Polycystic ovary syndrome is associated with elevated plasma soluble CD40 ligand, a marker of coronary artery disease

Objective To determine the level of plasma soluble CD40 ligand (sCD40L) in patients with polycystic ovary syndrome (PCOS). Design Prospective study. Setting Baskent University School of Medicine in Turkey. Patient(s) Thirty-one patients with PCOS and 31 non-PCOS (control) patients. Intervention(s) D...

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Veröffentlicht in:Fertility and sterility 2009-06, Vol.91 (6), p.2545-2550
Hauptverfasser: Oktem, Mesut, M.D, Ozcimen, Emel Ebru, M.D, Uckuyu, Ayla, M.D, Esinler, Ibrahim, M.D, Pamuk, Baris, M.D, Bayraktar, Nilufer, M.D, Kulaksizoglu, Sevsen, M.D, Zeyneloglu, Hulusi B., M.D
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container_end_page 2550
container_issue 6
container_start_page 2545
container_title Fertility and sterility
container_volume 91
creator Oktem, Mesut, M.D
Ozcimen, Emel Ebru, M.D
Uckuyu, Ayla, M.D
Esinler, Ibrahim, M.D
Pamuk, Baris, M.D
Bayraktar, Nilufer, M.D
Kulaksizoglu, Sevsen, M.D
Zeyneloglu, Hulusi B., M.D
description Objective To determine the level of plasma soluble CD40 ligand (sCD40L) in patients with polycystic ovary syndrome (PCOS). Design Prospective study. Setting Baskent University School of Medicine in Turkey. Patient(s) Thirty-one patients with PCOS and 31 non-PCOS (control) patients. Intervention(s) Determination of plasma sCD40L and homocysteine levels. Main Outcome Measure(s) Plasma sCD40L, fasting glucose, fasting insulin, homeostatic model assessment insulin resistance index (HOMA-IR), LH, FSH, E2 , total T, DHEAS, total cholesterol, high- and low-density lipoprotein cholesterol, triglyceride, homocysteine, and high-sensitivity C-reactive protein (hsCRP). Result(s) The mean serum fasting insulin and HOMA-IR levels were significantly higher in the PCOS group. The mean serum homocysteine level was significantly higher in the PCOS group. Despite a trend for higher high-sensitivity C-reactive protein levels in the PCOS group, the difference did not reach statistical significance. The mean plasma sCD40L level in the PCOS group was significantly higher than that in the control group (5.14 ± 3.65 ng/mL vs. 3.45 ± 2.64 ng/mL, respectively). Conclusion(s) Polycystic ovary syndrome is associated with elevated levels of sCD40L and homocysteine.
doi_str_mv 10.1016/j.fertnstert.2008.03.039
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Design Prospective study. Setting Baskent University School of Medicine in Turkey. Patient(s) Thirty-one patients with PCOS and 31 non-PCOS (control) patients. Intervention(s) Determination of plasma sCD40L and homocysteine levels. Main Outcome Measure(s) Plasma sCD40L, fasting glucose, fasting insulin, homeostatic model assessment insulin resistance index (HOMA-IR), LH, FSH, E2 , total T, DHEAS, total cholesterol, high- and low-density lipoprotein cholesterol, triglyceride, homocysteine, and high-sensitivity C-reactive protein (hsCRP). Result(s) The mean serum fasting insulin and HOMA-IR levels were significantly higher in the PCOS group. The mean serum homocysteine level was significantly higher in the PCOS group. Despite a trend for higher high-sensitivity C-reactive protein levels in the PCOS group, the difference did not reach statistical significance. The mean plasma sCD40L level in the PCOS group was significantly higher than that in the control group (5.14 ± 3.65 ng/mL vs. 3.45 ± 2.64 ng/mL, respectively). Conclusion(s) Polycystic ovary syndrome is associated with elevated levels of sCD40L and homocysteine.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2008.03.039</identifier><identifier>PMID: 18554599</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Amenorrhea - epidemiology ; Biological and medical sciences ; Biomarkers - blood ; C-reactive protein ; Cardiology. Vascular system ; CD40 Ligand - blood ; coronary artery disease ; Coronary Disease - blood ; Coronary Disease - complications ; Coronary heart disease ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Heart ; homocysteine ; Homocysteine - blood ; Humans ; Insulin - blood ; Internal Medicine ; Medical sciences ; Non tumoral diseases ; Obstetrics and Gynecology ; Oligomenorrhea - epidemiology ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - blood ; Polycystic Ovary Syndrome - complications ; Polycystic Ovary Syndrome - pathology ; Reference Values ; sCD40L ; Waist-Hip Ratio ; Young Adult</subject><ispartof>Fertility and sterility, 2009-06, Vol.91 (6), p.2545-2550</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2009 American Society for Reproductive Medicine</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c507t-4e67d865091729e07a2cd24538604ab08b1596b81196d50735ad565e6a0052b33</citedby><cites>FETCH-LOGICAL-c507t-4e67d865091729e07a2cd24538604ab08b1596b81196d50735ad565e6a0052b33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0015028208007061$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=21615112$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18554599$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oktem, Mesut, M.D</creatorcontrib><creatorcontrib>Ozcimen, Emel Ebru, M.D</creatorcontrib><creatorcontrib>Uckuyu, Ayla, M.D</creatorcontrib><creatorcontrib>Esinler, Ibrahim, M.D</creatorcontrib><creatorcontrib>Pamuk, Baris, M.D</creatorcontrib><creatorcontrib>Bayraktar, Nilufer, M.D</creatorcontrib><creatorcontrib>Kulaksizoglu, Sevsen, M.D</creatorcontrib><creatorcontrib>Zeyneloglu, Hulusi B., M.D</creatorcontrib><title>Polycystic ovary syndrome is associated with elevated plasma soluble CD40 ligand, a marker of coronary artery disease</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>Objective To determine the level of plasma soluble CD40 ligand (sCD40L) in patients with polycystic ovary syndrome (PCOS). Design Prospective study. Setting Baskent University School of Medicine in Turkey. Patient(s) Thirty-one patients with PCOS and 31 non-PCOS (control) patients. Intervention(s) Determination of plasma sCD40L and homocysteine levels. Main Outcome Measure(s) Plasma sCD40L, fasting glucose, fasting insulin, homeostatic model assessment insulin resistance index (HOMA-IR), LH, FSH, E2 , total T, DHEAS, total cholesterol, high- and low-density lipoprotein cholesterol, triglyceride, homocysteine, and high-sensitivity C-reactive protein (hsCRP). Result(s) The mean serum fasting insulin and HOMA-IR levels were significantly higher in the PCOS group. The mean serum homocysteine level was significantly higher in the PCOS group. Despite a trend for higher high-sensitivity C-reactive protein levels in the PCOS group, the difference did not reach statistical significance. 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Obstetrics</topic><topic>Heart</topic><topic>homocysteine</topic><topic>Homocysteine - blood</topic><topic>Humans</topic><topic>Insulin - blood</topic><topic>Internal Medicine</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Obstetrics and Gynecology</topic><topic>Oligomenorrhea - epidemiology</topic><topic>Polycystic ovary syndrome</topic><topic>Polycystic Ovary Syndrome - blood</topic><topic>Polycystic Ovary Syndrome - complications</topic><topic>Polycystic Ovary Syndrome - pathology</topic><topic>Reference Values</topic><topic>sCD40L</topic><topic>Waist-Hip Ratio</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oktem, Mesut, M.D</creatorcontrib><creatorcontrib>Ozcimen, Emel Ebru, M.D</creatorcontrib><creatorcontrib>Uckuyu, Ayla, M.D</creatorcontrib><creatorcontrib>Esinler, Ibrahim, M.D</creatorcontrib><creatorcontrib>Pamuk, Baris, M.D</creatorcontrib><creatorcontrib>Bayraktar, Nilufer, M.D</creatorcontrib><creatorcontrib>Kulaksizoglu, Sevsen, M.D</creatorcontrib><creatorcontrib>Zeyneloglu, Hulusi B., M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oktem, Mesut, M.D</au><au>Ozcimen, Emel Ebru, M.D</au><au>Uckuyu, Ayla, M.D</au><au>Esinler, Ibrahim, M.D</au><au>Pamuk, Baris, M.D</au><au>Bayraktar, Nilufer, M.D</au><au>Kulaksizoglu, Sevsen, M.D</au><au>Zeyneloglu, Hulusi B., M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Polycystic ovary syndrome is associated with elevated plasma soluble CD40 ligand, a marker of coronary artery disease</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>91</volume><issue>6</issue><spage>2545</spage><epage>2550</epage><pages>2545-2550</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Objective To determine the level of plasma soluble CD40 ligand (sCD40L) in patients with polycystic ovary syndrome (PCOS). Design Prospective study. Setting Baskent University School of Medicine in Turkey. Patient(s) Thirty-one patients with PCOS and 31 non-PCOS (control) patients. Intervention(s) Determination of plasma sCD40L and homocysteine levels. Main Outcome Measure(s) Plasma sCD40L, fasting glucose, fasting insulin, homeostatic model assessment insulin resistance index (HOMA-IR), LH, FSH, E2 , total T, DHEAS, total cholesterol, high- and low-density lipoprotein cholesterol, triglyceride, homocysteine, and high-sensitivity C-reactive protein (hsCRP). Result(s) The mean serum fasting insulin and HOMA-IR levels were significantly higher in the PCOS group. The mean serum homocysteine level was significantly higher in the PCOS group. Despite a trend for higher high-sensitivity C-reactive protein levels in the PCOS group, the difference did not reach statistical significance. The mean plasma sCD40L level in the PCOS group was significantly higher than that in the control group (5.14 ± 3.65 ng/mL vs. 3.45 ± 2.64 ng/mL, respectively). Conclusion(s) Polycystic ovary syndrome is associated with elevated levels of sCD40L and homocysteine.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18554599</pmid><doi>10.1016/j.fertnstert.2008.03.039</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Amenorrhea - epidemiology
Biological and medical sciences
Biomarkers - blood
C-reactive protein
Cardiology. Vascular system
CD40 Ligand - blood
coronary artery disease
Coronary Disease - blood
Coronary Disease - complications
Coronary heart disease
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Heart
homocysteine
Homocysteine - blood
Humans
Insulin - blood
Internal Medicine
Medical sciences
Non tumoral diseases
Obstetrics and Gynecology
Oligomenorrhea - epidemiology
Polycystic ovary syndrome
Polycystic Ovary Syndrome - blood
Polycystic Ovary Syndrome - complications
Polycystic Ovary Syndrome - pathology
Reference Values
sCD40L
Waist-Hip Ratio
Young Adult
title Polycystic ovary syndrome is associated with elevated plasma soluble CD40 ligand, a marker of coronary artery disease
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