Ghrelin和Leptin作为生化指标在女性多囊卵巢综合征中的作用。

Q2 Medicine
Mahmod Khalil Ibrahim, Amina Hamed Ahmed Alobaidi
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引用次数: 3

摘要

简介:多囊卵巢综合征(PCOS)是育龄妇女最常见的内分泌疾病。多囊卵巢综合征是一种病因明确的异质性复杂疾病。一些研究报道其与各种内分泌、代谢和免疫异常有关。饥饿激素ghrelin和leptin影响PCOS的发病机制,并可能导致肥胖女性代谢综合征(MS)的发展。目的:探讨生长素(ghrelin)和瘦素(leptin)水平在女性多囊卵巢综合征诊断和监测进展中的生化指标作用。研究对象与方法:研究对象为2015年2月初至2015年6月底在卡拉尔总医院妇科门诊就诊的100例PCOS患者和50例月经周期正常、表面健康的受试者。测量两组的体重指数(BMI)、血清生长素(ghrelin)、瘦素(leptin)、促黄体生成素(LH)、促卵泡激素(FSH)和睾酮水平。采用夹心ELISA法测定血清瘦素,竞争ELISA法测定血清生长素。采用t检验评估患者组与对照组之间的差异。此外,采用单因素方差分析来检验不同组之间的关系。结果:与对照组相比,多囊卵巢综合征(PCOS)患者胃饥饿素(ghrelin)水平显著降低,瘦素(leptin)水平显著升高。此外,与对照组相比,PCOS患者血清LH、睾酮、催乳素水平显著升高,血清FSH下降。此外,与所有年龄和BMI组的对照组相比,多囊卵巢综合征(PCOS)女性的血清生长素(ghrelin)下降,血清瘦素(leptin)水平显著升高。结论:与对照组相比,PCOS患者胃饥饿素显著降低,瘦素显著升高,提示PCOS患者存在代谢综合征发展的高风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the Role of Ghrelin and Leptin as Biochemical Markers in Female with Polycystic Ovarian Syndrome.

Introduction: Polycystic Ovary Syndrome (PCOS) is the most common endocrine disorder in women of reproductive age. PCOS is a heterogeneous complex disorder of defined aetiology. Some studies report its association with various endocrine, metabolic and immunological abnormalities. The hunger hormones ghrelin and leptin affect the pathogenesis of PCOS and might lead to the development of Metabolic Syndrome (MS) in obese women.

Aim: The study aims at evaluating the role of ghrelin and leptin level in females with polycystic ovary syndrome as a biochemical marker for the diagnosis and monitoring progression.

Subjects and methods: The study included one hundred PCOS patients and fifty apparently healthy subjects with regular menstrual cycle, visiting gynecology outpatient clinic of Kalar General Hospital, from the beginning of February 2015 to the end of June 2015. Body Mass Index (BMI) along with serum ghrelin, leptin, Luteinizing Hormone (LH), Follicle Stimulating Hormone (FSH) and testosterone levels were measured for both groups. Serum leptin was determined using sandwich ELISA, while serum ghrelin was determined using competitive ELISA. Differences between patient and control groups were assessed by using a t-test. Also, one-way Anova was used to test the relationships among different groups.

Results: A significant decrease in ghrelin level and an increase in leptin levels in women with PCOS were observed compared to the control group. Also, a significant elevation in serum levels of LH, Testosterone, Prolactin, and a decrease in serum FSH in PCOS patients were observed, when compared to the control group. Additionally, serum ghrelin decreased and serum leptin level increased significantly in women with PCOS compared to controls in all age and BMI groups.

Conclusion: A significant decrease in ghrelin and an increase in leptin in PCOS patients were observed than in controls, indicating that they are at high risk for metabolic syndrome development.

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来源期刊
Anti-Inflammatory and Anti-Allergy Agents in Medicinal Chemistry
Anti-Inflammatory and Anti-Allergy Agents in Medicinal Chemistry Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
3.30
自引率
0.00%
发文量
11
期刊介绍: Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry aims to cover all the latest and outstanding developments in medicinal chemistry and rational drug design for the discovery of new anti-inflammatory & anti-allergy agents. Publishing a series of timely in-depth reviews written by leaders in the field covering a range of current topics, Anti-Inflammatory & Anti-Allergy Agents in Medicinal Chemistry is an essential journal for every medicinal chemist who wishes to be kept informed and up-to-date with the latest and most important developments in the field.
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