多囊性卵巢综合征与内皮功能障碍有关
G Paradisi1, H O Steinberg, A Hempfling
1Department of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202-5111, USA.
Circulation
|March 14, 2001
概括
患有多囊性卵巢综合征 (PCOS) 的女性表现出内皮功能障碍和胰岛素血管扩张受损,与较高的雄激素和胰岛素抵抗有关,增加心血管风险.
科学领域:
- 心血管内分泌学心血管内分泌学
- 代谢综合征研究研究
- 血管生物学 血管生物学
背景情况:
- 内皮功能障碍是与胰岛素抵抗和肥胖有关的心血管风险因素.
- 多囊性卵巢综合征 (PCOS) 与高雄性,胰岛素耐药性和大脑血管疾病风险增加有关.
研究的目的:
- 为了研究PCOS妇女的内皮功能.
- 为了确定PCOS中的内皮功能障碍是否与代谢或荷尔蒙因素有关.
主要方法:
- 研究了腿部血流 (LBF) 对甲胆化物 (MCh),一种依赖内皮的血管扩展剂的反应.
- 评估LBF对euglycemic高胰岛素血的反应.
- 对比了12名患有PCOS的肥胖妇女和13名健康的肥胖妇女 (OBW).
主要成果:
- 与OBW相比,PCOS组对MCh的LBF反应降低了50%.
- 超胰岛素血症在PCOS中增加了30%的LBF,而在OBW中增加了60%.
- 最大LBF对MCh的反应与自由水平相反相关 (r=-0.52,P:<0.007).
结论:
- 结核复合综合症的特征是内皮功能障碍和胰岛素血管扩张受损.
- 在PCOS中,内皮功能障碍与雄激素和胰岛素耐药性升高有关.
- 这些发现可能解释了PCOS妇女的宏血管疾病风险增加.
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