The plasma homocysteine levels are increased in polycystic ovary syndrome

被引:99
作者
Loverro, G [1 ]
Lorusso, F [1 ]
Mei, L [1 ]
Depalo, R [1 ]
Cormio, G [1 ]
Selvaggi, L [1 ]
机构
[1] Univ Bari, Clin Ostetr & Ginecol 2, Dept Obstet & Gynecol, I-70124 Bari, Italy
关键词
polycystic ovary syndrome; plasma homocysteine; cardiovascular diseases; insulin resistance; lipids;
D O I
10.1159/000058367
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Women with polycystic ovary syndrome (PCOS) have several cardiovascular disease risk factors. Since hyperhomocysteinemia is associated with early atherosclerosis, it was postulated that the homocysteine levels are higher in PCOS patients than in control subjects which, therefore, may explain the cardiovascular disease risk. Thirty-five women with PCOS and 20 healthy subjects were studied. Endocrine assays, lipid profile, homocysteine and insulin level determinations, and ultrasound evaluation were performed in all subjects. We found significantly higher mean plasma homocysteine concentrations in patients with PCOS as compared with controls (10.4 +/- 4.4 vs. 7.2 +/- 1.5 ng/dl; p < 0.003). These data show that in PCOS early atherosclerosis is not exclusively dependent on hyperinsulinemia and elevated lipid profile - PCOS patients are exposed to significantly higher homocysteine levels which might increase the cardiovascular disease risk. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:157 / 162
页数:6
相关论文
共 41 条
[1]   Plasma homocysteine concentrations in healthy volunteers are not related to differences in insulin-mediated glucose disposal [J].
Abbasi, F ;
Facchini, F ;
Humphreys, MH ;
Reaven, GR .
ATHEROSCLEROSIS, 1999, 146 (01) :175-178
[2]  
ADAMS J, 1985, LANCET, V2, P1375
[3]  
Baliga B S, 2000, Endocr Pract, V6, P435
[4]   Plasma total homocysteine levels in subjects with hyperinsulinemia [J].
Bar-On, H ;
Kidron, M ;
Friedlander, Y ;
Ben-Yehuda, A ;
Selhub, J ;
Rosenberg, IH ;
Friedman, G .
JOURNAL OF INTERNAL MEDICINE, 2000, 247 (02) :287-294
[5]   Association between polycystic ovaries and extent of coronary artery disease in women having cardiac catheterization [J].
Birdsall, MA ;
Farquhar, CM ;
White, HD .
ANNALS OF INTERNAL MEDICINE, 1997, 126 (01) :32-35
[6]   A QUANTITATIVE ASSESSMENT OF PLASMA HOMOCYSTEINE AS A RISK FACTOR FOR VASCULAR-DISEASE - PROBABLE BENEFITS OF INCREASING FOLIC-ACID INTAKES [J].
BOUSHEY, CJ ;
BERESFORD, SAA ;
OMENN, GS ;
MOTULSKY, AG .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (13) :1049-1057
[7]   HOMOCYSTEINE AND CYSTEINE - DETERMINANTS OF PLASMA-LEVELS IN MIDDLE-AGED AND ELDERLY SUBJECTS [J].
BRATTSTROM, L ;
LINDGREN, A ;
ISRAELSSON, B ;
ANDERSSON, A ;
HULTBERG, B .
JOURNAL OF INTERNAL MEDICINE, 1994, 236 (06) :633-641
[8]   Increased risk of non-insulin dependent diabetes mellitus, arterial hypertension and coronary artery disease in perimenopausal women with a history of the polycystic ovary syndrome [J].
Cibula, D ;
Cífková, R ;
Fanta, M ;
Poledne, R ;
Zivny, J ;
Skibová, J .
HUMAN REPRODUCTION, 2000, 15 (04) :785-789
[9]   Polycystic ovarian disease: heritability and heterogeneity [J].
Crosignani, PG ;
Nicolosi, AE .
HUMAN REPRODUCTION UPDATE, 2001, 7 (01) :3-7
[10]   POLYCYSTIC-OVARY-SYNDROME AND RISK FOR MYOCARDIAL-INFARCTION - EVALUATED FROM A RISK FACTOR MODEL BASED ON A PROSPECTIVE POPULATION STUDY OF WOMEN [J].
DAHLGREN, E ;
JANSON, PO ;
JOHANSSON, S ;
LAPIDUS, L ;
ODEN, A .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1992, 71 (08) :599-604