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Dipeptidyl peptidase-4 and adenosine deaminase enzyme levels in polycystic ovary syndrome

机译:多囊卵巢综合征中二肽基肽酶-4和腺苷脱氨基酶酶水平

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摘要

Polycystic ovary syndrome (PCOS) is one of the most common endocrinopathies in reproductive age women and insulin resistance (IR) and hyperinsulinism play a critical role in the pathogenesis. Glucagon-like peptide-1 (GLP-1), promotes insulin secretion, inhibits glucagon secretion. GLP-1 is degraded by dipeptidyl peptidase-4 (DPP-4). DPP-4, also interacts with adenosine deaminase (ADA). Therefore, IR may have a significant connection with ADA activity. The aim of this study is to compare levels of DPP-4 and ADA enzymes in PCOS and infertile patients. Forty-four patients with PCOS and 44 infertile patients with normal ovarian reserve were enrolled in the study. Serum ADA, DPP-4, AMH, glucose and insulin levels were measured. HOMA-IR method was used to assess insulin sensitivity. ADA, DPP-4, AMH, HOMA-IR (p<.05) and insulin levels (p<.01) were found to be increased in PCOS patients. Considering all study participants AMH levels were found to be positively correlated with ADA {r. 0.734) and DPP-4 (r: 0.449) levels. Also ADA levels were found to be positively correlated with DPP-4 {r. 0.472), insulin (r: 0.216) and HOMA-IR (r: 0.223). Our findings about the elevation of DPP-4 levels in patients with PCOS suggest that the use of DPP-4 inhibitors may be beneficial in treatment of these patients.
机译:多囊卵巢综合征(PCOS)是生殖年龄妇女最常见的内分泌术和胰岛素抵抗(IR)和高胰岛素主义在发病机制中发挥关键作用之一。胰高血糖素肽-1(GLP-1)促进胰岛素分泌,抑制胰高血糖素分泌。通过二肽基肽酶-4(DPP-4)降解GLP-1。 DPP-4,也与腺苷脱氨酶(ADA)相互作用。因此,IR可以与ADA活性进行显着连接。本研究的目的是比较PCOS和不孕症患者的DPP-4和ADA酶的水平。研究中共有四十四名PCOS和44名不孕症患者患者。测量血清ADA,DPP-4,AMH,葡萄糖和胰岛素水平。 HOMA-IR方法用于评估胰岛素敏感性。在PCOS患者中发现ADA,DPP-4,AMH,HOMA-IR(P <.05)和胰岛素水平(p <.01)增加。考虑到所有研究参与者AMH水平被发现与ADA {R相关联。 0.734)和DPP-4(R:0.449)水平。也发现ADA水平与DPP-4 {R呈正相关。 0.472),胰岛素(R:0.216)和HOMA-IR(R:0.223)。我们关于PCO患者DPP-4水平的研究结果表明,使用DPP-4抑制剂的使用可能是有益的治疗这些患者。

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