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多囊卵巢综合征:多组学分析综述

Polycystic Ovarian Syndrome: A Review of Multi-omics Analyses.

作者信息

Naqvi Ilmas, Bandyopadhyay Anannya, Panda Amisha, Hareramadas B

机构信息

Department of Zoology, Zakir Husain Delhi College (University of Delhi), J.L.N. Marg, New Delhi, 110002, India.

Lab. No. 115, Department of Zoology, University of Delhi, Delhi, 110007, India.

出版信息

Reprod Sci. 2025 Mar;32(3):618-646. doi: 10.1007/s43032-025-01789-8. Epub 2025 Jan 28.

Abstract

Polycystic Ovary Syndrome (PCOS) is among the most prevalent endocrinological abnormalities of young females, posing a grave public health challenge to the society. The objective of the present literature review is to analyze the enormous amount of information available by way of numerous multi-omic studies, and to explore a meaningful relationship between various factors such as genetic, proteomic, environmental etc. to understand the multifactorial metabolic disorder in a proper manner. Detailed literature search was done in various science article repositories and biomedical databases such as PubMed, Google Scholar, BioMed Central, Embase etc. by using several keywords in whole gamut of combinations. PCOS is a heritable disease. It manifests as a result of a combination of several intricately inter-linked symptoms such as anovulation, obesity, type II diabetes, hyperandrogenism, polycystic ovaries etc., the last one being the main manifestation of the disease, thus leading to infertility among several other complications. Such a multifactorial metabolic disorder with extreme symptomatic heterogeneity cannot be fully explained solely based on symptoms or genetic variations; thus, giving some space of thought to other factors such as epigenetic, microbiomic factors etc. playing a role in the causation of the disease. The present scientific survey of literature extensively reviews various aspects of PCOS by critically looking into the vast multi-omic data, and concluded with suggesting treatment options as well as lifestyle changes required to deal with the psychological/ emotional impacts of the condition on affected women.

摘要

多囊卵巢综合征(PCOS)是年轻女性中最常见的内分泌异常疾病之一,给社会带来了严峻的公共卫生挑战。本文献综述的目的是分析通过众多多组学研究获得的大量信息,并探索遗传、蛋白质组学、环境等各种因素之间有意义的关系,以便正确理解这种多因素代谢紊乱。通过在PubMed、谷歌学术、BioMed Central、Embase等各种科学文章数据库和生物医学数据库中使用多种关键词组合进行了详细的文献检索。PCOS是一种遗传性疾病。它是由多种错综复杂相互关联的症状组合而成的,如无排卵、肥胖、II型糖尿病、高雄激素血症、多囊卵巢等,最后一种是该疾病的主要表现,从而导致不孕以及其他几种并发症。这种具有极端症状异质性的多因素代谢紊乱不能仅基于症状或基因变异来完全解释;因此,需要考虑其他因素,如表观遗传、微生物组因素等在该疾病病因中所起的作用。本次科学文献调查通过批判性地审视大量多组学数据,广泛回顾了PCOS的各个方面,并最终提出了治疗方案以及应对该疾病对受影响女性心理/情绪影响所需的生活方式改变。

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