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Clusterin, a protein involved in metabolic syndrome, insulin resistance, and metabolic disorders associated with inflammation and oxidative stress such as atherosclerosis, Alzheimer's and some malignancies, has elevated levels in metabolic syndrome, PCOS, and the combination of these two groups. Clusterin could be used as an inflammatory marker to predict PCOS and metabolic syndrome.
The study included 118 women diagnosed with PCOS according to the Rotterdam criteria and 62 age-matched healthy women without cardiovascular risk factors. The patients diagnosed with PCOS were also classified into phenotypes. No interventional examination was requested for patients A, B, C, and D, except for hormonal tests and blood collection for Human Clusterin. The demographic and clinical characteristics of all patients were compared, with the primary outcome being blood Clusterin levels. The secondary outcomes are blood Clusterin levels in women with and without metabolic syndrome in addition to PCOS, the relationship between PCOS phenotypes and Clusterin levels, and the relationship between Clusterin levels and clinical and laboratory parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phenotype A | Phenotype A was characterized by metabolic syndrome |
| |
| Phenotype B | phenotype B was characterized by the absence of metabolic syndrome |
| |
| Phenotype C | phenotype C was characterized by hyperandrogenism |
| |
| Phenotype D | phenotype D was characterized by the absence of hyperandrogenism |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clusterin level | Diagnostic Test | Clusterin plays a role in inflammation and oxidative stress processes such as metabolic syndrome, insulin resistance, and atherosclerosis |
|
| Measure | Description | Time Frame |
|---|---|---|
| CLusterin level | primary outcome is the measurement of blood Clusterin (Apolipoprotein J) levels in healthy women with and without PCOS | 7 months |
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Inclusion Criteria:
Exclusion Criteria:
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118 women who were diagnosed with polycystic ovary syndrome (PCOS) according to the Rotterdam criteria, as well as 62 healthy women of the same age without any cardiovascular risk factors. Patients diagnosed with PCOS were classified into four phenotypes: A, B, C, and D. Phenotype A was characterized by metabolic syndrome, phenotype B was characterized by the absence of metabolic syndrome, phenotype C was characterized by hyperandrogenism, and phenotype D was characterized by the absence of hyperandrogenism.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nefise Nazlı Yenigül | Bursa | 16110 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D011085 | Polycystic Ovary Syndrome |
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D010048 | Ovarian Cysts |
| D003560 | Cysts |
| D009369 | Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 |
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Blood samples were collected after at least 12 hours of fasting, 5 mL from the antecubital vein, with the patient in a sitting position using a vacutainer. The samples were placed in a gel tube (biochemistry tube) and centrifuged at 4000 rpm for 5 minutes. Storage conditions were ensured. The samples were stored in a cabinet at -80 degrees Celsius in the genetics laboratory. Clusterin levels were measured using the BT LAB Human Clusterin (CLU) ELISA kit, with min-max values of 0.5-300 ng/ml.
| Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D006058 | Gonadal Disorders |
| D004700 | Endocrine System Diseases |
| D007333 | Insulin Resistance |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |