4.4 Article

Inter-related effects of insulin resistance, hyperandrogenism, sympathetic dysfunction and chronic inflammation in PCOS

期刊

CLINICAL ENDOCRINOLOGY
卷 89, 期 5, 页码 628-633

出版社

WILEY
DOI: 10.1111/cen.13808

关键词

chronic low-grade inflammation; hyperandrogenism; insulin resistance; polycystic ovary syndrome; sympathetic nervous system

资金

  1. National Health and Medical Research Council [APP1022793]

向作者/读者索取更多资源

Objective Insulin resistance, hyperandrogenism, sympathetic dysfunction and chronic low-grade inflammation may act together in a vicious cycle in the pathophysiology of PCOS. However, the inter-relationships of these components are not fully understood. We aimed to study these mechanisms in the pathophysiology of PCOS. Participants and methodsResultsPremenopausal women with PCOS (Rotterdam diagnostic criteria) and without PCOS were recruited from a community setting into a cross-sectional substudy within a randomized control trial. Insulin resistance (fasting insulin and glucose), hyperandrogenism (testosterone, sex hormone-binding globulin [SHBG] and Free Androgen Index [FAI]), muscle sympathetic nerve activity (MSNA) and markers of chronic low-grade inflammation (high sensitivity C-reactive protein [hs-CRP] and high molecular weight adiponectin [HMW-adiponectin]) were measured. Forty-nine women with PCOS (mean age 306 mean BMI 29 +/- 5) and 23 controls (mean age 29 +/- 8 mean BMI 33 +/- 7) with included in this analysis. MSNA and testosterone level were most significantly associated with PCOS status, after adjustment for age and BMI. In women with PCOS, markers of sympathetic activity correlated inversely with HMW-adiponectin and HMW-adiponectin correlated inversely with FAI. Testosterone and FAI both correlated positively with insulin resistance in women PCOS. ConclusionSympathetic dysfunction and hyperandrogenism are significantly associated with PCOS. Chronic low-grade inflammation potentially mediates the effect of sympathetic dysfunction on hyperandrogenism and insulin resistance.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Letter Endocrinology & Metabolism

Patient experience of telemedicine for osteoporosis care during the COVID-19 pandemic

Alicia R. Jones, Peter R. Ebeling, Helena Teede, Frances Milat, Amanda J. Vincent

CLINICAL ENDOCRINOLOGY (2023)

Article Rehabilitation

Stress and social isolation, and its relationship to cardiovascular risk in young adults with intellectual disability

Clara C. Zwack, Rachael McDonald, Ainura Tursunalieva, Shradha Vasan, Gavin W. Lambert, Elisabeth A. Lambert

Summary: The study showed that adults with intellectual disabilities experience higher levels of perceived stress compared to those without disabilities, likely due to unique stressors they face. Stress is strongly associated with social isolation, obesity in females with mild intellectual disabilities, and arterial stiffness.

DISABILITY AND REHABILITATION (2023)

Review Cardiac & Cardiovascular Systems

Current Applications of Robot-Assisted Ultrasound Examination

Edgar M. Hidalgo, Leah Wright, Mats Isaksson, Gavin Lambert, Thomas H. Marwick

Summary: With advances in robotics and telecommunications, robot-assisted teleoperated ultrasound examination can help with medical diagnosis in remote areas, reducing health inequalities. Studies have shown that robots can safely perform ultrasound examinations by following the hand movements of sonographers and researchers. However, real-time transmission of video and ultrasound images requires high bandwidth, and improvements are needed in robot control and interface design.

JACC-CARDIOVASCULAR IMAGING (2023)

Review Biochemistry & Molecular Biology

Prolactin in Pregnancies Affected by Pre-Existing Maternal Metabolic Conditions: A Systematic Review

Kate Rassie, Rinky Giri, Anju E. Joham, Helena Teede, Aya Mousa

Summary: Women with maternal pregestational diabetes mellitus or polycystic ovary syndrome are at increased risk of pregnancy complications and suboptimal lactation outcomes. Prolactin levels may be lower in pregnancies affected by type 1 diabetes mellitus, but data is limited for polycystic ovary syndrome or type 2 diabetes pregnancy. Lactation difficulties in women with pre-existing metabolic disease before pregnancy are well-described, but the relationship to prolactin remains unclear. Further well-designed studies are needed to clarify the associations between pre-existing maternal metabolic disease and prolactin dynamics in pregnancy and postpartum.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Article Peripheral Vascular Disease

Stagnating rates of blood pressure control in Australia: insights from opportunistic screening of 10 046 participants of the May Measurement Month campaigns

Revathy Carnagarin, Janis M. Nolde, Jun Yang, Francine Z. Marques, Dean S. Picone, Gavin W. Lambert, Thomas Beaney, Neil R. Poulter, Aletta E. Schutte, Christopher M. Reid, Derrin Brockman, Markus P. Schlaich

Summary: The awareness, treatment, and control rates of hypertension in Australia are substantially lower than global and high-income country rates, indicating the need for collaborative efforts to improve the situation.

JOURNAL OF HYPERTENSION (2023)

Article Multidisciplinary Sciences

Associations of physical activity levels, and attitudes towards physical activity with blood pressure among adults with high blood pressure in Bangladesh

Fakir M. Amirul Islam, Mohammad Ariful Islam, Mohammad Arzan Hosen, Elisabeth A. Lambert, Ralph Maddison, Gavin W. Lambert, Bruce R. Thompson

Summary: Engaging in high physical activity and having a positive attitude towards physical activity are associated with lower blood pressure levels in rural Bangladesh. Awareness programs should be implemented to promote the benefits of physical activity and increase participation in high physical activity.

PLOS ONE (2023)

Article Peripheral Vascular Disease

Catheter-Based Renal Denervation: 9-Year Follow-Up Data on Safety and Blood Pressure Reduction in Patients With Resistant Hypertension

Gianni Sesa-ashton, Janis M. Nolde, Ida Muente, Revathy Carnagarin, Rebecca Lee, Vaughan G. Macefield, Tye Dawood, Yusuke Sata, Elisabeth A. Lambert, Gavin W. Lambert, Antony Walton, Marcio G. Kiuchi, Murray D. Esler, Markus P. Schlaich

Summary: Long-term follow-up studies on catheter-based renal denervation in patients with resistant hypertension show that the method can still effectively reduce blood pressure and decrease medication usage after nearly 9 years of follow-up, without any adverse effects on renal function.

HYPERTENSION (2023)

Article Cell Biology

Beta-blockade enhances anthracycline control of metastasis in triple-negative breast cancer

Aeson Chang, Edoardo Botteri, Ryan D. Gillis, Lukas Lofling, Caroline P. Le, Alexandra I. Ziegler, Ni-Chun Chung, Matthew C. Rowe, Stewart A. Fabb, Brigham J. Hartley, Cameron J. Nowell, Sasagu Kurozumi, Sara Gandini, Elisabetta Munzone, Emilia Montagna, Nina Eikelis, Sarah E. Phillips, Chikako Honda, Kei Masuda, Ayaka Katayama, Tetsunari Oyama, Steve W. Cole, Gavin W. Lambert, Adam K. Walker, Erica K. Sloan

Summary: We found a relationship between beta-blocker use and anthracycline chemotherapy in protecting against TNBC progression, disease recurrence, and mortality. Beta-blockade improved the efficacy of anthracycline chemotherapy in TNBC mouse models by reducing metastatic development. Anthracycline chemotherapy increased sympathetic nerve fiber activity and norepinephrine concentration in mammary tumors, but this effect can be overcome by inhibiting beta 2-adrenergic signaling in the tumor microenvironment.

SCIENCE TRANSLATIONAL MEDICINE (2023)

Article Nutrition & Dietetics

Impact of COVID-19 Restriction on Weight, Physical Activity, Diet and Psychological Distress on People with PCOS

Margaret McGowan, Siew Lim, Sharleen L. O'Reilly, Cheryce L. Harrison, Joanne Enticott, Helena Teede, Stephanie Cowan, Lisa J. Moran

Summary: This study investigated the impact of 2020 COVID-19 restrictions on weight, physical activity, diet, and psychological distress for Australians with PCOS. The results showed that individuals with PCOS gained more weight, were less likely to meet physical activity recommendations, and had higher intake of sugar-sweetened beverages compared to those without PCOS, but there were no differences in psychological distress.

NUTRIENTS (2023)

Review Endocrinology & Metabolism

The impact of metformin with or without lifestyle modification versus placebo on polycystic ovary syndrome: a systematic review and meta-analysis of randomized controlled trials

Johanna Melin, Maria Forslund, Simon Alesi, Terhi Piltonen, Daniela Romualdi, Poli Mara Spritzer, Chau Thien Tay, Alexia Pena, Selma Feldman Witchel, Aya Mousa, Helena Teede

Summary: This review evaluates the effectiveness of metformin and lifestyle modification compared with placebo in the management of PCOS and will inform the forthcoming, 2023 evidence-based PCOS guidelines. The results showed that metformin can reduce body mass index, insulin resistance, fasting glucose, waist-hip ratio, total cholesterol, low-density lipoprotein, and triglycerides in PCOS patients. Therefore, metformin should be considered as an efficacious adjunct to lifestyle interventions in adults with PCOS, especially for those with a higher BMI.

EUROPEAN JOURNAL OF ENDOCRINOLOGY (2023)

Article Obstetrics & Gynecology

High prevalence of medical conditions and unhealthy lifestyle behaviours in women with PCOS during preconception: findings from the Australian LongitudinalStudy on Women's Health

Chau Thien Tay, Deborah Loxton, Mahnaz Khomami, Helena Teede, Cheryce L. Harrison, Anju E. Joham

Summary: During the preconception period, women with PCOS had higher prevalence of medical conditions such as obesity, depression, anxiety, and infertility, as well as engaged in more unhealthy lifestyle behaviors compared to women without PCOS.

HUMAN REPRODUCTION (2023)

Article Health Care Sciences & Services

A Complex mHealth Coaching Intervention to Prevent Overweight, Obesity, and Diabetes in High-Risk Women in Antenatal Care: Protocol for a Hybrid Type 2 Effectiveness-Implementation Study

Sharleen L. O'Reilly, Rachel Laws, Helle Terkildsen Maindal, Helena Teede, Cheryce Harrison, Fionnuala M. McAuliffe, Aisling Geraghty, Cristina Campoy, Mercedes G. Bermudez, Laura Pirhonen, Christy Burden, Anna Davies, Ditte Hjorth Laursen, Timothy Skinner

Summary: This study aims to explore the feasibility and implementation of the B2B&Me intervention and investigate its effectiveness in women at risk of gestational diabetes.

JMIR RESEARCH PROTOCOLS (2023)

Article Health Care Sciences & Services

Assessment of Health-Related Quality of Life Among Male Patients With Controlled and Uncontrolled Hypertension in Semi Urban India

Mansi Patil, Radhika Prashant Hedaoo, Rohan Pravinbhai Shah, Syed Mohammad Tauseef, Roy Rillera Marzo, Siew Mooi Ching, Gavin Lambert

Summary: The burden of hypertension has been increasing, and besides the risk of stroke and cardiovascular disease, it also affects the quality of life (QoL) of individuals. This study aimed to assess the QoL of hypertensive men undergoing treatment in India. The results showed that patients with uncontrolled hypertension had significantly poorer QoL compared to those with controlled blood pressure.

INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING (2023)

Review Management

Organisational Strategies for Women Nurses to Advance in Healthcare Leadership: A Systematic Review

Mihirika Surangi de Silva Pincha Baduge, Mariam Mousa, Belinda Garth, Leanne Boyd, Helena J. Teede

Summary: This systematic review focuses on organizational strategies for advancing women nurses in healthcare leadership. The study found that there are barriers in leadership at the individual level, but organizational strategies such as mentorship, leadership training, career planning and coaching, networking opportunities, sponsorship, and targeted recruitment processes can promote women nurses in healthcare leadership.

JOURNAL OF NURSING MANAGEMENT (2023)

Article Obstetrics & Gynecology

Breaking Boundaries: Toward Consistent Gender-Sensitive Language in Sexual and Reproductive Health Guidelines

Rhonda M. Garad, Mahnaz Bahri-Khomami, Maureen Busby, Tania S. Burgert, Jacky Boivin, Helena J. Teede

Summary: This review examines gender-sensitive language in sexual and reproductive health guidelines and highlights significant gaps in its usage. Recognizing the importance of gender diversity in research, clinical practices, and societal norms, it emphasizes the need to balance inclusivity and biological accuracy. Future research should focus on systemic approaches in the field of sexual and reproductive health.

SEMINARS IN REPRODUCTIVE MEDICINE (2023)

暂无数据