PMID- 33638245 OWN - NLM STAT- MEDLINE DCOM- 20220119 LR - 20220119 IS - 1600-0897 (Electronic) IS - 1046-7408 (Linking) VI - 86 IP - 2 DP - 2021 Aug TI - Association of circulating monocyte chemoattractant protein-1 levels with polycystic ovary syndrome: A meta-analysis. PG - e13407 LID - 10.1111/aji.13407 [doi] AB - PROBLEM: Polycystic ovary syndrome (PCOS) is a common hormonal disorder that has a huge impact on the human infertility. Increased levels of various circulating inflammatory cytokines have been observed in PCOS patients, which can contribute to the pathogenesis of PCOS. Monocyte chemoattractant protein-1 (MCP-1), a secretory chemokine, is a potent chemotactic factor that recruits monocytes/macrophages to inflammatory foci. Several previous studies comparing the circulating MCP-1 levels between non-PCOS and PCOS patients have yielded contradictory results. Therefore, the aim of this meta-analysis was to investigate whether circulating MCP-1 levels vary between non-PCOS and PCOS patients. METHODS: Research articles published before November 11, 2020, were screened to identify eligible studies. Heterogeneity, sensitivity, and publication bias were analyzed using STATA software. Standardized mean difference (SMD) with a 95% confidence interval (CI) was calculated by the STATA software using a random-effects model. RESULTS: 11 studies were included in this meta-analysis involving 897 individuals: 368 non-PCOS patient and 529 PCOS patients. Our pooled meta-analysis results show that circulating MCP-1 levels were significantly higher in PCOS patients than in non-PCOS patients (SMD = 0.84, 95% CI = [0.37, 1.31], Z = 3.50, p < 0.01). However, due to the limited number of studies included in this meta-analysis, subgroup analysis determined that circulating MCP-1 levels were not significantly varied between obese non-PCOS and obese PCOS patients (SMD = 0.42, 95% CI = [-0.65, 1.49], Z = 0.77, p = 0.442) as well as between non-PCOS and PCOS patients without obesity (SMD = 2.04, 95% CI = [-0.84, 4.93], Z = 1.39, p = 0.166). In addition, circulating MCP-1 levels were also not significantly different between obese and non-obese PCOS patients (SMD = -0.04, 95% CI = [-0.68, 0.60], Z = 0.11, p = 0.909). CONCLUSION: Our findings reveal that circulating MCP-1 levels are upregulated in women with PCOS and are associated with an increased risk of PCOS. CI - (c) 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Wu, Ze AU - Wu Z AD - Center for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Fang, Lanlan AU - Fang L AD - Center for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Li, Yuxi AU - Li Y AD - Center for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Yan, Yang AU - Yan Y AD - Center for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Thakur, Avinash AU - Thakur A AD - Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada. AD - Terry Fox Laboratory, BC Cancer Agency, Vancouver, British Columbia, Canada. FAU - Cheng, Jung-Chien AU - Cheng JC AUID- ORCID: 0000-0002-5399-9327 AD - Center for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Sun, Ying-Pu AU - Sun YP AD - Center for Reproductive Medicine, Henan Key Laboratory of Reproduction and Genetics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20210309 PL - Denmark TA - Am J Reprod Immunol JT - American journal of reproductive immunology (New York, N.Y. : 1989) JID - 8912860 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Chemokine CCL2/*blood MH - Female MH - Humans MH - Obesity/*blood MH - Polycystic Ovary Syndrome/*blood OTO - NOTNLM OT - MCP-1 OT - PCOS OT - meta-analysis EDAT- 2021/02/28 06:00 MHDA- 2022/01/20 06:00 CRDT- 2021/02/27 05:44 PHST- 2021/02/09 00:00 [revised] PHST- 2020/11/13 00:00 [received] PHST- 2021/02/22 00:00 [accepted] PHST- 2021/02/28 06:00 [pubmed] PHST- 2022/01/20 06:00 [medline] PHST- 2021/02/27 05:44 [entrez] AID - 10.1111/aji.13407 [doi] PST - ppublish SO - Am J Reprod Immunol. 2021 Aug;86(2):e13407. doi: 10.1111/aji.13407. Epub 2021 Mar 9.