Key result
Obese women with polycystic ovary syndrome had significantly lower serum adiponectin levels compared to healthy obese controls (1.997 vs 3.044 µg/mL, p<0.001).
Why the study?
Polycystic ovary syndrome commonly presents with obesity, and this study aimed to evaluate adiponectin levels and its gene polymorphism (+276 T/G) in affected women.
Do serum adiponectin levels and its gene polymorphism differ in obese women with PCOS compared to obese healthy controls?
Case-Control (n=140)
No
Do serum adiponectin levels and its gene polymorphism differ in obese women with PCOS compared to obese healthy controls?
Absolute Event Rate: 1.997% vs 3.044%
p-value: p=<0.001
Decreased serum adiponectin and the presence of the G allele of the adiponectin (+276 T/G) polymorphism are significantly associated with an increased risk of polycystic ovary syndrome in obese women.
Lower adiponectin and +276 G allele were associated with PCOS in obese women; leaves open whether these markers enhance diagnosis beyond current criteria.
Polycystic ovary syndrome (PCOS), is a complex condition that affects women of reproductive age, women with PCOS present a prevalence of obesity. Current study aims to evaluate the adiponectin level and its gene polymorphism (+276 T /G). The patients and control women samples were collected from May 2022 to March 2023. 140 samples were collected ages from 18 to 40 years old from the Maternity Teaching Hospital, they divided into two groups: Group I: 70 obese control and Group II: 70 obese PCOS. Using PCR for allele-specific amplification refractory mutation system (ARMS). Serum specimens were collected for the measurement of many biochemical parameters. Results showed that adiponectin levels in PCOS decreased significantly, while leptin increased significantly when compared to control. HOMA-IR, Glucose, Insulin, and Testosterone parameters increased significantly in PCOS, while SHBG increased non-significantly. MDA and vit. D parameters increased significantly in PCOS, while vit.C showed a significant decrease. Serum cholesterol level was increased non-significantly in patients with PCOS group as compared to the control group, HDL was decreased significantly in PCOS women, while non-significant increase was observed in LDL, TG, and VLDL as compared to control women. The participants with homozygous for the G allele of the adiponectin (+276 T/G) had a significant and increased risk of PCOS with a significant decrease in adiponectin in PCOS. This study concluded that the decreased serum adiponectin can serve as a valuable biomarker for diagnostic PCOS in obese women, and G allele of the adiponectin showed an increased risk for PCOS.
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Maulood et al. (2024) conducted a case-control in Polycystic Ovary Syndrome (PCOS) (n=140). Polycystic Ovary Syndrome (PCOS) vs. Healthy obese women without PCOS was evaluated on Serum adiponectin level (µg/mL) (p=<0.001). Obese women with polycystic ovary syndrome had significantly lower serum adiponectin levels compared to healthy obese controls (1.997 vs 3.044 µg/mL, p<0.001).
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