Concha C Francisca, Sir P Teresa, Recabarren Sergio E, Pérez B Francisco
Departamento de Nutrición. Facultad de Medicina, Laboratorio de Nutrigenómica, Universidad de Chile, Santiago, Chile.
Laboratorio de Endocrinología y Metabolismo, Facultad de Medicina Occidente, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2017 Jul;145(7):907-915. doi: 10.4067/s0034-98872017000700907.
Polycystic ovarian syndrome (PCOS) is an endocrine and metabolic dysfunction, highly prevalent in women in their reproductive years. Hyperandrogenism, oligo-ovulation, polycystic ovarian morphology are the main features of this syndrome. PCOS is a genetic disorder with a multifactorial etiology and has a strong link with environmental components. It is frequently associated with obesity and insulin resistance. Recently, epigenetic mechanisms have been involved in the pathogenesis of PCOS. Several studies showed that methylation in DNA and miRNAs is altered in women with PCOS in blood, serum, adipose tissue, granulose cells and theca. This evidence indicates that women with PCOS have a different epigenetic regulation, which might be triggered by an adverse intrauterine environment or by postnatal environmental elements such as diet and or obesity.
多囊卵巢综合征(PCOS)是一种内分泌和代谢功能障碍疾病,在育龄女性中高度流行。高雄激素血症、排卵稀少、多囊卵巢形态是该综合征的主要特征。PCOS是一种具有多因素病因的遗传性疾病,与环境因素密切相关。它常与肥胖和胰岛素抵抗有关。最近,表观遗传机制已参与到PCOS的发病机制中。多项研究表明,患有PCOS的女性血液、血清、脂肪组织、颗粒细胞和卵泡膜细胞中的DNA甲基化和微小RNA(miRNAs)发生了改变。这一证据表明,患有PCOS的女性具有不同的表观遗传调控,这可能是由不良的子宫内环境或产后环境因素如饮食和/或肥胖引发的。