Δημοσίευση

Serum visfatin, vascular endothelial growth factor and matrix metalloproteinase-9 in women with polycystic ovary syndrome.

ΤίτλοςSerum visfatin, vascular endothelial growth factor and matrix metalloproteinase-9 in women with polycystic ovary syndrome.
Publication TypeJournal Article
Year of Publication2017
AuthorsDambala, K., Vavilis D., Bili E., Goulis D. G., & Tarlatzis B. C.
JournalGynecol Endocrinol
Volume33
Issue7
Pagination529-533
Date Published2017 Jul
ISSN1473-0766
Λέξεις κλειδιάAdolescent, Adult, Body Mass Index, Case-Control Studies, Cross-Sectional Studies, Female, Follicle Stimulating Hormone, Humans, Luteinizing Hormone, Matrix Metalloproteinase 9, Nicotinamide Phosphoribosyltransferase, Polycystic Ovary Syndrome, Prolactin, Sex Hormone-Binding Globulin, Testosterone, Thyrotropin, Vascular Endothelial Growth Factor A, Young Adult
Abstract

AIM: To evaluate serum concentrations of visfatin, vascular endothelial growth factor (VEGF) and matrix metalloproteinase-9 (MMP-9) in women with polycystic ovary syndrome (PCOS) and to investigate their possible role as early endothelial markers in PCOS.METHODS: Forty-two women with PCOS and 42 controls, matched for age and weight, were included in the study. Serum concentrations of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, total testosterone (tT), Δ-androstenedione (ΔA), dehydroepinadrosterone sulphate (DHEA-S), 17-OH-progesterone, sex hormone-binding protein (SHBG), thyroid-stimulating hormone (TSH), free thyroxine (fT), visfatin, VEGF and MMP-9 were measured in all women; free androgen index (FAI) was calculated as well. Receiver-operating characteristic (ROC) analysis was performed to examine if visfatin, tT or FAI can predict the clinical status (PCOS or control).RESULTS: LH, ΔA, tT and FAI concentrations were higher in PCOS than in controls (p = 0.002, 0.029, 0.0005 and 0.014, respectively). Visfatin, VEGF and MMP-9 concentrations were higher in women with PCOS than controls (p = 0.019, 0.001 and 0.002, respectively). In ROC analysis, area under the curve (AUC) in the prediction of clinical status was 0.641 for visfatin (p = 0.026), 0.731 for tT (p = 0.001) and 0.666 for FAI (p = 0.010), with no difference among them (p = 0.117).CONCLUSIONS: Visfatin may induce the expression of pro-angiogenic factors, such as VEGF and MMP-9, in women with PCOS, inplying gradually development of endothelial dysfunction. Further studies are required to clarify these findings.

DOI10.1080/09513590.2017.1296425
Alternate JournalGynecol. Endocrinol.
PubMed ID28300464

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