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Association of serum pigment epithelium-derived factor with high-sensitivity C-reactive protein in women with polycystic ovary syndrome

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Abstract

Background: The basic studies showed that Pigment epithelium-derived factor (PEDF) plays an important role in inflammation. Aim: This study aims to investigate the association of serum PEDF with high-sensitivity C-reactive protein (hs-CRP) in women with polycystic ovary syndrome (PCOS). Methods: Ninety-six PCOS women and 63 healthy, age-matched controls were enrolled in this study. Serum levels of PEDF, hs-CRP, Complement C3 (C3), glucose, insulin, lipids, and total testosterone were measured. Ninety-six PCOS women and 20 controls underwent hyperinsulinemic-euglycemic clamp to assess their insulin sensitivity, which was expressed as M value. Results: Serum PEDF levels and hs-CRP levels were much higher in PCOS women than in controls. In PCOS women, PEDF positively correlated with body mass index (BMI), hs-CRP, C3, LDL cholesterol (LDL-c), and systolic blood pressure (SBP), and negatively correlated with M value and HDL cholesterol (HDL-c). After controlling for BMI, PEDF was still positively correlated with hs-CRP. Multiple linear regression analysis revealed that in PCOS women, hs-CRP, SBP, LDL-c and M value were independent determinants of serum PEDF. Conclusion: The serum PEDF levels are closely associated with hs-CRP in women with PCOS. PEDF may play a role in the development of chronic inflammation in PCOS.

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References

  1. Ehrmann DA. Polycystic ovary syndrome. N Engl J Med 2005, 352: 1223–36.

    Article  PubMed  CAS  Google Scholar 

  2. Benitez R, Sir-Petermann T, Palomino A, et al. Prevalence of metabolic disorders among family members of patients with polycystic ovary syndrome. Rev Med Chil 2001, 129: 707–12.

    PubMed  CAS  Google Scholar 

  3. Economou F, Xyrafis X, Christakou C, Diamanti-Kandarakis E. The pluripotential effects of hypolipidemic treatment for polycystic ovary syndrome (PCOS): dyslipidemia, cardiovascular risk factors and beyond. Curr Pharm Des 2011, 17: 908–21.

    Article  PubMed  CAS  Google Scholar 

  4. Carmina E. Metabolic syndrome in polycystic ovary syndrome. Minerva Ginecol 2006, 58: 109–14.

    PubMed  CAS  Google Scholar 

  5. Escobar-Morreale HF, Luque-Ramirez M, Gonzalez F. Circulating inflammatory markers in polycystic ovary syndrome: a systematic review and metaanalysis. Fertil Steril 2011, 95: 1048–58.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  6. Hu W, Qiao J, Yang Y, Wang L, Li R. Elevated C-reactive protein and monocyte chemoattractant protein-1 in patients with polycystic ovary syndrome. Eur J Obstet Gynecol Reprod Biol 2011, 157: 53–6.

    Article  PubMed  CAS  Google Scholar 

  7. Glintborg D, Andersen M. An update on the pathogenesis, inflammation, and metabolism in hirsutism and polycystic ovary syndrome. Gynecol Endocrinol 2010, 26: 281–96.

    Article  PubMed  CAS  Google Scholar 

  8. Repaci A, Gambineri A, Pasquali R. The role of low-grade inflammation in the polycystic ovary syndrome. Mol Cell Endocrinol 2011, 335: 30–41.

    Article  PubMed  CAS  Google Scholar 

  9. Tombran-Tink J, Johnson LV. Neuronal differentiation of retinoblastoma cells induced by medium conditioned by human RPE cells. Invest Ophthalmol Vis Sci 1989, 30: 1700–7.

    PubMed  CAS  Google Scholar 

  10. Dawson DW, Volpert OV, Gillis P, et al. Pigment epithelium-derived factor: a potent inhibitor of angiogenesis. Science 1999, 285: 245–8.

    Article  PubMed  CAS  Google Scholar 

  11. Tombran-Tink J, Barnstable CJ. PEDF: a multifaceted neurotrophic factor. Nat Rev Neurosci 2003, 4: 628–36.

    Article  PubMed  CAS  Google Scholar 

  12. Yabe T, Sanagi T, Schwartz JP, Yamada H. Pigment epithelium-derived factor induces pro-inflammatory genes in neonatal astrocytes through activation of NF-kappa B and CREB. Glia 2005, 50: 223–34.

    Article  PubMed  Google Scholar 

  13. Sanagi T, Yabe T, Yamada H. The regulation of pro-inflammatory gene expression induced by pigment epithelium-derived factor in rat cultured microglial cells. Neurosci Lett 2005, 380: 105–10.

    Article  PubMed  CAS  Google Scholar 

  14. Crowe S, Wu LE, Economou C, et al. Pigment epithelium-derived factor contributes to insulin resistance in obesity. Cell Metab 2009, 10: 40–7.

    Article  PubMed  CAS  Google Scholar 

  15. Nakamura K, Yamagishi S, Adachi H, Kurita-Nakamura Y, Matsui T, Inoue H. Serum levels of pigment epithelium-derived factor (PEDF) are positively associated with visceral adiposity in Japanese patients with type 2 diabetes. Diabetes Metab Res Rev 2009, 25: 52–6.

    Article  PubMed  CAS  Google Scholar 

  16. Sabater M, Moreno-Navarrete JM, Ortega FJ, et al. Circulating pigment epithelium-derived factor levels are associated with insulin resistance and decrease after weight loss. J Clin Endocrinol Metab 2010, 95: 4720–8.

    Article  PubMed  CAS  Google Scholar 

  17. Kousta E, Tolis G, Franks S. Polycystic ovary syndrome. Revised diagnostic criteria and long-term health consequences. Hormones 2005, 4: 133–47.

    Article  PubMed  Google Scholar 

  18. Weiping L, Qingfeng C, Shikun M, et al. Elevated serum RBP4 is associated with insulin resistance in women with polycystic ovary syndrome. Endocrine 2006, 30: 283–7.

    Article  PubMed  Google Scholar 

  19. Kao TW, Lu IS, Liao KC, Lai HY, Loh CH, Kuo HK. Associations between body mass index and serum levels of C-reactive protein. S Afr Med J 2009, 99: 326–30.

    PubMed  CAS  Google Scholar 

  20. Moradi S, Mollabashi M, Kerman SR. Relation between C-reactive protein and body mass index in patients with polycystic ovarian syndrome. Gynecol Endocrinol 2011, 27: 480–5.

    Article  PubMed  CAS  Google Scholar 

  21. Jenkins AJ, Zhang SX, Rowley KG, et al. Increased serum pigment epithelium-derived factor is associated with microvascular complications, vascular stiffness and inflammation in Type 1 diabetes. Diabet Med 2007, 24: 1345–51.

    Article  PubMed  CAS  Google Scholar 

  22. Chen HB, Jia WP, Lu JX, et al. Change and significance of serum pigment epithelium-derived factor in type 2 diabetic nephropathy. Zhonghua Yi Xue Za Zhi 2007, 87: 1230–3.

    PubMed  CAS  Google Scholar 

  23. Stejskal D, Karpisek M, Svestak M, Hejduk P, Sporova L, Kotolova H. Pigment epithelium-derived factor as a new marker of metabolic syndrome in Caucasian population. J Clin Lab Anal 2010, 24: 17–9.

    Article  PubMed  CAS  Google Scholar 

  24. Umei H, Yamagishi SI, Imaizumi T. Positive association of serum levels of pigment epithelium-derived factor with high-sensitivity C-reactive protein in apparently healthy unmedicated subjects. J Int Med Res 2010, 38: 443–8.

    Article  PubMed  CAS  Google Scholar 

  25. Famulla S, Lamers D, Hartwig S, et al. Pigment epithelium-derived factor is one of the most abundant proteins secreted by human adipocytes and induces insulin resistance and inflammatory signaling in muscle and fat cells. Int J Obes (Lond) 2011, 35: 762–72.

    Article  CAS  Google Scholar 

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Correspondence to Q. Li MD, PhD.

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Qingfeng Cheng and Wei Xia are co-first authors and contributed equally to this paper.

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Cheng, Q., Xia, W., Yang, S. et al. Association of serum pigment epithelium-derived factor with high-sensitivity C-reactive protein in women with polycystic ovary syndrome. J Endocrinol Invest 36, 632–635 (2013). https://doi.org/10.1007/BF03346755

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