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Elevated circulating levels of macrophage migration inhibitory factor in polycystic ovary syndrome.

机译:多囊卵巢综合征中巨噬细胞迁移抑制因子的循环水平升高。

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Women with polycystic ovary syndrome (PCOS) have chronic low level inflammation which can increase the risk of atherogenesis. We evaluated the status of circulating macrophage migration inhibitory factor (MIF), a proinflammatory cytokine involved in atherogenesis, in women with PCOS and weight-matched controls. Two-way analysis of variance models adjusted for age were fit to evaluate the effect of PCOS status (PCOS vs. controls) and weight-class (obese vs. lean) on MIF and other parameters. MIF levels were significantly (p<0.001) higher in women with PCOS (lean: 37.7+/-10.6 ng/ml; obese: 54.6+/-15.2 ng/ml) compared to controls (lean: 4.8+/-0.6 ng/ml; obese: 17.5+/-8.0 ng/ml) regardless of weight-class. CRP levels were significantly (p<0.001) higher in obese subjects (PCOS: 6.2+/-1.9 mg/l; controls: 6.7+/-1.4 mg/l) compared to lean subjects (PCOS: 0.9+/-0.4 mg/l; controls: 0.2+/-01 mg/l) after controlling for PCOS status. MIF levels directly correlated with % truncal fat (r=0.41, p<0.05), and plasma levels of CRP (r=0.42, p=0.05), LH (r=0.45, p=0.04), testosterone (r=0.53, p<0.008), androstendione (r=0.58, p<0.005). IS(OGTT) inversely correlated with plasma levels of MIF (r=-0.51, p<0.02) and CRP (r=-0.73, p<0.001). Circulating MIF is elevated in PCOS independent of obesity, but both PCOS and obesity contribute to a proatherogenic state. In PCOS, abdominal adiposity and hyperandrogenism may exacerbate the risk of atherosclerosis.
机译:多囊卵巢综合征(PCOS)的妇女患有慢性低水平炎症,可能增加动脉粥样硬化的发生风险。我们评估了患有PCOS和体重匹配的女性的循环巨噬细胞迁移抑制因子(MIF)(一种参与动脉粥样硬化形成的促炎细胞因子)的状态。调整了针对年龄调整的方差模型的双向分析,以评估PCOS状态(PCOS与对照组)和权重等级(肥胖与瘦肉)对MIF和其他参数的影响。与对照组相比,PCOS女性(瘦:37.7 +/- 10.6 ng / ml;肥胖:54.6 +/- 15.2 ng / ml)的MIF水平显着更高(p <0.001)(瘦:4.8 +/- 0.6 ng / ml)。 ml;肥胖:17.5 +/- 8.0 ng / ml),无论体重级别如何。与瘦弱的受试者(PCOS:0.9 +/- 0.4 mg / l)相比,肥胖受试者(PCOS:6.2 +/- 1.9 mg / l;对照组:6.7 +/- 1.4 mg / l)的CRP水平显着(p <0.001)高l;控制:控制PCOS状态后为0.2 +/- 01 mg / l)。 MIF水平与矮牵牛百分比(r = 0.41,p <0.05)和血浆CRP(r = 0.42,p = 0.05),LH(r = 0.45,p = 0.04),睾丸激素(r = 0.53, p <0.008)和雄烯二酮(r = 0.58,p <0.005)。 IS(OGTT)与MIF(r = -0.51,p <0.02)和CRP(r = -0.73,p <0.001)的血浆水平呈负相关。独立于肥胖症,PCOS中的循环MIF升高,但PCOS和肥胖症均导致动脉粥样硬化。在PCOS中,腹部肥胖和雄激素过多可能加剧动脉粥样硬化的风险。

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