JCEM:多囊卵巢综合征女孩循环miR-451a低水平

2019-11-16 xing.T MedSci原创

由此可见,SPIOMET治疗1年可使PCOS女孩的miRNA谱正常化。循环中的miR-451a可能成为指导青春期PCOS诊断和治疗的生物标志物。

多囊卵巢综合征(PCOS)是青春期女孩中一种常见疾病,据称是由肝内脏脂肪过多引起的,并常常继发不育症和2型糖尿病

近日,内分泌和代谢性疾病领域权威杂志Journal of Clinical Endocrinology & Metabolism上发表了一篇研究文章,研究人员旨在探究PCOS少女的基线miRNA谱,以及评估随机分组接受口服避孕药(OC)或螺内酯-吡格列酮-二甲双胍(SPIOMET,旨在减少肝内脏脂肪过多)治疗1年的效果。患者通过RNA测序对PCOS女孩进行miRNA谱评估,这些患者参与了一项随机、开放标签、单中心的预研究(n=31;年龄为15.7岁,BMI为23.1Kg/m2)。健康年龄和体重指数匹配的女孩(n=13)作为对照。通过qRT-PCR在整个研究人群中验证了差异表达的miRNA。通过检测PCOS女孩唾液孕激素来评估了治疗后的排卵率。

PCOS女孩循环miR-​​451a、miR-652-3p、miR-106b-5p和miR-206的浓度明显降低;通路富集分析表明,这些miRNA靶向参与能量稳态和细胞周期控制的基因。在本研究中,miR-451a以100%的敏感性和100%的特异性可诊断PCOS。SPOSMET(但非OC)可使PCOS女孩的miRNA正常化;OC或SPIOMET治疗1年后miR-451a浓度与治疗后排卵率密切相关(r=0.66; P<0.0001)。

由此可见,SPIOMET治疗1年可使PCOS女孩的miRNA谱正常化。循环中的miR-451a可能成为指导青春期PCOS诊断和治疗的生物标志物。 

原始出处:

Marta Díaz,et al.Low Circulating Levels of miR-451a in Girls with Polycystic Ovary Syndrome: Different Effects of Randomized Treatments.J Clin Endocrinol Metab.2019.https://doi.org/10.1210/clinem/dgz204

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    2020-01-17 achengzhao
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    2020-07-11 smallant2002
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    1

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    2020-04-23 smallant2015
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    2019-11-17 一个字-牛

    学习了谢谢分享

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