Polycystic ovary syndrome and low-grade inflammation with special reference to YKL-40

Gynecol Endocrinol. 2014 Apr;30(4):311-5. doi: 10.3109/09513590.2013.879854. Epub 2014 Jan 28.

Abstract

Objective: To evaluate the plasma level of YKL-40 in a Danish polycystic ovary syndrome (PCOS) population and to investigate whether YKL-40 is associated with CVD risk factors such as waist circumference, body mass index (BMI), insulin resistance (IR), fasting glucose, fasting insulin, blood lipids and CRP.

Design: Cross-sectional study.

Setting: Gynecological clinics at three Danish University Hospitals.

Patients: One hundred seventy-one premenopausal women with PCOS recruited consecutively from April 2010 to February 2012. PCOS was diagnosed according to the Rotterdam criteria.

Main outcome measures: Plasma level of YKL-40 in four phenotypes of PCOS defined by BMI and IR.

Results: No statistically significant difference was observed in the plasma level of YKL-40 across the four BMI/IR-phenotypes. Positive associations were observed between YKL-40 and BMI, total and free testosterone, triglycerides, and CRP. Total and free testosterone were independent predictors of YKL-40.

Conclusion: YKL-40, the marker of low-grade inflammation is not increased in women with PCOS.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipokines / blood*
  • Adolescent
  • Adult
  • Biomarkers / blood
  • Body Mass Index
  • C-Reactive Protein / metabolism
  • Chitinase-3-Like Protein 1
  • Cross-Sectional Studies
  • Denmark
  • Female
  • Humans
  • Inflammation / blood*
  • Insulin / blood
  • Insulin Resistance
  • Lectins / blood*
  • Polycystic Ovary Syndrome / blood*
  • Prospective Studies
  • Regression Analysis
  • Triglycerides / blood
  • Waist Circumference
  • Young Adult

Substances

  • Adipokines
  • Biomarkers
  • CHI3L1 protein, human
  • Chitinase-3-Like Protein 1
  • Insulin
  • Lectins
  • Triglycerides
  • C-Reactive Protein