“…20 This could explain the presence of oxidative stress even in the absence of obesity in our PCOS women. Our findings are in accordance with study done by Sabuncu T et al and Fenkci V et al 21,22 …”
“…20 This could explain the presence of oxidative stress even in the absence of obesity in our PCOS women. Our findings are in accordance with study done by Sabuncu T et al and Fenkci V et al 21,22 …”
“…Serum markers include C-reactive protein (4-6), adiponectin (7,8), plasminogen activator-1 (9), Von Willebrand factor (10), endothelin-1 (11), homocysteine (12) and markers of oxidative stress (13) and the majority of the studies have demonstrated that such abnormalities were related to insulin resistance and obesity in women with PCOS (14). Further, dyslipidemia is very common and may represent the most common metabolic abnormality in PCOS, with a prevalence of up to 70% according to the National Cholesterol Education Program criteria (14,15).…”
Section: Markers Of Cardiovascular Risk In Pcosmentioning
2
CAPSULEPostmenopausal women with PCOS have increased cerebro-vascular events and cardiovascular morbidity. Our best long-term strategy is information, acknowledging women with PCOS of their risk for metabolic and cardiovascular diseases.
3
ABSTRACTMost available data suggest that the prevalence of cardiovascular diseases in women with polycystic ovary syndrome (PCOS) is smaller than what expected on the basis of the risk calculation during fertile age; therefore, we need many more studies on their long term cardiovascular consequences although evidence is accumulating that women with PCOS at postmenopausal age have an increase in cerebro-vascular events and in cardiovascular morbidity. These events are partially related to the persisting hyperandrogenism but are mostly correlated to the excessive body weight (mainly to the visceral obesity); this suggests that our best long term strategy is the information, acknowledging women with PCOS of their high risk for metabolic and cardiovascular diseases.
“…PCOS is also associated with increased oxidative stress and systemic inflammation [96][97][98] . Furthermore, antioxidant reserve appears to be compromised in women with PCOS 97 .…”
Section: Pathophysiology Of Pcosmentioning
confidence: 99%
“…PCOS is also associated with increased oxidative stress and systemic inflammation [96][97][98] . Furthermore, antioxidant reserve appears to be compromised in women with PCOS 97 . Even lean women with PCOS exhibit increased oxidative stress, as measured by levels of malonyldialdehyde, a marker of lipid peroxidation, and they have decreased serum total antioxidant levels compared to controls 56 .…”
Section: Pathophysiology Of Pcosmentioning
confidence: 99%
“…Even lean women with PCOS exhibit increased oxidative stress, as measured by levels of malonyldialdehyde, a marker of lipid peroxidation, and they have decreased serum total antioxidant levels compared to controls 56 . Recent evidence suggests that inflammatory cytokines and measures of oxidative stress, such as tumor necrosis factor-α (TNF-α) and C-reactive protein (CRP) 99,100 , may play a role in the dysregulation of the theca-interstitial compartment, and both of these factors are elevated in PCOS 97,98,101,102 .…”
Many women of reproductive age are affected by polycystic ovary syndrome (PCOS), a heterogeneous endocrinopathy characterized by androgen excess, chronic oligo-anovulation and/or polycystic ovarian morphology. In addition, PCOS is often associated with insulin resistance, systemic inflammation and oxidative stress which, on one hand, lead to endothelial dysfunction and dyslipidemia with subsequent cardiovascular sequelae and, on the other hand, to hyperplasia of the ovarian theca compartment with resultant hyperandrogenism and anovulation. While traditionally statins have been used to treat dyslipidemia by blocking HMG-CoA reductase, the rate limiting step in cholesterol biosynthesis; in fact, they possess pleiotropic actions, resulting in antioxidant, antiinflammatory and anti-proliferative effects. Statins offer a novel therapeutic approach to PCOS in that they address the dyslipidemia associated with the syndrome, as well as hyperandrogenism/ hyperandrogenemia. These actions may be due to an inhibition of the effects of systemic inflammation and insulin resistance/hyperinsulinemia. Evidence to date, both in vitro and in vivo, suggests that statins have potential in the treatment of PCOS; however, further clinical trials are needed before they can be considered a standard of care in the medical management of this common endocrinopathy.
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