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01.12.2017 | Review | Ausgabe 1/2017 Open Access

Reproductive Biology and Endocrinology 1/2017

5α-reductase activity in women with polycystic ovary syndrome: a systematic review and meta-analysis

Zeitschrift:
Reproductive Biology and Endocrinology > Ausgabe 1/2017
Autoren:
Chuyan Wu, Ke Wei, Zhongli Jiang
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12958-017-0242-9) contains supplementary material, which is available to authorized users.

Abstract

Background

5α-reductase activity might be important during the development of polycystic ovary syndrome (PCOS). However, the changes of 5α-reductase activity in PCOS subjects and the relationship between 5α-reductase activity and body mass index (BMI), insulin resistance (IR) remain largely unknown.

Methods

We performed a meta-analysis to examine 5α-reductase activity in women with PCOS; exploratory subgroup analyses were also performed.

Results

Five articles (with 356 cases and 236 controls) reporting 5α-reductase activity in patients with PCOS were selected for the meta-analysis. We observed significantly higher ratios of 5αTHF/THF (5α-reduced tetrahydrocortisol to 5β-reduced tetrahydrocortisol) and An/Et (androsteroneto/etiocholanolone) levels, which were used to assess 5α-reductase activity, among the patients with PCOS, [standardized mean differences (SMD) =0.43, 95%confidence intervals (95%CI) =0.25–0.61, P < 0.00001; SMD = 0.86, 95% CI = 0.29–1.44, P = 0.003]. We observed significant heterogeneity between studies for An/Et (I2 = 89% and P < 0.00001). According to the group analysis, women with PCOS exhibited increased 5α-reductase activity which was significantly associated with homeostasis model assessment of insulin resistance (HOMA-IR) regardless of obesity.

Conclusions

5α-reductase activity was enhanced in women with PCOS. Increased 5α-reductase activity in patients with PCOS was related to IR.
Zusatzmaterial
Additional file 1: Table S1. PRISMA 2009 Checklist. (DOC 70 kb)
12958_2017_242_MOESM1_ESM.doc
Additional file 2: The search strategy and excluded studies with reasons. (DOCX 28 kb)
12958_2017_242_MOESM2_ESM.docx
Additional file 3: Table S2. Data from the studies included in the meta-analysis. (DOCX 17 kb)
12958_2017_242_MOESM3_ESM.docx
Literatur
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