开放期刊系统

多囊卵巢综合征病理生理及相关致病基因研究进展

晓宇 贾(内蒙古医科大学,中国;内蒙古自治区人民医院内分泌科,中国)

摘要

多囊卵巢综合征(PCOS)是一种复杂的异质性内分泌疾病,其特征为临床或实验室高雄激素血症、少排卵和代谢异常,包括胰岛素抵抗、超重或肥胖、二型糖尿病、血脂异常和心血管疾病风险增加。PCOS最显著的临床表现是高雄激素血症。值得注意的是,PCOS是异质性的,高雄激素血症不是唯一的致病因素。肥胖和胰岛素抵抗加剧了高雄激素血症的症状,形成了促进PCOS发展的恶性循环。此外,PCOS有明显的家族聚集现象,从遗传学研究推测该病为一种多基因病,其候选基因涉及高雄激素相关基因、胰岛素作用相关基因和慢性炎症因子等。论文总结了以前和最近关于多囊卵巢综合征发病机制及该病可能的致病基因的研究。

关键词

多囊卵巢综合征;高雄激素血症;高胰岛素血症;肥胖;基因

全文:

PDF

参考

A Li, L Zhang, J Jiang, et al. Follicular hyperandrogenism and insulin resistance in polycystic ovary syndrome patients with normal circulating testosterone levels[J]. Biomed Res, 2018(3):43-46.

I Torre-Villalvazo, A.E. Bunt, G. Alemán, et al. Adiponectin synthesis and secretion by subcutaneous adipose tissue is impaired during obesity by endoplasmic reticulum stress[J]. Journal of Cellular Biochemistry,2018(9):5970-5984.

N A Malini, K. Roy George. Evaluation of different ranges of LH:FSH ratios in polycystic ovarian syndrome (PCOS) – Clinical based case control study[J]. General and Comparative Endocrinology, 2018(128):51-57.

Corbould A. Effects of androgens on insulin action in women: is androgen excess a component of female metabolic syndrome?[J]. Diabetes Metab Res Rev, 2008(24):520-532.

Wu S, Divall S, Nwaopara A, et al. Obesity induced infertility and hyperan-drogenism are corrected by deletion of the insulin receptor in the ovarian theca cell[J]. Diabetes, 2014(63):1270-1282.

Rosenfield RL, Ehrmann DA. The pathogenesis of polycystic ova-ry syndrome(PCOS):the hypothesis of PCOS as functional ovar-ian hyperandrogenism revisited[J]. Endocr Rev, 2016,37(5):467-520.

Gonzalez F, Considine RV, Abdelhadi OA, et al. Saturated fat ingestion promotes lipopolysaccharide-mediated inflammation and insulin resistance in polycystic ovary syndrome[J]. Clin Endocrinol Metab, 2019(104):934-946.

Gonzalez F, Considine RV, Abdelhadi OA, et al. Inflammation triggered by saturated fat ingestion is linked to insulin resistance and hyperandrogenism in PCOS[J]. Clin Endocrinol Metab, 2020(105):2152-2167.



DOI: http://dx.doi.org/10.12345/yzlcyxzz.v4i6.7965

Refbacks

  • 当前没有refback。
版权所有(c)2021 晓宇 贾 Creative Commons License
此作品已接受知识共享署名-非商业性使用 4.0国际许可协议的许可。
  • :+65-62233778 QQ:2249355960 :contact@s-p.sg