Abstract

Introduction: This study aimed to discuss about neuroimmune-pathophysiology of polycystic ovary syndrome (PCOS). Nerve growth factor (NGF) as modulator of neuro-endocrine-immune (NEI) system plays a critical role in tissue survival and homeostasis maintenance. It is a strong marker for sympathetic nerve activity. Women with PCO have enhanced ovarian NGF production. Over the past few decades, PCOS has been discussed as a low grade chronic inflammatory disease. In this study, we investigated the neuromodulator role of serum NGF and inflammatory cytokines (IL-1α, β, 17A and TNF-α) in women with PCOS. Material and Methods: 171 patients were investigated in two groups: study (n = 85 PCO) and control (n = 86). Serum levels of NGF-α and interleukins IL-1α, IL-1β, IL-17A and TNFα were determined in both groups by ELISA kit. Results: Data of this study showed that the level of NGF-α and IL-17A in serum of PCO women were lower than control group (p α, IL-1β were higher than control group in PCO women (p α, IL-1β. Reduction of IL-17A and NGF in serum of PCO patients might be under the direct influence of the hyperactivity of sympathetic nervous system (SNS).

Highlights

  • This study aimed to discuss about neuroimmune-pathophysiology of polycystic ovary syndrome (PCOS)

  • Serum level of NGFα in Polycystic Ovary Syndrome (PCOS) patient was significantly lower than control group (p < 0.001)

  • Median of IL-17 in PCOS group was 3.50 and in control group was 16.30. Both IL-1α (p < 0.001) and IL1β (p = 0.017) serum levels were significantly higher in PCOS than control group (Figure 2)

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Summary

Introduction

This study aimed to discuss about neuroimmune-pathophysiology of polycystic ovary syndrome (PCOS). Nerve growth factor (NGF) as modulator of neuro-endocrine-immune (NEI) system plays a critical role in tissue survival and homeostasis maintenance. It is a strong marker for sympathetic nerve activity. Results: Data of this study showed that the level of NGF-α and IL-17A in serum of PCO women were lower than control group (p < 0.001). Findings that support the involvement of the sympathetic nervous system in the pathophysiology of PCOS are that the catecholaminergic nerve fibers in the polycystic ovaries of women with PCOS are denser than in normal ovaries [4] [5] and the metabolism of norepinephrine (N) in adolescents suffering from the disease is impaired [6]. Normal reproductive functioning in healthy, fertile women exists due to the presence of unique immunologic barriers, and due to harmonic functioning of immunoregulatory by neuro-immunologic mechanisms

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