Gut microbiota dysbiosis in polycystic ovary syndrome: association with obesity—a preliminary report
Open accessAbstract
The objective was to explore if and how the microbiota changed in polycystic ovary syndrome (PCOS) women compared with healthy women. Eight obese PCOS (PO group), 10 nonobese PCOS (PN group), and nine healthy normal weight women (control) (C group) were enrolled. Insulin (INS), testosterone (T), follicle-stimulating hormone (FSH), luteinizing hormone (LH), estrogen (E2), and dehydroepiandrosterone (DHEA) were detected with radioimmunoassay. Antimullerian hormone (AMH), fasting glucose, and hemoglobin A1c (HbA1c) were determined by a chemiluminescence immunoassay, glucose oxidase method, and HPLC, respectively. Gut microbiota composition was evaluated by PCR. Alpha diversity was assessed using Chao1 and the Shannon index. PCOS women showed significantly higher T, LH, and LH/FSH and lower FSH levels than the C group (p < 0.05). The AMH level was significantly higher in the PO than in the PN group (p < 0.05). The PO group presented a significantly higher fasting INS level and HMOA-IR scores than the other groups, lower observed SVs and alpha diversity than the C group, higher beta diversity than the PN group (p < 0.05), and decreased abundances of genera (mainly butyrate producers). Regression analysis showed that decreased abundances of several genera were correlated with higher circulating T and impaired glucose metabolism. PCOS is associated with changes in the gut microbiota composition. Obesity has a driving role in the development of dysbiotic gut microbiota in PCOS.
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Testosterone levels were inversely correlated with co-abundance groups containing operational taxonomic units belonging to Alistipes, Akkermansia, Coprococcus, Collinsella, and Ruminococcus genera.
“Furthermore, an inverse correlation was found between testosterone levels and CAGs which contained operational taxonomic units (OTU) belonging to the genera Alistipes, Akkermansia, Coprococcus, Collinsella and Ruminococcus.(27)”
From Association Between Sex Hormone Levels and Gut Microbiota Composition and Diversity—A Systematic Review (2022) · cites this paper as [27]
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d’Afflitto, M., Upadhyaya, A., Green, A., & Peiris, M. (2022) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0000000000001676 · Cited by 142 · see citing works
- Authors
- Liang, Y., Ming, Q., Liang, J., Zhang, Y., Zhang, H., & Shen, T.
- Affiliations
- Zhongda Hospital Southeast University (CN)
- Venue
- Canadian Journal of Physiology and Pharmacology
- Publisher
- Canadian Science Publishing
- Published
- 2020-11
- Volume
- 98
- Issue
- 11
- Pages
- 803-809
- ISSN
- 0008-4212 (ISSN-L)
- 1205-7541
- OpenAlex
- W3010742978
- Cited by
- 95
- References
- 43
- Citations by year
- 2026: 11 · 2025: 12 · 2024: 23 · 2023: 12 · 2022: 15 · 2021: 18 · 2020: 4
- FWCI
- 10.79
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Canadian Journal of Physiology and Pharmacology (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (acceptedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- polycystic ovary syndrome, gut microbiota, dysbiosis, obesity, anti-Müllerian hormone, insulin resistance, testosterone, luteinizing hormone, follicle-stimulating hormone, butyrate-producing bacteria, alpha diversity, beta diversity, glucose metabolism
- MeSH terms
- Gastrointestinal Microbiome, Adult, Blood Glucose, Fasting, Female, Humans, Insulin, Obesity, Polycystic Ovary Syndrome, Testosterone, Body Mass Index, Case-Control Studies, Young Adult, Healthy Volunteers, Dysbiosis
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