JCEM:多囊卵巢综合征患者肠道微生物多样性与雄激素过多相关!

2018-01-24 xing.T MedSci原创

这些结果表明雄激素过多在PCOS患者肠道微生物改变上起着至关重要的作用。

大多数多囊卵巢综合征(PCOS)妇女存在代谢异常,这将导致其患2型糖尿病和心脏病的风险增加。相关研究表明肠道微生物与代谢紊乱变化之间存在相关性。最近的两项研究报道PCOS患者与健康女性相比,肠道微生物的多样性减少。

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,研究人员旨在评估与健康妇女相比,PCOS妇女肠道菌群的改变是否与具体临床参数相关。研究人员还调查了其它PCOS诊断标准缺乏的多囊卵巢形态(PCOM)妇女在肠道菌群方面的变化。

研究人员招募了来自波兹南医科大学的受试者。研究人员采用16S rRNA基因序列分析法调查了健康女性(n=48)、PCOM女性(n=42)和采用鹿特丹标准诊断的PCOS患者(n=73)的粪便微生物多样性。

研究人员发现PCOS患者与健康女性相比,α多态性降低。PCOM女性在α多样性上的改变介于其它两组之间。回归分析表明雄激素过多、总睾酮和多毛症与α多样性呈负相关。UniFrac的PERMANOVA距离表明雄激素过多也与β多样性相关。经随机森林确定了健康妇女与PCOS女性之间存在差异的细菌。

这些结果表明雄激素过多在PCOS患者肠道微生物改变上起着至关重要的作用。

原始出处:

Pedro J Torres,et al. Gut Microbial Diversity in Women with Polycystic Ovary Syndrome Correlates with Hyperandrogenism.J Clin Endocrinol Metab. 2018. https://doi.org/10.1210/jc.2017-02153

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    2018-03-15 smallant2015
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  5. 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  6. 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time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1470922, encodeId=1c2c14e09226a, content=<a href='/topic/show?id=507043296fe' target=_blank style='color:#2F92EE;'>#多样性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43296, encryptionId=507043296fe, topicName=多样性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2b6a7095267, createdName=neurosurgeon, createdTime=Fri Jan 26 03:48:00 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281594, encodeId=f40428159492, content=学习了受益匪浅, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, 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    2018-03-29 zhaojie88
  7. 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  8. 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  9. 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createdAvatar=https://wx.qlogo.cn/mmopen/ajNVdqHZLLDicHg2ldsSNmib46PmdzpO7CQEmPjuULp1v45zPWwMYhrnXgvl3OtmUCZSQfgITWn96X9moL94nUGA/0, createdBy=28072041016, createdName=131****1460, createdTime=Wed Jan 24 13:48:33 CST 2018, time=2018-01-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=281592, encodeId=a7b82815923b, content=优质资源.共同学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K0LqDY57Aia0TOQByoJhNt3icm4sfukp500hLH6RHOpFdV01NbECtAV7s0qKpQPibyRukQAwAmqJU3X/0, createdBy=f91f1928792, createdName=九九消寒, createdTime=Wed Jan 24 13:39:03 CST 2018, time=2018-01-24, status=1, ipAttribution=)]
    2018-01-24 131****1460

    学习了受益匪浅

    0

  10. 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    2018-01-24 九九消寒

    优质资源.共同学习

    0

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大家都知道二甲双胍试用于减少多囊卵巢综合征(PCOS)患者妊娠相关并发症,但目前关于二甲双胍对于胎儿发育与生长的影响却所知甚少。近日在JCEM杂志上发表的一篇文章则旨在探讨与参考人群相比,二甲双胍与安慰剂对于PCOS后代胎儿出生与生长指标的影响。

JCEM:研究表明多囊卵巢患者患糖尿病的风险大大提高

根据内分泌协会临床内分泌与代谢杂志发表的一项新研究,患有多囊卵巢综合征(PCOS)的妇女具有发展2型糖尿病(T2D)的较高风险,并且在较早的年龄被诊断出病情。全国范围内的研究首次显示了T2D发展与PCOS之间的联系。

肥胖相关性问题已成为国家难题

10月20日,中华医学会糖尿病学分会(CDS)肥胖与糖尿病学组年会在南京召开。 “我们都是工作在糖尿病和肥胖领域第一线的奋战者。肥胖与糖尿病学组由邹大进教授创立,现在由我来接力。在CDS的指导下,学组进行了颇有成效的工作,一年一度的学组年会是体现学组工作的重要环节,参加年会的人数逐年增多,医生的学习热情也不断高涨。此次年会设置了近30场主题讲座,共同探讨交流肥胖与糖尿病领域在临床工作及研究的进展

Hum Reprod Update:肥胖相关性性腺功能障碍在重度肥胖患者中的发病率以及减肥手术的治疗效果。

在肥胖相关性性功能障碍中,两性二相性表现很明显。在女性中,肥胖与雄激素过多障碍有关,主要是多囊卵巢综合征(PCOS);在男性中主要表现为雄激素缺陷,被称为男性肥胖相关性继发性性腺机能减退(MOSH)。肥胖相关性性腺功能障碍(女性PCOS和男性MOSH)在重度肥胖患者中常见,体重明显减少时,特别是减肥手术后,症状可缓解甚至痊愈。

Hum Reprod Update:GnRH拮抗剂方案与激动剂长方案在IVF应用中的效果对比。

在一般IVF人群中,与激动剂长方案相比,GnRH拮抗剂处理的持续妊娠率更低,但OHSS发病率也更低。在该人群中,拮抗剂治疗可以预防每40个患者中一个OHSS,同时减少每28人中一例持续妊娠。GnRH激动剂长方案的标准疗法仍是治疗过早黄体化的选择。在PCOS和卵巢反应不佳的患者群体重,GnRH拮抗剂未见对持续妊娠率造成影响,又鉴于其可以降低OHSS的发病率,因此,可以考虑将GnRH拮抗剂作为标准治疗

杨贵妃找我看不孕,我说你可能得了这个病

春寒赐浴华清池,温泉水滑洗凝脂。侍儿扶起娇无力,始是新承恩泽时。云鬓花颜金步摇,芙蓉帐暖度春宵。春宵苦短日高起,从此君王不早朝。杨贵妃,中国古代四大美人之一,只可惜一直不能怀孕生子。16岁嫁做寿王妃,五年时间无所出,而寿王另外的老婆却为寿王生了俩儿子。22岁辗转成了唐玄宗的贵妃,直到魂断马嵬坡,仍旧没听说有子女;当然那时候的唐明皇已近六十,也快不行了。不过,杨贵妃不能生育,基本是定论。按照目前的定