PMID- 35472833 OWN - NLM STAT- MEDLINE DCOM- 20220523 LR - 20220627 IS - 1872-7603 (Electronic) IS - 0165-0378 (Linking) VI - 151 DP - 2022 Jun TI - Systemic and ovarian inflammation in women with polycystic ovary syndrome. PG - 103628 LID - S0165-0378(22)00157-7 [pii] LID - 10.1016/j.jri.2022.103628 [doi] AB - Polycystic ovary syndrome (PCOS) is a common endocrine/reproductive/metabolic disorder. The etiology of PCOS is complex and has been linked to low-grade chronic inflammation. Local inflammation of the ovary affects ovulation and induces or aggravates systemic inflammation. PCOS patients demonstrated significantly higher concentrations of circulating inflammatory cells, such as lymphocytes, neutrophils, eosinophilic granulocytes, monocytes and Th17 cells than women without PCOS, while the percentage of Treg cells was lower. Inflammatory factors, such as serum CRP, hs-CRP, IL-1Ra, IL-6, IL-17A, IL-17F, IL-18, IL-23, TNF-alpha, alpha-1 acid glycoprotein,monocyte chemoattractant protein-1 (MCP-1) and adipokines and their paralogs, including chemerin, C1q and TNF-related 6 (C1QTNF6), were also found to be significantly increased in the peripheral blood of PCOS patients. Levels of anti-inflammatory cytokines, such as IL-10, IL-17E, IL-27, IL-35 and IL-37, TGF-beta, omentin-1, Secreted frizzled-related protein5 (SFRP5) were significantly lower. An analogous situation occurs locally in the ovary. Some vital inflammatory cells and cytokines may initially be released from the ovary and then enter the circulation. The systemic inflammation underlying PCOS is thought to interact with obesity, insulin resistance (IR) and hyperandrogenism. Traditional Chinese medicine, multitargeted treatment, anti-inflammatory and antioxidant medicine, and lifestyle modification can benefit PCOS women by alleviating inflammatory responses. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Zhai, Yi AU - Zhai Y AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China; National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing 100191, China; Key Laboratory of Assisted Reproduction (Peking University), Ministry of Education, Beijing 100191, China; Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology (Peking University Third Hospital), Beijing 100191, China. FAU - Pang, Yanli AU - Pang Y AD - Center for Reproductive Medicine, Department of Obstetrics and Gynecology, Peking University Third Hospital, Beijing 100191, China; National Clinical Research Center for Obstetrics and Gynecology (Peking University Third Hospital), Beijing 100191, China; Key Laboratory of Assisted Reproduction (Peking University), Ministry of Education, Beijing 100191, China; Beijing Key Laboratory of Reproductive Endocrinology and Assisted Reproductive Technology (Peking University Third Hospital), Beijing 100191, China. Electronic address: yanlipang@bjmu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220416 PL - Ireland TA - J Reprod Immunol JT - Journal of reproductive immunology JID - 8001906 RN - 0 (Anti-Inflammatory Agents) RN - 0 (C1qTNF6 protein, human) RN - 0 (Cytokines) RN - 9007-34-5 (Collagen) SB - IM MH - Anti-Inflammatory Agents/therapeutic use MH - Collagen/therapeutic use MH - Cytokines MH - Female MH - Humans MH - *Hyperandrogenism MH - Inflammation MH - *Insulin Resistance MH - *Polycystic Ovary Syndrome OTO - NOTNLM OT - Hyperandrogenism OT - Inflammation OT - Insulin Resistance OT - Obesity OT - Polycystic Ovary Syndrome EDAT- 2022/04/27 06:00 MHDA- 2022/05/24 06:00 CRDT- 2022/04/26 20:23 PHST- 2022/02/13 00:00 [received] PHST- 2022/04/01 00:00 [revised] PHST- 2022/04/13 00:00 [accepted] PHST- 2022/04/27 06:00 [pubmed] PHST- 2022/05/24 06:00 [medline] PHST- 2022/04/26 20:23 [entrez] AID - S0165-0378(22)00157-7 [pii] AID - 10.1016/j.jri.2022.103628 [doi] PST - ppublish SO - J Reprod Immunol. 2022 Jun;151:103628. doi: 10.1016/j.jri.2022.103628. Epub 2022 Apr 16.