Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D

Introduction. Oxidative stress (OS) is recognized in the pathophysiology of polycystic ovary syndrome (PCOS). OS results in intracellular reactive oxygen species generation, causing oxidative protein damage that is protected by heat shock proteins (HSPs). Vitamin D is thought to reduce and protect a...

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Main Authors: Manjula Nandakumar, Thozhukat Sathyapalan, Alexandra E. Butler, Stephen L. Atkin
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/7/2044
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author Manjula Nandakumar
Thozhukat Sathyapalan
Alexandra E. Butler
Stephen L. Atkin
author_facet Manjula Nandakumar
Thozhukat Sathyapalan
Alexandra E. Butler
Stephen L. Atkin
author_sort Manjula Nandakumar
collection DOAJ
description Introduction. Oxidative stress (OS) is recognized in the pathophysiology of polycystic ovary syndrome (PCOS). OS results in intracellular reactive oxygen species generation, causing oxidative protein damage that is protected by heat shock proteins (HSPs). Vitamin D is thought to reduce and protect against OS; therefore, OS, HSP, and vitamin D levels may be associated with PCOS. However, their expression in PCOS without underlying inflammation is unknown. Methods. In this exploratory study, the plasma levels of 7 OS proteins and 10 HSPs that are affected by the OS process were measured using Slow Off-rate Modified Aptamer (SOMA)-scan plasma protein measurements in non-obese, non-insulin resistant women with PCOS (<i>n</i> = 24) without systemic inflammation and control (<i>n</i> = 24) women; the cohorts were matched for weight and age. The OS proteins and HSPs were correlated with 25-hydroxy vitamin D<sub>3</sub> (25(OH)D<sub>3</sub>) and the active form, 1,25-dihydroxyvitamin D<sub>3</sub> (1,25(OH)<sub>2</sub>D<sub>3</sub>), as measured by isotope-dilution liquid chromatography tandem mass spectrometry. Results. The PCOS women versus the controls had comparable insulin resistance and systemic inflammation (C-reactive protein 2.0 mg/L vs. 2.3 mg/L, <i>p</i> > 0.05), but higher free androgen index and anti-mullerian hormone levels. Among the OS proteins, only esterase D (ESD; <i>p</i> < 0.01) was elevated in PCOS and the HSPs did not differ between the PCOS and control women. There was no correlation of 25(OH)D<sub>3</sub> or 1,25(OH)<sub>2</sub>D<sub>3</sub> with any of the proteins. Conclusions. In a PCOS population that was non-obese and without insulin resistance and systemic inflammation, only ESD was elevated in PCOS, whilst the other OS proteins and HSPs were not elevated. Further, none of the OS proteins or HSPs were correlated with either 25(OH)D<sub>3</sub> or 1,25(OH)<sub>2</sub>D<sub>3</sub> in either cohort of women or when both cohorts were combined, indicating that the OS and HSP responses were largely absent and not affected by vitamin D in a non-obese PCOS population.
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spelling doaj.art-f4f984d2d52f41d88e833eb0cde023992023-11-18T18:28:39ZengMDPI AGBiomedicines2227-90592023-07-01117204410.3390/biomedicines11072044Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin DManjula Nandakumar0Thozhukat Sathyapalan1Alexandra E. Butler2Stephen L. Atkin3Research Department, Royal College of Surgeons in Ireland Bahrain, Busaiteen, Adliya 15503, BahrainAcademic Endocrinology, Diabetes and Metabolism, Hull York Medical School, Hull HU6 7RU, UKResearch Department, Royal College of Surgeons in Ireland Bahrain, Busaiteen, Adliya 15503, BahrainResearch Department, Royal College of Surgeons in Ireland Bahrain, Busaiteen, Adliya 15503, BahrainIntroduction. Oxidative stress (OS) is recognized in the pathophysiology of polycystic ovary syndrome (PCOS). OS results in intracellular reactive oxygen species generation, causing oxidative protein damage that is protected by heat shock proteins (HSPs). Vitamin D is thought to reduce and protect against OS; therefore, OS, HSP, and vitamin D levels may be associated with PCOS. However, their expression in PCOS without underlying inflammation is unknown. Methods. In this exploratory study, the plasma levels of 7 OS proteins and 10 HSPs that are affected by the OS process were measured using Slow Off-rate Modified Aptamer (SOMA)-scan plasma protein measurements in non-obese, non-insulin resistant women with PCOS (<i>n</i> = 24) without systemic inflammation and control (<i>n</i> = 24) women; the cohorts were matched for weight and age. The OS proteins and HSPs were correlated with 25-hydroxy vitamin D<sub>3</sub> (25(OH)D<sub>3</sub>) and the active form, 1,25-dihydroxyvitamin D<sub>3</sub> (1,25(OH)<sub>2</sub>D<sub>3</sub>), as measured by isotope-dilution liquid chromatography tandem mass spectrometry. Results. The PCOS women versus the controls had comparable insulin resistance and systemic inflammation (C-reactive protein 2.0 mg/L vs. 2.3 mg/L, <i>p</i> > 0.05), but higher free androgen index and anti-mullerian hormone levels. Among the OS proteins, only esterase D (ESD; <i>p</i> < 0.01) was elevated in PCOS and the HSPs did not differ between the PCOS and control women. There was no correlation of 25(OH)D<sub>3</sub> or 1,25(OH)<sub>2</sub>D<sub>3</sub> with any of the proteins. Conclusions. In a PCOS population that was non-obese and without insulin resistance and systemic inflammation, only ESD was elevated in PCOS, whilst the other OS proteins and HSPs were not elevated. Further, none of the OS proteins or HSPs were correlated with either 25(OH)D<sub>3</sub> or 1,25(OH)<sub>2</sub>D<sub>3</sub> in either cohort of women or when both cohorts were combined, indicating that the OS and HSP responses were largely absent and not affected by vitamin D in a non-obese PCOS population.https://www.mdpi.com/2227-9059/11/7/2044polycystic ovary syndromeoxidative stressheat shock proteinsvitamin D<sub>3</sub>
spellingShingle Manjula Nandakumar
Thozhukat Sathyapalan
Alexandra E. Butler
Stephen L. Atkin
Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D
Biomedicines
polycystic ovary syndrome
oxidative stress
heat shock proteins
vitamin D<sub>3</sub>
title Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D
title_full Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D
title_fullStr Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D
title_full_unstemmed Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D
title_short Oxidative Stress Markers and Heat Shock Proteins in Non-Obese Women with Polycystic Ovary Syndrome Are Not Elevated and Show No Correlation with Vitamin D
title_sort oxidative stress markers and heat shock proteins in non obese women with polycystic ovary syndrome are not elevated and show no correlation with vitamin d
topic polycystic ovary syndrome
oxidative stress
heat shock proteins
vitamin D<sub>3</sub>
url https://www.mdpi.com/2227-9059/11/7/2044
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