普遍存在的问题,表现出一系列症状,包括胰岛素抵抗、多毛症、雄激素发育以及由遗传、饮食/生活方式、肠道微生物群失调和环境毒素引发的月经缺陷。卵泡生成受损、皮质醇代谢异常以及与类固醇生成相关的基因促成了该疾病的病理生理学。此外,它还与各种并发的代谢和特发性疾病相关,特别是2型糖尿病、心脏病、癌症和不孕症。由于高雄激素血症的母体遗传,该综合征的复杂性在从个体发育到绝经的女性生殖框架中代代相传。诊断标准的进步为从鹿特丹标准到代谢组学、三维超声和辅助生殖技术铺平了道路。这种激素紊乱的管理和治疗可以通过生活方式的改变和及时用药来实现。本综述涵盖了该综合征复杂性的上述基准及其在减轻女性从子宫内到绝经期间复杂行为变化方面的 ongoing research。(此处“ongoing research”未准确翻译,可能是“正在进行的研究”,但原词在句中表意不太明确)

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