PMID- 32429902 OWN - NLM STAT- MEDLINE DCOM- 20210315 LR - 20210315 IS - 1472-6823 (Electronic) IS - 1472-6823 (Linking) VI - 20 IP - 1 DP - 2020 May 19 TI - Serum Fetuin-A levels are increased and associated with insulin resistance in women with polycystic ovary syndrome. PG - 67 LID - 10.1186/s12902-020-0538-1 [doi] LID - 67 AB - BACKGROUND: Insulin resistance (IR) is a common characteristic of women with polycystic ovary syndrome (PCOS). It has been reported that circulating Fetuin-A levels were associated with IR and type 2 diabetes mellitus (T2DM). However, previous reports were inconsistent. METHODS: Two hundred seven subjects were screened for PCOS according to the diagnostic guideline of the Rotterdam consensus criterion. Serum Fetuin-A levels were measured using an ELISA kit. An independent t-test or Nonparametric test was used to detect differences between PCOS and control groups. Spearman's correlation analysis was used to examine the association of the serum Fetuin-A with other parameters. RESULTS: Our findings showed that circulating Fetuin-A concentration ranged from 196.6 to 418.2 mug/L for most women without PCOS (95%). Women with PCOS had higher circulating Fetuin-A levels than healthy women (437.9 +/- 119.3 vs. 313.8 +/- 60.5 mug/L; p < 0.01). Serum Fetuin-A was positively correlated with BMI, WHR, TG, TC, LDL-C, HOMA-IR, LH, T, and DHEA-S. Multivariate regression analysis showed that WHR, TG, HOMA-IR, and DHEA-S were independent predictors of the levels of circulating Fetuin-A. Binary logistic regression revealed that serum Fetuin-A was associated with the occurrence of PCOS. In addition, our ROC curve analysis found that the cutoff values for Fetuin-A to predict PCOS and IR were 366.3 and 412.6 mug/L. CONCLUSION: Blood Fetuin-A may be a useful biomarker for screening women for PCOS and IR. FAU - Liu, Sha AU - Liu S AD - Department of Endocrinology, the Affiliated Hospital, Zunyi Medical University, Zunyi, 563003, Guizhou, China. FAU - Hu, Wenjing AU - Hu W AD - Chongqing Prevention and Treatment Hospital for Occupational Diseases, Chongqing, China. FAU - He, Yirui AU - He Y AD - Department of Endocrinology, the Second Affiliated Hospital, Chongqing Medical University, Chongqing, China. FAU - Li, Ling AU - Li L AD - Key Laboratory of Diagnostic Medicine (Ministry of Education) and Department of Clinical Biochemistry, College of Laboratory Medicine, Chongqing Medical University, Chongqing, 400016, China. FAU - Liu, Hua AU - Liu H AD - Department of Pediatrics, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS, USA. FAU - Gao, Lin AU - Gao L AD - Department of Endocrinology, the Affiliated Hospital, Zunyi Medical University, Zunyi, 563003, Guizhou, China. FAU - Yang, Gangyi AU - Yang G AD - Department of Endocrinology, the Affiliated Hospital, Zunyi Medical University, Zunyi, 563003, Guizhou, China. gangyiyang@163.com. AD - Department of Endocrinology, the Second Affiliated Hospital, Chongqing Medical University, Chongqing, China. gangyiyang@163.com. FAU - Liao, Xin AU - Liao X AD - Department of Endocrinology, the Affiliated Hospital, Zunyi Medical University, Zunyi, 563003, Guizhou, China. liaoxin8618@163.com. LA - eng GR - 81601214/the National Natural Science Foundation of China/ PT - Journal Article DEP - 20200519 PL - England TA - BMC Endocr Disord JT - BMC endocrine disorders JID - 101088676 RN - 0 (AHSG protein, human) RN - 0 (Biomarkers) RN - 0 (alpha-2-HS-Glycoprotein) SB - IM MH - Adult MH - Biomarkers/blood MH - Cross-Sectional Studies MH - Female MH - Humans MH - Insulin Resistance/*physiology MH - Polycystic Ovary Syndrome/*blood/*diagnosis MH - Young Adult MH - alpha-2-HS-Glycoprotein/*metabolism PMC - PMC7236448 OTO - NOTNLM OT - Fetuin-a OT - Insulin resistance OT - Polycystic ovary syndrome COIS- No potential conflicts of interest relevant to this article were reported. EDAT- 2020/05/21 06:00 MHDA- 2021/03/16 06:00 PMCR- 2020/05/19 CRDT- 2020/05/21 06:00 PHST- 2020/02/05 00:00 [received] PHST- 2020/04/27 00:00 [accepted] PHST- 2020/05/21 06:00 [entrez] PHST- 2020/05/21 06:00 [pubmed] PHST- 2021/03/16 06:00 [medline] PHST- 2020/05/19 00:00 [pmc-release] AID - 10.1186/s12902-020-0538-1 [pii] AID - 538 [pii] AID - 10.1186/s12902-020-0538-1 [doi] PST - epublish SO - BMC Endocr Disord. 2020 May 19;20(1):67. doi: 10.1186/s12902-020-0538-1.