Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome
BackgroundPolycystic ovary syndrome (PCOS) is a kind of endocrine and metabolic disorder, disturbing the females of reproductive age. Here, we aimed to investigate the metabolic characteristics of overweight women with PCOS and analyze the possible mechanisms.MethodsWe conducted a cross-sectional st...
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Endocrinology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fendo.2022.970733/full |
| _version_ | 1828066351172812800 |
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| author | Jin Yu Jin Yu Yulai Zhou Jie Ding Danying Zhang Chaoqin Yu Hefeng Huang |
| author_facet | Jin Yu Jin Yu Yulai Zhou Jie Ding Danying Zhang Chaoqin Yu Hefeng Huang |
| author_sort | Jin Yu |
| collection | DOAJ |
| description | BackgroundPolycystic ovary syndrome (PCOS) is a kind of endocrine and metabolic disorder, disturbing the females of reproductive age. Here, we aimed to investigate the metabolic characteristics of overweight women with PCOS and analyze the possible mechanisms.MethodsWe conducted a cross-sectional study on 947 patients with PCOS, who were classified according to body mass index (BMI) as overweight (BMI ≥ 24 kg/m2) or non-overweight (BMI ≤ 23.9 kg/m2). The clinical symptoms, endocrine features, metabolic status, and inflammatory levels of the patients were comprehensively assessed and compared between the patients of the two groups. Additionally, a predictive study on the correlation between inflammation and metabolism was performed using STRING and Cytoscape software, and the possible mechanisms of metabolic disorders involved in the overweight PCOS were preliminarily explored.ResultsOverweight PCOS was associated with increased average age, waist-to-hip ratio, and the incidence of acanthosis nigricans. These patients were susceptible to familial hypertension and diabetes, and exhibited evident characteristics of low levels of luteinizing hormone (LH) and the ratio of LH to follicle-stimulating hormone, and were more inclined to insulin resistance (IR). Furthermore, overweight PCOS presented with a chronic low-grade inflammation state with increased levels of inflammatory cytokines complement components C5/C5α, CXCL12/SDF-1, MIF, and Serpin E1/PAI-1 evidently compared with those in non-overweight PCOS. Pearson analysis showed that these inflammatory cytokines were directly or indirectly correlated with IR. The STRING and Cytoscape network analysis predicted that inflammatory cytokines CXCL12/SDF-1, Serpin E1/PAI-1 and MIF might be crucial for inducing IR in overweight PCOS women through various biological functions and signal transductions including the JAK-STAT cascade, ATP biosynthesis, and HIF-1 signaling.ConclusionsOverweight patients with PCOS are prone to low gonadal levels, IR, and chronic low-grade inflammation. Inflammatory cytokines CXCL12/SDF-1, Serpin E1/PAI-1and MIF might lead to IR through multiple biological functions and signal transductions in overweight PCOS. |
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| id | doaj.art-1f9f112e676b449994aae9aa2a235544 |
| institution | Directory Open Access Journal |
| issn | 1664-2392 |
| language | English |
| last_indexed | 2024-04-10T23:29:33Z |
| publishDate | 2023-01-01 |
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| series | Frontiers in Endocrinology |
| spelling | doaj.art-1f9f112e676b449994aae9aa2a2355442023-01-12T07:02:03ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922023-01-011310.3389/fendo.2022.970733970733Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndromeJin Yu0Jin Yu1Yulai Zhou2Jie Ding3Danying Zhang4Chaoqin Yu5Hefeng Huang6International Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Gynecology of Traditional Chinese Medicine, Changhai Hospital, Naval Medical University, Shanghai, ChinaInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Gynecology of Traditional Chinese Medicine, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Gynecology of Traditional Chinese Medicine, Changhai Hospital, Naval Medical University, Shanghai, ChinaDepartment of Gynecology of Traditional Chinese Medicine, Changhai Hospital, Naval Medical University, Shanghai, ChinaHospital of Obstetrics and Gynecology, Fudan University, Shanghai, ChinaBackgroundPolycystic ovary syndrome (PCOS) is a kind of endocrine and metabolic disorder, disturbing the females of reproductive age. Here, we aimed to investigate the metabolic characteristics of overweight women with PCOS and analyze the possible mechanisms.MethodsWe conducted a cross-sectional study on 947 patients with PCOS, who were classified according to body mass index (BMI) as overweight (BMI ≥ 24 kg/m2) or non-overweight (BMI ≤ 23.9 kg/m2). The clinical symptoms, endocrine features, metabolic status, and inflammatory levels of the patients were comprehensively assessed and compared between the patients of the two groups. Additionally, a predictive study on the correlation between inflammation and metabolism was performed using STRING and Cytoscape software, and the possible mechanisms of metabolic disorders involved in the overweight PCOS were preliminarily explored.ResultsOverweight PCOS was associated with increased average age, waist-to-hip ratio, and the incidence of acanthosis nigricans. These patients were susceptible to familial hypertension and diabetes, and exhibited evident characteristics of low levels of luteinizing hormone (LH) and the ratio of LH to follicle-stimulating hormone, and were more inclined to insulin resistance (IR). Furthermore, overweight PCOS presented with a chronic low-grade inflammation state with increased levels of inflammatory cytokines complement components C5/C5α, CXCL12/SDF-1, MIF, and Serpin E1/PAI-1 evidently compared with those in non-overweight PCOS. Pearson analysis showed that these inflammatory cytokines were directly or indirectly correlated with IR. The STRING and Cytoscape network analysis predicted that inflammatory cytokines CXCL12/SDF-1, Serpin E1/PAI-1 and MIF might be crucial for inducing IR in overweight PCOS women through various biological functions and signal transductions including the JAK-STAT cascade, ATP biosynthesis, and HIF-1 signaling.ConclusionsOverweight patients with PCOS are prone to low gonadal levels, IR, and chronic low-grade inflammation. Inflammatory cytokines CXCL12/SDF-1, Serpin E1/PAI-1and MIF might lead to IR through multiple biological functions and signal transductions in overweight PCOS.https://www.frontiersin.org/articles/10.3389/fendo.2022.970733/fullpolycystic ovary syndromeoverweightmetabolisminflammationinsulin resistance |
| spellingShingle | Jin Yu Jin Yu Yulai Zhou Jie Ding Danying Zhang Chaoqin Yu Hefeng Huang Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome Frontiers in Endocrinology polycystic ovary syndrome overweight metabolism inflammation insulin resistance |
| title | Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome |
| title_full | Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome |
| title_fullStr | Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome |
| title_full_unstemmed | Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome |
| title_short | Characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome |
| title_sort | characteristics and possible mechanisms of metabolic disorder in overweight women with polycystic ovary syndrome |
| topic | polycystic ovary syndrome overweight metabolism inflammation insulin resistance |
| url | https://www.frontiersin.org/articles/10.3389/fendo.2022.970733/full |
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