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Erschienen in: Journal of Endocrinological Investigation 3/2019

01.03.2019 | Original Article

Circulating insulin-like peptide 5 levels and its association with metabolic and hormonal parameters in women with polycystic ovary syndrome

verfasst von: M. Bicer, M. Alan, P. Alarslan, A. Guler, G. U. Kocabas, C. Imamoglu, M. Aksit, G. Bozkaya, A. M. Isil, A. Baloglu, B. Aslanipoiur, Mehmet Calan

Erschienen in: Journal of Endocrinological Investigation | Ausgabe 3/2019

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Abstract

Purpose

Insulin-like peptide 5 (INSL5) is a gut peptide hormone that is a member of relaxin/insulin superfamily. Growing evidence implicates the crucial role of the peptide in some metabolisms including food intake, glucose homeostasis and reproductive system. Polycystic ovary syndrome (PCOS) is involved in both reproductive and metabolic issues. The aim of the study was determination of circulating levels of INSL5 alteration in women with PCOS and evaluation of the relationship between INSL5 and hormonal-metabolic parameters as well as carotid intima media thickness (cIMT).

Methods

A total of 164 subjects were recruited in this cross-sectional study (82 women with PCOS and 82 age- and BMI-matched controls). Circulating INSL5 levels were assessed via ELISA method. High-resolution B-mode ultrasound was used to measure cIMT. The hormonal and metabolic parameters of the recruited subjects were determined.

Results

Circulating INSL5 levels were significantly elevated in women with PCOS compared to controls (27.63 ± 7.74 vs. 19.90 ± 5.85 ng/ml, P < 0.001). The mean values of INSL5 were significantly higher in overweight subjects compared to lean weight subjects in both groups. The women with PCOS having insulin resistance have increased INSL5 compared to those of PCOS subjects without insulin resistance. INSL5 is associated with insulin resistance, BMI, luteinizing hormone and free androgen index. Multivariate logistic regression analyses revealed that the odds ratio for having PCOS in the highest tertile of INSL5 was higher than in the lowest tertile.

Conclusions

PCOS subjects exhibited an elevation in circulating INSL5 levels along with a link between INSL5 level induction and metabolic-hormonal parameters.
Literatur
5.
Zurück zum Zitat Christian RC, Dumesic DA, Behrenbeck T, Oberg AL, Sheedy PF, Fitzpatrick LA (2003) Prevalence and predictors of coronary artery calcification in women with polycystic ovary syndrome. J Clin Endocrinol Metab 88:2562–2568CrossRefPubMed Christian RC, Dumesic DA, Behrenbeck T, Oberg AL, Sheedy PF, Fitzpatrick LA (2003) Prevalence and predictors of coronary artery calcification in women with polycystic ovary syndrome. J Clin Endocrinol Metab 88:2562–2568CrossRefPubMed
17.
Zurück zum Zitat Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28:412–419CrossRefPubMed Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28:412–419CrossRefPubMed
21.
Zurück zum Zitat Spanel-Borowski K, Schäfer I, Zimmermann S, Engel W, Adham IM (2001) Increase in final stages of follicular atresia and premature decay of corpora lutea in Insl3-deficient mice. Mol Reprod Dev 58:281–286. https://doi.org/10.1002/1098-2795(200103)58:3<281:AID-MRD6>3.0.CO;2-0 Spanel-Borowski K, Schäfer I, Zimmermann S, Engel W, Adham IM (2001) Increase in final stages of follicular atresia and premature decay of corpora lutea in Insl3-deficient mice. Mol Reprod Dev 58:281–286. https://​doi.​org/​10.​1002/​1098-2795(200103)58:3<281:AID-MRD6>3.0.CO;2-0
22.
Zurück zum Zitat Irving-Rodgers HF, Bathgate RAD, Ivell R, Domagalski R, Rodgers RJ (2002) Dynamic changes in the expression of relaxin-like factor (INSL3), cholesterol side-chain cleavage cytochrome p450, and 3beta-hydroxysteroid dehydrogenase in bovine ovarian follicles during growth and atresia. Biol Reprod 66:934–943CrossRefPubMed Irving-Rodgers HF, Bathgate RAD, Ivell R, Domagalski R, Rodgers RJ (2002) Dynamic changes in the expression of relaxin-like factor (INSL3), cholesterol side-chain cleavage cytochrome p450, and 3beta-hydroxysteroid dehydrogenase in bovine ovarian follicles during growth and atresia. Biol Reprod 66:934–943CrossRefPubMed
23.
Zurück zum Zitat Satchell L, Glister C, Bleach EC, Glencross RG, Bicknell AB, Dai Y et al (2013) Ovarian expression of insulin-like peptide 3 (INSL3) and its receptor (RXFP2) during development of bovine antral follicles and corpora lutea and measurement of circulating INSL3 levels during synchronized estrous cycles. Endocrinology 154:1897–1906. https://doi.org/10.1210/en.2012-2232 CrossRefPubMed Satchell L, Glister C, Bleach EC, Glencross RG, Bicknell AB, Dai Y et al (2013) Ovarian expression of insulin-like peptide 3 (INSL3) and its receptor (RXFP2) during development of bovine antral follicles and corpora lutea and measurement of circulating INSL3 levels during synchronized estrous cycles. Endocrinology 154:1897–1906. https://​doi.​org/​10.​1210/​en.​2012-2232 CrossRefPubMed
25.
Zurück zum Zitat Pelusi C, Fanelli F, Pariali M, Zanotti L, Gambineri A, Pasquali R (2013) Parallel variations of insulin-like peptide 3 (INSL3) and antimüllerian hormone (AMH) in women with the polycystic ovary syndrome according to menstrual cycle pattern. J Clin Endocrinol Metab 98:E1575–E1582. https://doi.org/10.1210/jc.2013-1107 CrossRefPubMed Pelusi C, Fanelli F, Pariali M, Zanotti L, Gambineri A, Pasquali R (2013) Parallel variations of insulin-like peptide 3 (INSL3) and antimüllerian hormone (AMH) in women with the polycystic ovary syndrome according to menstrual cycle pattern. J Clin Endocrinol Metab 98:E1575–E1582. https://​doi.​org/​10.​1210/​jc.​2013-1107 CrossRefPubMed
26.
30.
Zurück zum Zitat Dunaif A, Segal KR, DA Futterweit W (1989) Profound peripheral insulin resistance, independent of obesity, in polycystic ovary syndrome. Diabetes 38:1165–1174CrossRefPubMed Dunaif A, Segal KR, DA Futterweit W (1989) Profound peripheral insulin resistance, independent of obesity, in polycystic ovary syndrome. Diabetes 38:1165–1174CrossRefPubMed
Metadaten
Titel
Circulating insulin-like peptide 5 levels and its association with metabolic and hormonal parameters in women with polycystic ovary syndrome
verfasst von
M. Bicer
M. Alan
P. Alarslan
A. Guler
G. U. Kocabas
C. Imamoglu
M. Aksit
G. Bozkaya
A. M. Isil
A. Baloglu
B. Aslanipoiur
Mehmet Calan
Publikationsdatum
01.03.2019
Verlag
Springer International Publishing
Erschienen in
Journal of Endocrinological Investigation / Ausgabe 3/2019
Elektronische ISSN: 1720-8386
DOI
https://doi.org/10.1007/s40618-018-0917-x

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