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女童肥胖相关性高雄激素血症发生机制的研究进展

Advancement in the Mechanisms of Obesity-associated Hyperandrogenism in Girls
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摘要 儿童肥胖症呈世界流行,最近一些研究表明青春期前及青春期女孩肥胖与高雄激素血症(HA)有关,而HA是多囊卵巢综合征的先兆,肥胖相关性HA已逐渐引起学者和临床医师的重视。肥胖女孩雄激素水平增高的原因复杂而多样,目前该领域研究甚少,可能与胰岛素抵抗及高胰岛素血症、黄体生成素异常分泌、瘦素抵抗等机制有关,正确而全面地认识肥胖相关性HA的发生机制,对于早期采取药物治疗或生活方式干预措施提供临床依据。 Childhood obesity has become a global epidemic, and recent research suggests that obesity in prepubertal and pubertal girls is associated with hyperandrogenism(HA) ,which can represent a forerunner of polycystic ovarian syndrome. 0besity-associated HA has drawn much attention of the scholars and clinicians gradually. However, the reasons of the elevated androgen levels in obese gifts are complex and diverse, and there is little research in the field at present. Obesity-associated HA may be associated with insulin resistance and hyperinsulinemia, abnormal luteinizing hormone secretion, leptin resistance and so on. A correct and com- prehensive understanding of the pathogenesis of obesity-associated HA provides clinical evidence for taking medieation or lifestyle interventions in an early phase.
作者 张妤琴 熊丰
出处 《医学综述》 2015年第21期3890-3893,共4页 Medical Recapitulate
关键词 肥胖 高雄激素血症 女童 胰岛素抵抗 发病机制 Obese Hyperandrogenism Girls Insulin resistance Pathogenesis
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参考文献31

  • 1Daniels SR. Complications of obesity in children and adolescents[ J ]. Int J Obes (Lond) ,2009,33 Suppl 1 :S60-65.
  • 2Reinehr T,de Sousa G,Roth CL,et al. Androgens before and after weight loss in obese children[ J ]. J Clin Endocrinol Metab, 2005, 90(10) :5588-5595.
  • 3McCartney CR, Prendergast KA, Chhabra S, et al. The association of obesity and hyperandrogenemia during the pubertal transition in girls:obesity as a potential factor in the genesis of postpubertal hyperandrogenism[ J ]. J Clin Endocrinol Metab, 2006,91 ( 5 ) : 1714-1722.
  • 4McCartney CR, Blank SK, Prendergast KA, et al. Obesity and sex steroid changes across puberty: evidence for marked hyperandro- genemia in pre-and early pubertal obese girls[ J]. J Clin Endocri- nol Metab,2007,92(2) :430-436.
  • 5Reinehr T, Kulle A, Wolters B, et al. Steroid hormone profiles in prepubertal obese children before and after weight loss [ J]. J Clin Endocrinol Metab ,2013,98 (6) : E1022-1030.
  • 6Denzer C, Weibel A, Muehe R, et al. Pubertal development in obese children and adolescents [ J ]. Int J Obes ( Lond), 2007,31 (10) : 1509-1519.
  • 7Anderson AD, Solorzano CM, McCartney CR. Childhood Obesity and Its Impact on the Development of Adolescent PCOS [ J]. Semin Reprod Med ,201g ,32 (3) :202-213.
  • 8Solorzano CM, McCartney CR. Obesity and the pubertal transition in girls and boys [ J ]. Reproduction,2010,140 ( 3 ) :399-410.
  • 9Knudsen KL, Blank SK, Burt Solorzano C, et al. Hyperandrogene- mia in obese peripubertal girls:correlates and potential etiological determinants [ J ]. Obesity ( Silver Spring ), 2010, 18 ( 11 ) : 2118-2124.
  • 10Birkebaek NH, Lange A, Holland-Fischer P, et al. Effect of weight reduction on insulin sensitivity, sex hormone-binding globulin, sex hormones and gonadotrophins in obese children [ J ]. Eur J Endocri- nol,2010,163 (6) :895-900.

二级参考文献10

  • 1Dunaif A.Insulin resistance and the polycystic ovary syndrome: mechanism and implications for pathogenesis[].Endocrine Reviews.1997
  • 2Wu X K,Zhou S Y,Liu J X,et al.Selective ovary resistance to insulin signaling in women with polycystic ovary syndrome[].Fertility and Sterility.2003
  • 3Sakoda H,Ogihara T,Anai M,et al.Dexamethasone-induced insulin resistance in 3T3-L1 adipocytes is due to inhibition of glucose transport rather than insulin signal transduction[].Diabetes.2000
  • 4Morin-Papunen L C,Koivunen R M,Ruokonen A,et al.Metformin therapy improves the menstrual pattern with minimal endocrine and metabolic effects in women with polycystic ovary syndrome[].Fertility and Sterility.1998
  • 5Kong W,Wei J,Abidi P,et al.Berberine is a novel cholesterol-lowering drug working through a unique mechanism distinct from statins[].Nature Medicine.2004
  • 6Wu X,Sallinen K,Anttila L,et al.Expression of insulin-receptor substrate-1 and -2 in ovaries from women with insulin resistance and from controls[].Fertility and Sterility.2000
  • 7Anil Kumar KL.Troglitazone prevents and reverses dexamethasone induced insulin resistance on glycogen synthesis in3T3-L1adipocyte〔J〕[].British Journal of Pharmacology.2000
  • 8MONTAGNANI M,,QUON M J.Insulin action in vascular endothelium:potential mechanisms linking insulin resistance with hypertension[].Diabetes Obesity and Metabolism.2000
  • 9MontagnaniM,Golovchenko I,K im I,et al.Inhibition of phosphatidylinositol 3kinase enhances m itogenic actions of insulin in endothelial cells[].Journal of Biological Chemistry.2002
  • 10Haas DA,Carr BR,Attia GR.Effects of metformin on body mass index,menstrual cyclicity,and ovulation induction in women with polycystic ovary syndrome[].Fertility and Sterility.2003

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