Hypothalamic Inflammation as a Potential Pathophysiologic Basis for the Heterogeneity of Clinical, Hormonal, and Metabolic Presentation in PCOS

Postgraduate Thesis uoadl:2939909 142 Read counter

Unit:
Κατεύθυνση Έρευνα στην Γυναικεία Αναπαραγωγή
Library of the School of Health Sciences
Deposit date:
2021-03-24
Year:
2021
Author:
Barlampa Danai
Supervisors info:
Μαστοράκος Γεώργιος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βαλσαμάκης Γεώργιος, Διδάκτωρ, Ιατρική Σχολή, ΕΚΠΑ
Καλανταρίδου Σοφία, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Υποθαλαμική φλεγμονή ως κοινό παθοφυσιολογικό αίτιο της ετερογένειας των συμπτωμάτων του συνδρόμου πολυκυστικών ωοθηκών
Languages:
Greek
Translated title:
Hypothalamic Inflammation as a Potential Pathophysiologic Basis for the Heterogeneity of Clinical, Hormonal, and Metabolic Presentation in PCOS
Summary:
Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. It is a heterogeneous condition characterized by reproductive, endo-crine, metabolic, and psychiatric abnormalities. More than one pathogenic mechanism is involved in its development. On the other hand, the hypothalamus plays a crucial role in many important functions of the body, including weight balance, food intake, and reproduction. A high-fat diet with a large amount of long-chain saturated fatty acids can induce inflammation in the hypothalamus. Hypothalamic neurons can sense extracellular glucose concentrations and participate, with a feed-back mechanism, in the regulation of whole-body glucose homeostasis. When consumed nutrients are rich in fat and sugar, and these regulatory mechanisms can trigger inflammatory pathways re-sulting in hypothalamic inflammation. The latter has been correlated with metabolic diseases, obe-sity, and depression. In this review, we explore whether the pattern and the expansion of hypotha-lamic inflammation, as a result of a high-fat and -sugar diet, may contribute to the heterogeneity of the clinical, hormonal, and metabolic presentation in PCOS via pathophysiologic mechanisms af-fecting specific areas of the hypothalamus. These mechanisms could be potential targets for the de-velopment of effective therapies for the treatment of PCOS.
Main subject category:
Health Sciences
Keywords:
High-fat diet, Nutrients overconsumption, Polycystic ovary syndrome, PCOS, Hypothalamic inflammation, Hypothalamus
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
182
Number of pages:
67
File:
File access is restricted only to the intranet of UoA.

Διπλωματικη+2021-converted.pdf
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