10 citations
,
March 2024 in “Endocrine Reviews” From 1965 to 2015, significant progress was made in understanding androgen excess disorders like premature adrenarche and polycystic ovary syndrome (PCOS). Key discoveries include the identification of unique plasma androgen patterns and the role of 11-oxytestosterones as major adrenal androgens. Research into PCOS pathogenesis highlighted areas such as neuroendocrinology, insulin resistance, and genetics, with genome-wide studies revealing the steroidogenic regulator DENND1A as a key factor. The DENND1A.V2 splice variant is overexpressed in PCOS theca cells, contributing to the PCOS phenotype. Obesity worsens PCOS symptoms through insulin resistance and increased testosterone production. Despite these advances, much remains to be understood about these disorders.
308 citations
,
December 2018 in “PLOS Genetics” The research found that PCOS has common genetic factors regardless of how it is diagnosed and is linked to metabolic and reproductive issues.
21 citations
,
February 2016 in “Reproductive Biomedicine Online” The conclusion suggests that PCOS may persist due to genetic traits that, while harmful for female fertility, could have provided survival and reproductive benefits to males.
47 citations
,
August 2014 in “The Journal of Clinical Endocrinology and Metabolism” The research suggests that the global distribution of PCOS is likely due to historical human migration and that genes affecting PCOS may have different impacts on males and females.