国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (5): 426-429.

• 综述 • 上一篇    下一篇

维生素D与多囊卵巢综合征关系的研究进展

李志茹,于海瑞,杨琳,向梅   

  1. 130041 长春,吉林大学第二医院妇产科
  • 收稿日期:2019-06-19 修回日期:2019-07-08 出版日期:2019-09-15 发布日期:2019-09-11
  • 通讯作者: 向梅,E-mail:xiangmei1971@sina.com E-mail:xiangmei1971@sina.com

Research Progress on the Relationship between Vitamin D and Polycystic Ovary Syndrome

LI Zhi-ru,YU Hai-rui,YANG Lin,XIANG Mei   

  1. Department of Obstetrics and Gynecology,The Second Hospital of Jilin University,Changchun 130041,China
  • Received:2019-06-19 Revised:2019-07-08 Published:2019-09-15 Online:2019-09-11
  • Contact: XIANG Mei,E-mail:xiangmei1971@sina.com E-mail:xiangmei1971@sina.com

摘要: 多囊卵巢综合征(polycystic ovary syndrome,PCOS)是一种常见的妇科内分泌疾病,主要特征是月经紊乱、高雄激素血症和胰岛素抵抗等,PCOS患者代谢和生殖功能障碍常同时存在。近年研究发现PCOS患者维生素D水平较正常妇女普遍偏低,维生素D对PCOS代谢和生殖功能障碍的影响可能是由胰岛素抵抗介导的。由于维生素D是通过维生素D受体(VDR)来调控基因转录的,所以维生素D对PCOS的影响可能与VDR基因多态性有关,但VDR基因多态性与PCOS的相关性存在种族差异性,在亚洲人群中这种相关性更加显著。维生素D与PCOS的相关性提示补充维生素D对于缓解PCOS的代谢异常及生育能力可能有益。

关键词: 多囊卵巢综合征, 维生素D, 受体, 骨化三醇, 多态现象, 遗传

Abstract: Polycystic ovary syndrome (PCOS) is a common gynecological endocrine disease characterized by menstrual disorders, hyperandrogenism, insulin resistance and so on. Metabolic and reproductive dysfunction in PCOS patients often coexist. In recent years, studies have found that the level of vitamin D in patients with PCOS are generally lower than that in normal women. The effects of vitamin D on PCOS metabolism and reproductive dysfunction may be mediated by insulin resistance. Since vitamin D regulates gene transcription through vitamin D receptor (VDR), the effect of vitamin D on PCOS may be related to the VDR gene polymorphism, but there is ethnic difference in the correlation between VDR gene polymorphism and PCOS. The difference is more pronounced in Asian populations. The correlation between vitamin D and PCOS suggests that vitamin D supplementation may be beneficial for alleviating the metabolic abnormalities and fertility of PCOS.

Key words: Polycystic ovary syndrome, Vitamin D, Receptors, calcitriol, Polymorphism, genetic