Serum retinol-binding protein 4, leptin, and plasma asymmetric dimethylarginine levels in obese and nonobese young women with polycystic ovary syndrome
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Objective To evaluate retinol-binding protein 4 (RBP4), leptin, and asymmetric dimethylarginine (ADMA) levels in young women with polycystic ovary syndrome (PCOS) and to investigate their relationship with each other and with clinical, metabolic, and hormonal parameters.Design Clinical study.Setting University hospital.Patient(s) Fifty-seven young women with PCOS (obese [n = 27] and nonobese [n = 30]) and 27 age-matched healthy controls.Intervention(s) History and physical examination, peripheral venous blood sampling.Main outcome measure(s) Asymmetric dimethylarginine, RBP4, leptin, LH, FSH, DHEAS, total T, E(2), total cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol, triglyceride (TG), and homeostasis model assessment insulin resistance index (HOMA-IR).Result(s) Obese women with PCOS had significantly higher HOMA-IR, DHEAS, leptin, RBP4, and ADMA levels. Leptin levels were significantly increased in nonobese subjects with PCOS. Leptin and ADMA levels were positively correlated with HOMA-IR in PCOS. There was no correlation between RBP4 and HOMA-IR. Leptin, RBP4, and ADMA levels are positively correlated in PCOS.Conclusion(s) [1] Young obese women with PCOS have increased ADMA, RBP4, and leptin levels, and they are positively correlated with each other. [2] The increased levels of leptin are independent of obesity, and leptin seems to have an association with IR. [3] Levels of RBP4 may not reflect IR in PCOS.
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Hyperleptinemia found in normal-weight women with PCOS may be partially explained by leptin secretion primarily from subcutaneous adipose tissue.
“Because leptin is secreted primarily from SAT, this may partially explain the hyperleptinemia found in normal-weight women with PCOS”
From PCOS and nutritional approaches: Differences between lean and obese phenotype (2021) · cites this paper as [46]
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- Authors
- Yildizhan, R., Ilhan, G. A., Yildizhan, B., Kolusari, A., Adali, E., & Bugdayci, G.
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2011-07
- Volume
- 96
- Issue
- 1
- Pages
- 246-250
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2022648317
- Cited by
- 60
- References
- 36
- Citations by year
- 2024: 1 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 7 · 2015: 10 · 2014: 8 · 2013: 10 · 2012: 4
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- Van Yüzüncü Yıl University Academic Data Management System (submittedVersion)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion)
- Dspace Repository (Marmara Üniversitesi) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and Kidney Cyst Diseases
- Keywords
- polycystic ovary syndrome, retinol-binding protein 4, leptin, asymmetric dimethylarginine, insulin resistance, obesity, young women, hyperandrogenism, dehydroepiandrosterone sulfate, adipokines
- MeSH terms
- Adult, Arginine, Female, Humans, Obesity, Polycystic Ovary Syndrome, Prospective Studies, Biomarkers, Leptin, Retinol-Binding Proteins, Plasma, Young Adult
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