Key result
Novel biomarkers such as nesfatin-1, myonectin, omentin, and neudesin were decreased in PCOS patients, whereas preptin, gremlin-1, neuregulin-4, xenin-25, and galectin-3 were increased.
Why the study?
Research on metabolic proteins and peptides as potential insulin resistance biomarkers in polycystic ovarian syndrome has recently gained interest, but debate remains.
Do novel peptides and proteins serve as potential biomarkers for insulin resistance in females affected by PCOS compared to healthy controls?
Do novel peptides and proteins serve as potential biomarkers for insulin resistance in females affected by PCOS compared to healthy controls?
Novel peptides and proteins show potential as biomarkers for insulin resistance in PCOS, but current evidence is inconsistent and requires further validation.
May support biomarker screening for insulin resistance in PCOS; leaves open prospective validation before clinical adoption.
Research on proteins and peptides that play roles in metabolic regulation, which may be considered potential insulin resistance markers in some medical conditions, such as diabetes mellitus, obesity and polycystic ovarian syndrome (PCOS), has recently gained in interest. PCOS is a common endocrine disorder associated with hyperandrogenemia and failure of ovulation, which is often accompanied by metabolic abnormalities, including obesity, dyslipidemia, hyperinsulinemia, and insulin resistance. In this review, we focus on less commonly known peptides/proteins and investigate their role as potential biomarkers for insulin resistance in females affected by PCOS. We summarize studies comparing the serum fasting concentration of particular agents in PCOS individuals and healthy controls. Based on our analysis, we propose that, in the majority of studies, the levels of nesfastin-1, myonectin, omentin, neudesin were decreased in PCOS patients, while the levels of the other considered agents (e.g., preptin, gremlin-1, neuregulin-4, xenopsin-related peptide, xenin-25, and galectin-3) were increased. However, there also exist studies presenting contrary results; in particular, most data existing for lipocalin-2 are inconsistent. Therefore, further research is required to confirm those hypotheses, as well as to elucidate the involvement of these factors in PCOS-related metabolic complications.
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Kruszewska et al. (2022) conducted a review in Polycystic ovarian syndrome (PCOS) and insulin resistance. Novel potential insulin resistance biomarkers vs. Healthy controls was evaluated on Serum fasting concentration of biomarker peptides/proteins. Novel biomarkers such as nesfatin-1, myonectin, omentin, and neudesin were decreased in PCOS patients, whereas preptin, gremlin-1, neuregulin-4, xenin-25, and galectin-3 were increased.
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