Clinical Study On the Relationship Between Neopterin and Polycystic Ovary Syndrome

Junjie Zhou, M. Yang, Yingxue Liu, You-Lung Song, Ru Lin, Wenjuan Zhang
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引用次数: 1

Abstract

Polycystic ovary syndrome (PCOS) is a reproductive endocrine and metabolic disorder. To offer new research direction for polycystic ovary syndrome (PCOS), including its pathogenesis and treatment, this research explores the relationship between neopterin (NPT) and polycystic ovary syndrome. 40 cases with PCOS were selected in the reproductive medicine clinics of the Second Affiliated Hospital of Shandong First Medical University as PCOS group from January 2017 to December 2018. 40 cases with normal pregnancy plan were treated as non-PCOS group, whose menstruation is from 25 days to 35 days. We divided the two groups into two subgroups separately according to their body mass index (BMI): the obese one with BMI≥25kg/m2and non-obese one with BMI<25kg/m2 . The expression levels of triglycerides (TG), total cholesterol (TC), fasting insulin (FINS), C-reactive protein (CRP), neutrophil (N), NPT and interleukin-6 (IL-6) in PCOS group were higher than non-PCOS group. CRP, NPT and IL-6 in the obese group were increased than the non-obese group in the pairwise comparison of its subgroups whether in PCOS group or non-PCOS group. In the analysis of linear correlation, NPT was positively correlated with TG, TC, WBC, N, CRP, FINS, IL-6 and TNF-α (P<0.01). Multivariate Stepwise regression analysis found that FINS and IL-6 was the two most important factors. The expression of NPT in PCOS patients was higher than nonPCOS. NPT maybe play a significant role in the development of PCOS
新蝶呤与多囊卵巢综合征关系的临床研究
多囊卵巢综合征(PCOS)是一种生殖内分泌和代谢紊乱。为了为多囊卵巢综合征(PCOS)的发病机制和治疗提供新的研究方向,本研究探讨了新蝶呤(NPT)与多囊卵巢综合征的关系。选取2017年1月至2018年12月山东第一医科大学附属第二医院生殖医学门诊的40例PCOS患者作为PCOS组。40例妊娠计划正常的患者作为非pcos组,月经周期为25 ~ 35天。我们根据体重指数(BMI)将两组分别分为两个亚组:BMI≥25kg/m2的肥胖组和BMI<25kg/m2的非肥胖组。PCOS组甘油三酯(TG)、总胆固醇(TC)、空腹胰岛素(FINS)、c反应蛋白(CRP)、中性粒细胞(N)、NPT、白细胞介素-6 (IL-6)的表达水平均高于非PCOS组。无论是PCOS组还是非PCOS组,肥胖组的CRP、NPT、IL-6在其亚组的两两比较中均高于非肥胖组。在线性相关分析中,NPT与TG、TC、WBC、N、CRP、FINS、IL-6、TNF-α呈正相关(P<0.01)。多元逐步回归分析发现FINS和IL-6是两个最重要的因素。PCOS患者中NPT的表达高于非PCOS患者。NPT可能在PCOS的发展中起重要作用
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