The Role of TGF-β in Polycystic Ovary Syndrome

被引:97
|
作者
Raja-Khan, Nazia [1 ]
Urbanek, Margrit [2 ]
Rodgers, Raymond J. [3 ]
Legro, Richard S. [4 ]
机构
[1] Penn State Univ, Div Endocrinol Diabet & Metab, Coll Med, MS Hershey Med Ctr, Hershey, PA 17033 USA
[2] Northwestern Univ, Feinberg Sch Med, Div Endocrinol Metab & Mol Med, Chicago, IL 60611 USA
[3] Univ Adelaide, Res Ctr Reprod Hlth, Discipline Obstet & Gynaecol, Robinson Inst, Adelaide, SA 5005, Australia
[4] Penn State Univ, Dept Obstet & Gynecol, Coll Med, MS Hershey Med Ctr, Hershey, PA 17033 USA
关键词
polycystic ovary syndrome; TGF-beta; fibrillin; genetics; fetal origins; TRANSFORMING-GROWTH-FACTOR; POLYMORPHIC DINUCLEOTIDE REPEAT; REGULAR MENSTRUAL CYCLES; EXTRACELLULAR-MATRIX; BINDING-PROTEINS; FOLLISTATIN GENE; FOLLICLE DEVELOPMENT; ANDROGEN PRODUCTION; KINASE INHIBITOR; INCREASED RISK;
D O I
10.1177/1933719113485294
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Polycystic ovary syndrome (PCOS) is a common endocrine disorder characterized by chronic oligoanovulation and hyperandrogenism and associated with insulin resistance, type 2 diabetes, and cardiovascular risk. In recent years, genetic studies have linked PCOS to a dinucleotide marker D19S884 in the fibrillin 3 gene. Fibrillins make up the major component of microfibrils in the extracellular matrix (ECM) and interact with molecules in the ECM to regulate transforming growth factor (TGF-beta) signaling. Therefore, variations in fibrillin 3 and subsequent dysregulation of TGF-beta may contribute to the pathogenesis of PCOS. Here, we review the evidence from genetic studies supporting the role of TGF- in PCOS and describe how TGF-beta dysregulation may contribute to (1) the fetal origins of PCOS, (2) reproductive abnormalities in PCOS, and (3) cardiovascular and metabolic abnormalities in PCOS.
引用
收藏
页码:20 / 31
页数:12
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