Metformin therapy for the reproductive and metabolic consequences of polycystic ovary syndrome.

Abstract:

:Polycystic ovary syndrome (PCOS), the most common hormonal disorder among women of reproductive age, has various metabolic and reproductive consequences. Metformin was originally shown to lower testosterone levels in women with PCOS in the 1990s, an effect presumably related to its insulin sensitising actions. However, the precise mechanisms of metformin action in PCOS remain unclear and there is considerable heterogeneity in the clinical response to this therapy in women with PCOS. Recent evidence indicates that genetic factors may play a significant role in predicting response to metformin therapy in PCOS and future studies are needed to further identify women who are most likely to benefit from this therapy. At present, there is no clear evidence to support broad metformin use in PCOS. Well-designed prospective trials are needed to establish clear benefit for metformin use in the treatment of the reproductive and metabolic consequences associated with PCOS.

journal_name

Diabetologia

journal_title

Diabetologia

authors

Sam S,Ehrmann DA

doi

10.1007/s00125-017-4306-3

subject

Has Abstract

pub_date

2017-09-01 00:00:00

pages

1656-1661

issue

9

eissn

0012-186X

issn

1432-0428

pii

10.1007/s00125-017-4306-3

journal_volume

60

pub_type

社论
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    abstract:AIMS/HYPOTHESIS:The AERx insulin Diabetes Management system (AERx iDMS) is a liquid aerosol device that enables insulin to be administered to the peripheral parts of the lung. This study aimed to compare the pharmacokinetic and pharmacodynamic properties of insulin which is inhaled using AERx iDMS with insulin which is...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s001250051618

    authors: Brunner GA,Balent B,Ellmerer M,Schaupp L,Siebenhofer A,Jendle JH,Okikawa J,Pieber TR

    更新日期:2001-03-01 00:00:00

  • Impaired estrogen-induced uterine insulin-like growth factor-I gene expression in the streptozotocin diabetic rat.

    abstract::Circulating somatomedin-C/insulin-like growth factor-I levels are low in the diabetic rat and unresponsive to exogenous growth hormone. However, the nature of this defect in growth hormone action remains unclear and there is little data on insulin-like growth factor-I gene expression in response to other stimuli and i...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00277488

    authors: Murphy LJ

    更新日期:1988-11-01 00:00:00

  • Proinsulin in development: New roles for an ancient prohormone.

    abstract::In postnatal organisms, insulin is well known as an essential anabolic hormone responsible for maintaining glucose homeostasis. Its biosynthesis by the pancreatic beta cell has been considered a model of tissue-specific gene expression. However, proinsulin mRNA and protein have been found in embryonic stages before th...

    journal_title:Diabetologia

    pub_type: 杂志文章,评审

    doi:10.1007/s00125-006-0232-5

    authors: Hernández-Sánchez C,Mansilla A,de la Rosa EJ,de Pablo F

    更新日期:2006-06-01 00:00:00

  • A genetic variant of G6PC2 is associated with type 2 diabetes and fasting plasma glucose level in the Chinese population.

    abstract:AIMS/HYPOTHESIS:Single nucleotide polymorphisms (SNPs) in G6PC2 have been reported to be associated with fasting plasma glucose level in several populations of European descent. However, whether G6PC2 variants have a similar effect in other ethnic groups is unknown. The aim of this study was to investigate the effect o...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-008-1241-3

    authors: Hu C,Zhang R,Wang C,Ma X,Wang C,Fang Q,Bao Y,Xiang K,Jia W

    更新日期:2009-03-01 00:00:00

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    abstract:AIMS/HYPOTHESIS:We examined in skeletal muscle (1) whether fatty acid transport protein (FATP) 1 channels long-chain fatty acid (LCFA) to specific metabolic fates in rats; and (2) whether FATP1-mediated increases in LCFA uptake exacerbate the development of diet-induced insulin resistance in mice. We also examined whet...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-011-2114-8

    authors: Holloway GP,Chou CJ,Lally J,Stellingwerff T,Maher AC,Gavrilova O,Haluzik M,Alkhateeb H,Reitman ML,Bonen A

    更新日期:2011-06-01 00:00:00

  • Heterogeneity in insulin-stimulated glucose uptake among different muscle groups in healthy lean people and people with obesity.

    abstract:AIMS/HYPOTHESIS:It has been proposed that muscle fibre type composition and perfusion are key determinants of insulin-stimulated muscle glucose uptake, and alterations in muscle fibre type composition and perfusion contribute to muscle, and consequently whole-body, insulin resistance in people with obesity. The goal of...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-021-05383-w

    authors: Koh HE,van Vliet S,Meyer GA,Laforest R,Gropler RJ,Klein S,Mittendorfer B

    更新日期:2021-01-29 00:00:00

  • Associations of total amount and patterns of sedentary behaviour with type 2 diabetes and the metabolic syndrome: The Maastricht Study.

    abstract:AIMS/HYPOTHESIS:The study investigated cross-sectional associations of total amount and patterns of sedentary behaviour with glucose metabolism status and the metabolic syndrome. METHODS:We included 2,497 participants (mean age 60.0 ± 8.1 years, 52% men) from The Maastricht Study who were asked to wear an activPAL acc...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-015-3861-8

    authors: van der Berg JD,Stehouwer CD,Bosma H,van der Velde JH,Willems PJ,Savelberg HH,Schram MT,Sep SJ,van der Kallen CJ,Henry RM,Dagnelie PC,Schaper NC,Koster A

    更新日期:2016-04-01 00:00:00

  • The effect of residual insulin secretion on exocrine pancreatic function in juvenile-onset diabetes mellitus.

    abstract::Residual beta cell function was studied in 18 juvenile-onset diabetics by measuring serum C-peptide immunoreactivity (CPR) fasting, and after IV injection of glucagon (1 mg). This was compared with the exocrine pancreatic response to an IV infusion of secretin and cholecystokinin-pancreozymin. Outputs of pancreatic bi...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF01223020

    authors: Frier BM,Faber OK,Binder C,Elliot HL

    更新日期:1978-05-01 00:00:00

  • Markers of renal tubular dysfunction measured annually do not predict risk of microalbuminuria in the first few years after diagnosis of Type I diabetes.

    abstract:AIMS/HYPOTHESIS:Early detection of risk of microalbuminuria could prevent early renal damage. We investigated whether urine retinol binding protein and N-acetyl-glucosaminidase could predict the risk of microalbuminuria in a large cohort of children followed from diagnosis of Type I (insulin-dependent) diabetes mellitu...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250051603

    authors: Schultz CJ,Dalton RN,Neil HA,Konopelska-Bahu T,Dunger DB,Oxford Regional Prospective Study Group.

    更新日期:2001-02-01 00:00:00

  • Identification and analysis of murine pancreatic islet enhancers.

    abstract:AIMS/HYPOTHESIS:The paucity of information on the epigenetic barriers that are blocking reprogramming protocols, and on what makes a beta cell unique, has hampered efforts to develop novel beta cell sources. Here, we aimed to identify enhancers in pancreatic islets, to understand their developmental ontologies, and to ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-012-2797-5

    authors: Tennant BR,Robertson AG,Kramer M,Li L,Zhang X,Beach M,Thiessen N,Chiu R,Mungall K,Whiting CJ,Sabatini PV,Kim A,Gottardo R,Marra MA,Lynn FC,Jones SJ,Hoodless PA,Hoffman BG

    更新日期:2013-03-01 00:00:00

  • Pregnancy plasma glucose levels exceeding the American Diabetes Association thresholds, but below the National Diabetes Data Group thresholds for gestational diabetes mellitus, are related to the risk of neonatal macrosomia, hypoglycaemia and hyperbilirub

    abstract:AIMS/HYPOTHESIS:Gestational diabetes mellitus (GDM) is a risk factor for perinatal complications. In several countries, the criteria for the diagnosis of GDM have been in flux, the American Diabetes Association (ADA) thresholds recommended in 2000 being lower than those of the National Diabetes Data Group (NDDG) that h...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-006-0517-8

    authors: Ferrara A,Weiss NS,Hedderson MM,Quesenberry CP Jr,Selby JV,Ergas IJ,Peng T,Escobar GJ,Pettitt DJ,Sacks DA

    更新日期:2007-02-01 00:00:00

  • SDF-1-CXCR4 differentially regulates autoimmune diabetogenic T cell adhesion through ROBO1-SLIT2 interactions in mice.

    abstract:AIMS/HYPOTHESIS:We had previously reported that stromal cell-derived factor 1 (SDF-1) mediates chemorepulsion of diabetogenic T cell adhesion to islet microvascular endothelium through unknown mechanisms in NOD mice. Here we report that SDF-1-mediated chemorepulsion occurs through slit homologue (SLIT)2-roundabout, axo...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-013-2978-x

    authors: Glawe JD,Mijalis EM,Davis WC,Barlow SC,Gungor N,McVie R,Kevil CG

    更新日期:2013-10-01 00:00:00

  • Enalapril does not alter renal function in normotensive, normoalbuminuric, hyperfiltering type 1 (insulin-dependent) diabetic children.

    abstract::Using a prospective randomised double-blind crossover design, the effect of the angiotensin converting enzyme inhibitor enalapril compared to a placebo was studied in 18 normotensive, normoalbuminuric Type 1 (insulin-dependent) diabetic children. Each patient had a high normal or clearly elevated glomerular filtration...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章,随机对照试验

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    authors: Drummond K,Levy-Marchal C,Laborde K,Kindermans C,Wright C,Dechaux M,Czernichow P

    更新日期:1989-04-01 00:00:00

  • Glucose tolerance is associated with differential expression of microRNAs in skeletal muscle: results from studies of twins with and without type 2 diabetes.

    abstract:AIMS/HYPOTHESIS:We aimed to identify microRNAs (miRNAs) associated with type 2 diabetes and risk of developing the disease in skeletal muscle biopsies from phenotypically well-characterised twins. METHODS:We measured muscle miRNA levels in monozygotic (MZ) twins discordant for type 2 diabetes using arrays. Further inv...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-014-3434-2

    authors: Bork-Jensen J,Scheele C,Christophersen DV,Nilsson E,Friedrichsen M,Fernandez-Twinn DS,Grunnet LG,Litman T,Holmstrøm K,Vind B,Højlund K,Beck-Nielsen H,Wojtaszewski J,Ozanne SE,Pedersen BK,Poulsen P,Vaag A

    更新日期:2015-02-01 00:00:00

  • N-Acetylcysteine inhibits platelet-monocyte conjugation in patients with type 2 diabetes with depleted intraplatelet glutathione: a randomised controlled trial.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to determine whether oral dosing with N-acetylcysteine (NAC) increases intraplatelet levels of the antioxidant, glutathione (GSH), and reduces platelet-monocyte conjugation in blood from patients with type 2 diabetes. METHODS:In this placebo-controlled randomised crossover stu...

    journal_title:Diabetologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00125-012-2685-z

    authors: Treweeke AT,Winterburn TJ,Mackenzie I,Barrett F,Barr C,Rushworth GF,Dransfield I,MacRury SM,Megson IL

    更新日期:2012-11-01 00:00:00

  • Undiagnosed coeliac disease and risk of autoimmune disorders in subjects with Type I diabetes mellitus.

    abstract:AIMS/HYPOTHESIS:We tested the hypothesis that silent coeliac disease is more frequent than expected in both patients with Type I (insulin-dependent) diabetes mellitus and their first-degree relatives. We evaluated how the presence of other autoimmune disorders in diabetic patients and their first-degree relatives is re...

    journal_title:Diabetologia

    pub_type: 杂志文章

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    authors: Not T,Tommasini A,Tonini G,Buratti E,Pocecco M,Tortul C,Valussi M,Crichiutti G,Berti I,Trevisiol C,Azzoni E,Neri E,Torre G,Martelossi S,Soban M,Lenhardt A,Cattin L,Ventura A

    更新日期:2001-02-01 00:00:00

  • Depression as a risk factor for dementia in older people with type 2 diabetes and the mediating effect of inflammation.

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    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-020-05301-6

    authors: Carr AL,Sluiman AJ,Grecian SM,Forster R,McLachlan S,Strachan MWJ,Price JF

    更新日期:2021-02-01 00:00:00

  • Disparity of autonomic control in type 2 diabetes mellitus.

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    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1601-6

    authors: Huggett RJ,Scott EM,Gilbey SG,Bannister J,Mackintosh AF,Mary DA

    更新日期:2005-01-01 00:00:00

  • The anterior chamber of the eye as a clinical transplantation site for the treatment of diabetes: a study in a baboon model of diabetes.

    abstract:AIMS/HYPOTHESIS:The aim of this study was to provide evidence that the anterior chamber of the eye serves as a novel clinical islet implantation site. METHODS:In a preclinical model, allogeneic pancreatic islets were transplanted into the anterior chamber of the eye of a baboon model for diabetes, and metabolic and op...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-011-2091-y

    authors: Perez VL,Caicedo A,Berman DM,Arrieta E,Abdulreda MH,Rodriguez-Diaz R,Pileggi A,Hernandez E,Dubovy SR,Parel JM,Ricordi C,Kenyon NM,Kenyon NS,Berggren PO

    更新日期:2011-05-01 00:00:00

  • A prospective study of the effect of 12 months treatment on serum lipids and apolipoproteins A-I and B in Type 2 (non-insulin-dependent) diabetes.

    abstract::Serum high density lipoprotein cholesterol, total cholesterol, triglyceride and apolipoproteins A-I and B were studied at diagnosis and after 12 months conventional treatment in a group of Type 2 (non-insulin-dependent) diabetic patients. No significant deleterious effect on serum lipids and apolipoproteins was seen i...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/BF00254300

    authors: Taylor KG,John WG,Matthews KA,Wright AD

    更新日期:1982-12-01 00:00:00

  • Degradation products of proteins damaged by glycation, oxidation and nitration in clinical type 1 diabetes.

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    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-005-1810-7

    authors: Ahmed N,Babaei-Jadidi R,Howell SK,Beisswenger PJ,Thornalley PJ

    更新日期:2005-08-01 00:00:00

  • Variants of transcription factor 7-like 2 (TCF7L2) gene predict conversion to type 2 diabetes in the Finnish Diabetes Prevention Study and are associated with impaired glucose regulation and impaired insulin secretion.

    abstract:AIMS/HYPOTHESIS:We investigated the association of variants of the transcription factor 7-like 2 (TCF7L2) gene with: (1) incident diabetes in the Finnish Diabetes Prevention Study (DPS, Study I); (2) type 2 diabetes and impaired glucose regulation (i.e. IGT or IFG) in a cross-sectional study (Study II); and (3) insulin...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-007-0656-6

    authors: Wang J,Kuusisto J,Vänttinen M,Kuulasmaa T,Lindström J,Tuomilehto J,Uusitupa M,Laakso M

    更新日期:2007-06-01 00:00:00

  • The postprandial state does not impair endothelial function in women with type 2 diabetes irrespective of glycaemic control.

    abstract:AIMS/HYPOTHESIS:The postprandial state has been shown to be associated with endothelial dysfunction, a predictor of cardiovascular morbidity. In type 2 diabetes, postprandial metabolic excursions are prolonged and exaggerated, but less pronounced if glycaemic control is optimised. We investigated the impact of improved...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-004-1534-0

    authors: Strey CH,Young J,Collier M,Florkowski CM,Shand BI,Scott RS

    更新日期:2004-10-01 00:00:00

  • Visceral fat and beta cell function in non-diabetic humans.

    abstract:AIMS/HYPOTHESIS:Preferential visceral adipose tissue (VAT) accumulation has been clearly associated with insulin resistance. In contrast, the impact of visceral obesity on beta cell function is controversial. METHODS:In 62 non-diabetic women and men (age 24-69 years, BMI 21-39 kg/m2), we measured VAT and subcutaneous ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-005-1891-3

    authors: Gastaldelli A,Sironi AM,Ciociaro D,Positano V,Buzzigoli E,Giannessi D,Lombardi M,Mari A,Ferrannini E

    更新日期:2005-10-01 00:00:00

  • Delay of type I diabetes in high risk, first degree relatives by parenteral antigen administration: the Schwabing Insulin Prophylaxis Pilot Trial.

    abstract::The Schwabing Insulin Prophylaxis Trial is a randomised, controlled pilot study designed to examine whether insulin therapy can delay or prevent the clinical onset of Type I diabetes in high risk first degree relatives of people with the disease. First degree relatives of patients with Type I diabetes, who were aged 4...

    journal_title:Diabetologia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s001250050943

    authors: Füchtenbusch M,Rabl W,Grassl B,Bachmann W,Standl E,Ziegler AG

    更新日期:1998-05-01 00:00:00

  • 15th Golgi lecture: from hyperglycaemia to the dysregulation of vascular remodelling in diabetes.

    abstract::Hyperglycaemia has been shown to play a central part in diabetic vascular disease, which is also influenced by individual background. Hyperglycaemia initiates the pathogenetic sequence through a series of interrelated biochemical abnormalities, including increased flux through the polyol and hexosamine pathways, oxida...

    journal_title:Diabetologia

    pub_type:

    doi:10.1007/s001250051676

    authors: Di Mario U,Pugliese G

    更新日期:2001-06-01 00:00:00

  • Male-to-female excess in diabetes diagnosed in early adulthood is not specific for the immune-mediated form nor is it HLA-DQ restricted: possible relation to increased body mass index.

    abstract:UNLABELLED:AIMS/HYPOTHESIS. We investigated whether the reported HLA-DQ/DR restricted male-to-female (M:F) excess in Type I (insulin-dependent) diabetes mellitus also exists in Belgian patients, is specific for immune-mediated diabetes, remains genotype-restricted after adjustment for age at diagnosis, and is associate...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250051578

    authors: Weets I,Van Autreve J,Van der Auwera BJ,Schuit FC,Du Caju MV,Decochez K,De Leeuw IH,Keymeulen B,Mathieu C,Rottiers R,Dorchy H,Quartier E,Gorus FK,Belgian Diabetes Registry.

    更新日期:2001-01-01 00:00:00

  • Dietary fatty acid composition during pregnancy and lactation in the rat programs growth and glucose metabolism in the offspring.

    abstract:AIMS/HYPOTHESIS:We investigated of the effects of fatty acid composition of the maternal diet on fetal and postnatal growth, morphology of the pancreas and glucose metabolism and muscle hexosamine concentrations in the adult offspring of rats. METHODS:High-fat diets enriched with either saturated or unsaturated fatty ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-002-0918-2

    authors: Siemelink M,Verhoef A,Dormans JA,Span PN,Piersma AH

    更新日期:2002-10-01 00:00:00

  • The HIV-1 protease inhibitor indinavir impairs insulin signalling in HepG2 hepatoma cells.

    abstract:AIMS/HYPOTHESIS:Patients treated with human immunodeficiency virus-1 protease inhibitors often develop impaired glucose tolerance or diabetes, most likely due to an induction of insulin resistance. We therefore investigated whether the protease inhibitor indinavir alters insulin signalling. METHODS:We incubated HepG2 ...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s001250051505

    authors: Schütt M,Meier M,Meyer M,Klein J,Aries SP,Klein HH

    更新日期:2000-09-01 00:00:00

  • Pharmacological reduction of NEFA restores the efficacy of incretin-based therapies through GLP-1 receptor signalling in the beta cell in mouse models of diabetes.

    abstract:AIMS/HYPOTHESIS:Type 2 diabetes mellitus is associated with reduced incretin effects. Although previous studies have shown that hyperglycaemia contributes to impaired incretin responses in beta cells, it is largely unknown how hyperlipidaemia, another feature of type 2 diabetes, contributes to impaired glucagon-like pe...

    journal_title:Diabetologia

    pub_type: 杂志文章

    doi:10.1007/s00125-012-2776-x

    authors: Kang ZF,Deng Y,Zhou Y,Fan RR,Chan JC,Laybutt DR,Luzuriaga J,Xu G

    更新日期:2013-02-01 00:00:00