Objective
Polycystic ovary syndrome (PCOS) is an endocrine disorder that seems to be
pro-inflammatory at many levels, abdominal obesity (AO) is a prevalent
pro-inflammatory phenotype in PCOS patients, and it seems to contribute to
the initiation or worsening of inflammation in PCOS patients. In this study,
we investigated the role of the AO phenotype in the occurrence of other
obesity indicators (neck and arm) and augmentation of inflammation in the
follicular fluid (FF) of PCOS patients.
Methods
40 patients under the age of 35 were divided into four groups: PCOS with AO,
PCOS without AO, non-PCOS with AO, and non-PCOS without AO. The FF samples
were collected from each patient. Clinical and anthropometric
characteristics of the participants, as well as tumor necrosis
factor-α (TNF-α) concentration in the FF samples, were
quantitatively assessed using enzyme-linked immunosorbent assays. The number
of retrieved cumulus-oocyte complexes (COC) and their quality were
scored.
Results
The PCOS
+
AO
+
group had significantly increased neck
circumference, compared to the other groups (
p
<0.001).
The concentration of TNF-α was significantly higher in the PCOS+AO+
group than in the other groups (
p
<0.001). There were no
significant differences in the number of retrieved COC per patient and the
quality of oocytes between the groups (
p
>0.05).
Conclusions
Given the significant role of inflammation in the development of PCOS,
managing AO in PCOS patients may aid in reducing inflammation and could
potentially help in the design of customized treatment approaches.