Polycystic ovary syndrome: Insights into its prevalence, diagnosis, and management with special reference to gut microbial dysbiosis

IF 2.1 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Steroids Pub Date : 2024-06-13 DOI:10.1016/j.steroids.2024.109455
Nisha H. Khobragade , Devang B. Sheth , Chirag A. Patel , Jayesh V. Beladiya , Sandip Patel , Mittal Dalal
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Abstract

Polycystic ovary syndrome (PCOS) represents major endocrine and metabolic disorder among women largely characterized by hyperandrogenism and oligomenorrhea precipitates serious complications such as type 2 diabetes, early atherosclerosis, infertility, and endometrial cancer. Several etiological theories were proposed to define the exact cause of the PCOS, which is characterized, by the hypothalamic-pituitary axis, ovarian morphology, and release of adrenal steroid hormones, metabolic syndrome, and hereditary factors. The review explored the role of dysbiosis and the mechanisms through which microbial dysbiosis can affect PCOS development. In recent time, various research groups highlighted the role of microbial gut dysbiosis associated with obesity as potential etiological factor for the PCOS. In the present review, we reviewed the mechanisms attributed to the microbial dysbiosis and treatment approaches to deal with the situation.

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多囊卵巢综合征:对其发病率、诊断和管理的见解,特别是肠道微生物菌群失调。
多囊卵巢综合征(PCOS)是女性主要的内分泌和新陈代谢疾病,其主要特征是雄激素过多和月经过少,会引发严重的并发症,如 2 型糖尿病、早期动脉粥样硬化、不孕症和子宫内膜癌。多囊卵巢综合征的确切病因是下丘脑-垂体轴、卵巢形态、肾上腺类固醇激素的释放、代谢综合征和遗传因素。该综述探讨了菌群失调的作用以及微生物菌群失调影响多囊卵巢综合征发病的机制。近来,多个研究小组强调了与肥胖相关的肠道微生物菌群失调是导致多囊卵巢综合征的潜在病因。在本综述中,我们回顾了归因于微生物菌群失调的机制以及应对这种情况的治疗方法。
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来源期刊
Steroids
Steroids 医学-内分泌学与代谢
CiteScore
5.10
自引率
3.70%
发文量
120
审稿时长
73 days
期刊介绍: STEROIDS is an international research journal devoted to studies on all chemical and biological aspects of steroidal moieties. The journal focuses on both experimental and theoretical studies on the biology, chemistry, biosynthesis, metabolism, molecular biology, physiology and pharmacology of steroids and other molecules that target or regulate steroid receptors. Manuscripts presenting clinical research related to steroids, steroid drug development, comparative endocrinology of steroid hormones, investigations on the mechanism of steroid action and steroid chemistry are all appropriate for submission for peer review. STEROIDS publishes both original research and timely reviews. For details concerning the preparation of manuscripts see Instructions to Authors, which is published in each issue of the journal.
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