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Meta-Analysis
. 2021 Mar;303(3):631-643.
doi: 10.1007/s00404-020-05951-2. Epub 2021 Jan 13.

Association of metabolic and inflammatory markers with polycystic ovarian syndrome (PCOS): an update

Subeka Abraham Gnanadass  1 , Yogamaya Divakar Prabhu  1 , Abilash Valsala Gopalakrishnan  2
Affiliations
Meta-Analysis

Association of metabolic and inflammatory markers with polycystic ovarian syndrome (PCOS): an update

Subeka Abraham Gnanadass et al. Arch Gynecol Obstet. 2021 Mar.

Abstract

Background: Polycystic ovarian syndrome (PCOS) is the most prevalent metabolic disorder in reproductive-age women. It is indeed a multifactorial condition evidenced by ovarian dysfunction, hyperandrogenaemia, infertility, hormonal imbalance and chronic anovulation. Experimental evidence infers that PCOS women are prone to cardiovascular problems and insulin resistance.

Purpose: To furnish the details about the association of inflammatory markers in PCOS.

Design: An extensive literature search on PubMed, science direct and google scholar has been performed for articles about PCOS and inflammation in PCOS. A comprehensive analysis using original articles, reviews, systemic and meta-analysis was conducted for better understanding the relationship between inflammatory cytokines and PCOS.

Results: The inflammatory markers perform a substantial part in managing the functions of the ovary. Any disturbances in their levels can lead to ovarian dysfunction. Inflammatory markers are associated with PCOS pathogenesis. The interplay between inflammatory cytokines in the PCOS ovary strongly implies that inflammation is one of the most potent risk factors of PCOS.

Conclusion: Inflammatory markers have a significant role in regulating the ovary. This manuscript highlights the significance of metabolic and inflammatory markers with PCOS. Since PCOS is always considered as a metabolic disorder, researchers can also consider focusing on the relationship between the inflammatory markers in PCOS to establish a new treatment or management of the disease and to improve women's health.

Keywords: CRP; Cytokines; IL-6; Inflammation; PCOS; TNF-α.

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