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Polikistik over sendromunda uterus değişiklikleri

Yıl 2023, Cilt: 16 Sayı: 2, 314 - 324, 17.08.2023

Ayla Batu Öztürk İlker Kara Savaş Aktaş

Öz

Polikistik over sendromu, reprodüktif çağdaki kadınların yaklaşık %20’sini etkileyen metabolik endokrin bir hastalık olup bu hastalığın etiyopatogenezi henüz tam olarak bilinmemektedir. Bu hastalarda hipotalamus-hipofiz-over aksındaki değişikliklerin subfertilite, infertilite ve erken gebelik kayıplarına yol açtığı raporlanmıştır. Literatürde, bu kompleks sendromda saptanan klinik bulguların overde gözlenen yapısal, fonksiyonel ve metabolik değişikliklerle ilişkisi üzerine çok fazla çalışma bulunmasına rağmen, hastalığın olası uterus disfonksiyonu üzerindeki mekanizmaları henüz net olarak açıklanamamıştır. Bunun yanı sıra, polikistik over sendromunda spontan, ovülasyon indüksiyon tedavileri ve yardımcı üreme teknikleri ile oluşan gebeliklerde spontan abortus ve erken gebelik komplikasyonlarının normal popülasyona göre fazla olduğu da bildirilmektedir. Bu nedenle polikistik over sendromunda meydana gelen uterin değişikliklerin tanımlanması ve buna yönelik farklı tedavi yaklaşımlarının geliştirilmesi, bu hastalarda yaşam kalitesinin iyileştirilmesi, reprodüktif çağdaki kadınlarda gebelik ve sağlıklı yeni doğan oranlarının arttırılması açısından literatüre önemli katkılar sağlayacaktır. Bu derlemede, polikistik over sendromunda uterus dokusunda meydana gelen moleküler, fonksiyonel ve yapısal değişiklikler özetlenmeye çalışılmıştır. Ayrıca bu hastalarda subfertilite, infertilite ve erken gebelik komplikasyonlarının azaltılmasında uterin disfonksiyonun göz önüne alınması gereken, önemli bir konu olduğu vurgulanmaya çalışılmıştır.

Anahtar Kelimeler

Polikistik over sendromu uterus endometriyum miyometriyum

Destekleyen Kurum

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Proje Numarası

-

Teşekkür

-

Kaynakça

  • March WA, Moore VM, Willson KJ, Phillips DIW, Norman RJ, Davies MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Reprod. 2010;25(2):544–551. doi:10.1093/HUMREP/DEP399
  • Berger JJ, Bates GW. Optimal management of subfertility in polycystic ovary syndrome. Int J Womens Health. 2014;6(1):613–621. doi:10.2147/IJWH.S48527
  • Rajashekar L, Krishna D, Patil M. Polycystic ovaries and infertility: our experience. J Hum Reprod Sci. 2008;1(2):65. doi:10.4103/0974-1208.44113
  • Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med. 2010;8. doi:10.1186/1741-7015-8-41
  • Apparao KBC, Lovely LP, Gui Y, Lininger RA, Lessey BA. Elevated endometrial androgen receptor expression in women with polycystic ovarian syndrome. Biol Reprod. 2002;66(2):297–304. doi:10.1095/BIOLREPROD66.2.297
  • Jakubowicz DJ, Essah PA, Seppälä M, vd. Reduced serum glycodelin and insulin-like growth factor-binding protein-1 in women with polycystic ovary syndrome during first trimester of pregnancy. J Clin Endocrinol Metab. 2004;89(2):833–839. doi:10.1210/JC.2003-030975
  • Shang K, Jia X, Qiao J, Kang J, Guan Y. Endometrial abnormality in women with polycystic ovary syndrome. Reprod Sci. 2012;19(7):674–683. doi:10.1177/1933719111430993
  • Pathare ADS, Hinduja I, Mahadik RC. Basic aspects of endometrial receptivity in PCOS patients. Mol Biol Rep. 2022;49(2):1519–1528. doi:10.1007/s11033-021-06976-9
  • Palomba S, Piltonen TT, Giudice LC. Endometrial function in women with polycystic ovary syndrome: a comprehensive review. Hum Reprod Update. 2021;27(3):584–618. doi:10.1093/humupd/dmaa051
  • Ferreira SR, Motta AB. Uterine function: From normal to polycystic ovarian syndrome Alterations. Curr Med Chem. 2018;25(15):1792–1804. doi:10.2174/0929867325666171205144119
  • Hosseinzadeh P, Barsky M, Gibbons WE, Blesson CS. Polycystic ovary syndrome and the forgotten uterus. F&S Rev. 2021;2(1):11. doi:10.1016/J.XFNR.2020.12.001
  • H. RM, Wojciech P. Histology: A Text and Atlas. 7th baskı. Wolters Kluwer; 2016. doi:10.1016/s0046-8177(76)80066-4
  • Jiang NX, Li XL. The disorders of endometrial receptivity in PCOS and its mechanisms. Reprod Sci. 2022;29(9):2465–2476. doi:10.1007/s43032-021-00629-9
  • Hu C, Pang B, Ma Z, Yi H. Immunophenotypic profiles in polycystic ovary syndrome. Mediators Inflamm. 2020;2020. doi:10.1155/2020/5894768
  • Gisela S B, M Virginia A, Gabriela A A, vd. Androgen receptor and uterine histoarchitecture in a PCOS rat model. Mol Cell Endocrinol. 2020;518:110973. doi:10.1016/J.MCE.2020.110973
  • Mirabolghasemi G, Kamyab Z. Changes of the uterine tissue in rats with polycystic ovary syndrome induced by estradiol valerate. Int J Fertil Steril. 2017;11(1):47. doi:10.22074/IJFS.2016.4794
  • Hu M, Zhang Y, Feng J, vd. Uterine progesterone signaling is a target for metformin therapy in PCOS-like rats. J Endocrinol. 2018;237(2):123–137. doi:10.1530/JOE-18-0086
  • Quezada S, Avellaira C, Johnson MC, Gabler F, Fuentes A, Vega M. Evaluation of steroid receptors, coregulators, and molecules associated with uterine receptivity in secretory endometria from untreated women with polycystic ovary syndrome. Fertil Steril. 2006;85(4):1017–1026. doi:10.1016/j.fertnstert.2005.09.053
  • Hu M, Li J, Zhang Y, vd. Endometrial progesterone receptor isoforms in women with polycystic ovary syndrome. Am J Transl Res. 2018;10(8):2696. Erişim Şubat 16, 2023. /pmc/articles/PMC6129510/
  • Maliqueo M, Bacallao K, Quezada S, vd. Sex hormone-binding globulin expression in the endometria of women with polycystic ovary syndrome. Fertil Steril. 2007;87(2):321–328. doi:10.1016/j.fertnstert.2006.06.038
  • Li X, Cui P, Jiang HY, vd. Reversing the reduced level of endometrial GLUT4 expression in polycystic ovary syndrome: a mechanistic study of metformin action. Am J Transl Res. 2015;7(3):574. Erişim Ekim 9, 2022. /pmc/articles/PMC4448196/
  • Lopes IMRS, Maganhin CC, Oliveira-Filho RM, vd. Histomorphometric analysis and markers of endometrial receptivity embryonic implantation in women with polycystic ovary syndrome during the treatment with progesterone. Reprod Sci. 2014;21(7):930–938. doi:10.1177/1933719113519169
  • Margarit L, Taylor A, Roberts MH, vd. MUC1 as a discriminator between endometrium from fertile and infertile patients with PCOS and endometriosis. J Clin Endocrinol Metab. 2010;95(12):5320–5329. doi:10.1210/jc.2010-0603 Tal R, Seifer DB, Arici A. The emerging role of angiogenic factor dysregulation in the pathogenesis of polycystic ovarian syndrome. Semin Reprod Med. 2015;33(3):195–207. doi:10.1055/s-0035-1552582
  • Zhao J, Li D, Tang H, Tang L. Association of vascular endothelial growth factor polymorphisms with polycystic ovarian syndrome risk: a meta-analysis. Reprod Biol Endocrinol. 2020;18(1). doi:10.1186/S12958-020-00577-0 Bacallao K, Plaza-Parrochia F, Cerda A, vd. Levels of regulatory proteins associated with cell proliferation in endometria from untreated patients having polycystic ovarian syndrome with and without endometrial hyperplasia. Reprod Sci. 2016;23(2):211–218. doi:10.1177/1933719115597762
  • Matteo M, Serviddio G, Massenzio F, vd. Reduced percentage of natural killer cells associated with impaired cytokine network in the secretory endometrium of infertile women with polycystic ovary syndrome. Fertil Steril. 2010;94(6):2222-2227.e3. doi:10.1016/j.fertnstert.2010.01.049
  • Piltonen TT, Chen J, Erikson DW, vd. Mesenchymal stem/progenitors and other endometrial cell types from women with polycystic ovary syndrome (PCOS) display inflammatory and oncogenic potential. J Clin Endocrinol Metab. 2013;98(9):3765–3775. doi:10.1210/jc.2013-1923
  • Koc O, Ozdemirici S, Acet M, Soyturk U, Aydin S. Nuclear factor-κB expression in the endometrium of normal and overweight women with polycystic ovary syndrome. J Obstet Gynaecol (Lahore). 2017;37(7):924–930. doi:10.1080/01443615.2017.1315563
  • Piltonen TT, Chen JC, Khatun M, vd. Endometrial stromal fibroblasts from women with polycystic ovary syndrome have impaired progesterone-mediated decidualization, aberrant cytokine profiles and promote enhanced immune cell migration in vitro. Hum Reprod. 2015;30(5):1203–1215. doi:10.1093/humrep/dev055
  • Udesen PB, Sørensen AE, Svendsen R, vd. Circulating miRNAs in women with polycystic ovary syndrome: a longitudinal cohort study. Cells. 2023;12(7):1–16. doi:10.3390/cells12070983
  • Wang W, Ji J, Li J, vd. Several critical genes and microRNAs associated with the development of polycystic ovary syndrome. Ann Endocrinol (Paris). 2020;81(1):18–27. doi:10.1016/j.ando.2019.10.002
  • Bai X, Zheng L, Li D, Xu Y. Research progress of endometrial receptivity in patients with polycystic ovary syndrome: a systematic review. Reprod Biol Endocrinol. 2021;19(1):1–18. doi:10.1186/s12958-021-00802-4
  • Sulaiman MAH, Al-Farsi YM, Al-Khaduri MM, Saleh J, Waly MI. Polycystic ovarian syndrome is linked to increased oxidative stress in omani women. Int J Womens Health. 2018;10:763–771. doi:10.2147/IJWH.S166461
  • Palacio JR, Iborra A, Ulcova-Gallova Z, Badia R, Martínez P. Clinical and experimental immunology the presence of antibodies to oxidative modified proteins in serum from polycystic ovary syndrome patients. Clin Exp Immunol. 2006;144:217–222. doi:10.1111/j.1365-2249.2006.03061.x
  • Mohammadi M. Oxidative stress and polycystic ovary syndrome: a brief review. Published online 2019. doi:10.4103/ijpvm.IJPVM_576_17
  • Piltonen TT. Polycystic ovary syndrome: endometrial markers. Best Pract Res Clin Obstet Gynaecol. 2016;37:66–79. doi:10.1016/j.bpobgyn.2016.03.008
  • Kohan K, Carvajal R, Gabler F, Vantman D, Romero C, Vega M. Role of the transcriptional factors FOXO1 and PPARG on gene expression of SLC2A4 in endometrial tissue from women with polycystic ovary syndrome. Reproduction. 2010;140(1):123–131. doi:10.1530/REP-10-0056
  • Hu M, Zhang Y, Feng J, vd. Uterine progesterone signaling is a target for metformin therapy in PCOS-like rats. J Endocrinol. 2018;237(2):123–137. doi:10.1530/JOE-18-0086
  • Lohrasbi P, Karbalay-Doust S, Tabei SMB, vd. The effects of melatonin and metformin on histological characteristics of the ovary and uterus in letrozole-induced polycystic ovarian syndrome mice: a stereological study. Int J Reprod Biomed. 2022;20(11):973. doi:10.18502/IJRM.V20I11.12365
  • Bracho GS, Altamirano GA, Kass L, Luque EH, Bosquiazzo VL. Hyperandrogenism induces histo-architectural changes in the rat uterus. Reprod Sci. 2019;26(5):657–668. doi:10.1177/1933719118783881/METRICS
  • Aktas S, Un I, Omer Barlas I, Ozturk AB, Ilkay Karagul M. Evaluation of the Rho A/Rho-kinase pathway in the uterus of the rat model of polycystic ovary syndrome. Reprod Biol. 2019;19(1):45–54. doi:10.1016/J.REPBIO.2019.01.005
  • Leonhardt H, Gull B, Kishimoto K, vd. Uterine morphology and peristalsis in women with polycystic ovary syndrome. http://dx.doi.org/101258/ar2012120384. 2012;53(10):1195–1201. doi:10.1258/AR.2012.120384
  • Sajadi M, Noroozzadeh M, Bagheripour F, Tehrani FR. Contractions in the isolated uterus of a rat model of polycystic ovary syndrome compared to controls in adulthood. Int J Endocrinol Metab. 2018;16(2):63135. doi:10.5812/ijem.63135
  • Wang Q qing, Guo X cui, Li L, Gao Z hui, Ji M. Treatment with metformin and sorafenib alleviates endometrial hyperplasia in polycystic ovary syndrome by promoting apoptosis via synergically regulating autophagy. J Cell Physiol. 2019;235(2):1339–1348. doi:10.1002/JCP.29051

Uterine changes in polycystic ovary syndrome

Yıl 2023, Cilt: 16 Sayı: 2, 314 - 324, 17.08.2023

Ayla Batu Öztürk İlker Kara Savaş Aktaş

Öz

Polycystic ovary syndrome is a metabolic endocrine disease which affects approximately 20% of women who are at reproductive age. However, the etiopathogenesis of this disease is still unclear. It has been reported that changes in the hypothalamus-pituitary-ovarian axis in the polycystic ovary syndrome patients lead to subfertility, infertility and early pregnancy loss. Although there are many studies in the literature about the connection between the clinical findings in this complex syndrome and the structural, functional and metabolic changes observed in the ovary, the mechanisms of the disease on possible uterine dysfunction is poorly understood. Besides, it has been reported that spontaneous abortion and early pregnancy complications are higher in spontaneous pregnancies and pregnancies with ovulation induction treatments and assisted reproductive techniques in polycystic ovary syndrome compared to the normal population. Therefore, the definition of uterine changes in polycystic ovary syndrome and the development of different treatment approaches for polycystic ovary syndrome will shed light to understand the etiopathogenesis of the disease. Particularly such contributions will help to understand how to improve the quality of life in these patients, increasing the pregnancy rates and healthy newborn rates in women of reproductive age. In this review, we summarized the molecular, functional and structural changes that occur in the uterine tissue in polycystic ovary syndrome. Moreover, it is emphasized that uterine dysfunction is an important matter which should be considered in reducing subfertility, infertility and early pregnancy complications in these patients.

Anahtar Kelimeler

Polycystic ovary syndrome uterus endometrium myometrium

Proje Numarası

-

Kaynakça

  • March WA, Moore VM, Willson KJ, Phillips DIW, Norman RJ, Davies MJ. The prevalence of polycystic ovary syndrome in a community sample assessed under contrasting diagnostic criteria. Hum Reprod. 2010;25(2):544–551. doi:10.1093/HUMREP/DEP399
  • Berger JJ, Bates GW. Optimal management of subfertility in polycystic ovary syndrome. Int J Womens Health. 2014;6(1):613–621. doi:10.2147/IJWH.S48527
  • Rajashekar L, Krishna D, Patil M. Polycystic ovaries and infertility: our experience. J Hum Reprod Sci. 2008;1(2):65. doi:10.4103/0974-1208.44113
  • Teede H, Deeks A, Moran L. Polycystic ovary syndrome: a complex condition with psychological, reproductive and metabolic manifestations that impacts on health across the lifespan. BMC Med. 2010;8. doi:10.1186/1741-7015-8-41
  • Apparao KBC, Lovely LP, Gui Y, Lininger RA, Lessey BA. Elevated endometrial androgen receptor expression in women with polycystic ovarian syndrome. Biol Reprod. 2002;66(2):297–304. doi:10.1095/BIOLREPROD66.2.297
  • Jakubowicz DJ, Essah PA, Seppälä M, vd. Reduced serum glycodelin and insulin-like growth factor-binding protein-1 in women with polycystic ovary syndrome during first trimester of pregnancy. J Clin Endocrinol Metab. 2004;89(2):833–839. doi:10.1210/JC.2003-030975
  • Shang K, Jia X, Qiao J, Kang J, Guan Y. Endometrial abnormality in women with polycystic ovary syndrome. Reprod Sci. 2012;19(7):674–683. doi:10.1177/1933719111430993
  • Pathare ADS, Hinduja I, Mahadik RC. Basic aspects of endometrial receptivity in PCOS patients. Mol Biol Rep. 2022;49(2):1519–1528. doi:10.1007/s11033-021-06976-9
  • Palomba S, Piltonen TT, Giudice LC. Endometrial function in women with polycystic ovary syndrome: a comprehensive review. Hum Reprod Update. 2021;27(3):584–618. doi:10.1093/humupd/dmaa051
  • Ferreira SR, Motta AB. Uterine function: From normal to polycystic ovarian syndrome Alterations. Curr Med Chem. 2018;25(15):1792–1804. doi:10.2174/0929867325666171205144119
  • Hosseinzadeh P, Barsky M, Gibbons WE, Blesson CS. Polycystic ovary syndrome and the forgotten uterus. F&S Rev. 2021;2(1):11. doi:10.1016/J.XFNR.2020.12.001
  • H. RM, Wojciech P. Histology: A Text and Atlas. 7th baskı. Wolters Kluwer; 2016. doi:10.1016/s0046-8177(76)80066-4
  • Jiang NX, Li XL. The disorders of endometrial receptivity in PCOS and its mechanisms. Reprod Sci. 2022;29(9):2465–2476. doi:10.1007/s43032-021-00629-9
  • Hu C, Pang B, Ma Z, Yi H. Immunophenotypic profiles in polycystic ovary syndrome. Mediators Inflamm. 2020;2020. doi:10.1155/2020/5894768
  • Gisela S B, M Virginia A, Gabriela A A, vd. Androgen receptor and uterine histoarchitecture in a PCOS rat model. Mol Cell Endocrinol. 2020;518:110973. doi:10.1016/J.MCE.2020.110973
  • Mirabolghasemi G, Kamyab Z. Changes of the uterine tissue in rats with polycystic ovary syndrome induced by estradiol valerate. Int J Fertil Steril. 2017;11(1):47. doi:10.22074/IJFS.2016.4794
  • Hu M, Zhang Y, Feng J, vd. Uterine progesterone signaling is a target for metformin therapy in PCOS-like rats. J Endocrinol. 2018;237(2):123–137. doi:10.1530/JOE-18-0086
  • Quezada S, Avellaira C, Johnson MC, Gabler F, Fuentes A, Vega M. Evaluation of steroid receptors, coregulators, and molecules associated with uterine receptivity in secretory endometria from untreated women with polycystic ovary syndrome. Fertil Steril. 2006;85(4):1017–1026. doi:10.1016/j.fertnstert.2005.09.053
  • Hu M, Li J, Zhang Y, vd. Endometrial progesterone receptor isoforms in women with polycystic ovary syndrome. Am J Transl Res. 2018;10(8):2696. Erişim Şubat 16, 2023. /pmc/articles/PMC6129510/
  • Maliqueo M, Bacallao K, Quezada S, vd. Sex hormone-binding globulin expression in the endometria of women with polycystic ovary syndrome. Fertil Steril. 2007;87(2):321–328. doi:10.1016/j.fertnstert.2006.06.038
  • Li X, Cui P, Jiang HY, vd. Reversing the reduced level of endometrial GLUT4 expression in polycystic ovary syndrome: a mechanistic study of metformin action. Am J Transl Res. 2015;7(3):574. Erişim Ekim 9, 2022. /pmc/articles/PMC4448196/
  • Lopes IMRS, Maganhin CC, Oliveira-Filho RM, vd. Histomorphometric analysis and markers of endometrial receptivity embryonic implantation in women with polycystic ovary syndrome during the treatment with progesterone. Reprod Sci. 2014;21(7):930–938. doi:10.1177/1933719113519169
  • Margarit L, Taylor A, Roberts MH, vd. MUC1 as a discriminator between endometrium from fertile and infertile patients with PCOS and endometriosis. J Clin Endocrinol Metab. 2010;95(12):5320–5329. doi:10.1210/jc.2010-0603 Tal R, Seifer DB, Arici A. The emerging role of angiogenic factor dysregulation in the pathogenesis of polycystic ovarian syndrome. Semin Reprod Med. 2015;33(3):195–207. doi:10.1055/s-0035-1552582
  • Zhao J, Li D, Tang H, Tang L. Association of vascular endothelial growth factor polymorphisms with polycystic ovarian syndrome risk: a meta-analysis. Reprod Biol Endocrinol. 2020;18(1). doi:10.1186/S12958-020-00577-0 Bacallao K, Plaza-Parrochia F, Cerda A, vd. Levels of regulatory proteins associated with cell proliferation in endometria from untreated patients having polycystic ovarian syndrome with and without endometrial hyperplasia. Reprod Sci. 2016;23(2):211–218. doi:10.1177/1933719115597762
  • Matteo M, Serviddio G, Massenzio F, vd. Reduced percentage of natural killer cells associated with impaired cytokine network in the secretory endometrium of infertile women with polycystic ovary syndrome. Fertil Steril. 2010;94(6):2222-2227.e3. doi:10.1016/j.fertnstert.2010.01.049
  • Piltonen TT, Chen J, Erikson DW, vd. Mesenchymal stem/progenitors and other endometrial cell types from women with polycystic ovary syndrome (PCOS) display inflammatory and oncogenic potential. J Clin Endocrinol Metab. 2013;98(9):3765–3775. doi:10.1210/jc.2013-1923
  • Koc O, Ozdemirici S, Acet M, Soyturk U, Aydin S. Nuclear factor-κB expression in the endometrium of normal and overweight women with polycystic ovary syndrome. J Obstet Gynaecol (Lahore). 2017;37(7):924–930. doi:10.1080/01443615.2017.1315563
  • Piltonen TT, Chen JC, Khatun M, vd. Endometrial stromal fibroblasts from women with polycystic ovary syndrome have impaired progesterone-mediated decidualization, aberrant cytokine profiles and promote enhanced immune cell migration in vitro. Hum Reprod. 2015;30(5):1203–1215. doi:10.1093/humrep/dev055
  • Udesen PB, Sørensen AE, Svendsen R, vd. Circulating miRNAs in women with polycystic ovary syndrome: a longitudinal cohort study. Cells. 2023;12(7):1–16. doi:10.3390/cells12070983
  • Wang W, Ji J, Li J, vd. Several critical genes and microRNAs associated with the development of polycystic ovary syndrome. Ann Endocrinol (Paris). 2020;81(1):18–27. doi:10.1016/j.ando.2019.10.002
  • Bai X, Zheng L, Li D, Xu Y. Research progress of endometrial receptivity in patients with polycystic ovary syndrome: a systematic review. Reprod Biol Endocrinol. 2021;19(1):1–18. doi:10.1186/s12958-021-00802-4
  • Sulaiman MAH, Al-Farsi YM, Al-Khaduri MM, Saleh J, Waly MI. Polycystic ovarian syndrome is linked to increased oxidative stress in omani women. Int J Womens Health. 2018;10:763–771. doi:10.2147/IJWH.S166461
  • Palacio JR, Iborra A, Ulcova-Gallova Z, Badia R, Martínez P. Clinical and experimental immunology the presence of antibodies to oxidative modified proteins in serum from polycystic ovary syndrome patients. Clin Exp Immunol. 2006;144:217–222. doi:10.1111/j.1365-2249.2006.03061.x
  • Mohammadi M. Oxidative stress and polycystic ovary syndrome: a brief review. Published online 2019. doi:10.4103/ijpvm.IJPVM_576_17
  • Piltonen TT. Polycystic ovary syndrome: endometrial markers. Best Pract Res Clin Obstet Gynaecol. 2016;37:66–79. doi:10.1016/j.bpobgyn.2016.03.008
  • Kohan K, Carvajal R, Gabler F, Vantman D, Romero C, Vega M. Role of the transcriptional factors FOXO1 and PPARG on gene expression of SLC2A4 in endometrial tissue from women with polycystic ovary syndrome. Reproduction. 2010;140(1):123–131. doi:10.1530/REP-10-0056
  • Hu M, Zhang Y, Feng J, vd. Uterine progesterone signaling is a target for metformin therapy in PCOS-like rats. J Endocrinol. 2018;237(2):123–137. doi:10.1530/JOE-18-0086
  • Lohrasbi P, Karbalay-Doust S, Tabei SMB, vd. The effects of melatonin and metformin on histological characteristics of the ovary and uterus in letrozole-induced polycystic ovarian syndrome mice: a stereological study. Int J Reprod Biomed. 2022;20(11):973. doi:10.18502/IJRM.V20I11.12365
  • Bracho GS, Altamirano GA, Kass L, Luque EH, Bosquiazzo VL. Hyperandrogenism induces histo-architectural changes in the rat uterus. Reprod Sci. 2019;26(5):657–668. doi:10.1177/1933719118783881/METRICS
  • Aktas S, Un I, Omer Barlas I, Ozturk AB, Ilkay Karagul M. Evaluation of the Rho A/Rho-kinase pathway in the uterus of the rat model of polycystic ovary syndrome. Reprod Biol. 2019;19(1):45–54. doi:10.1016/J.REPBIO.2019.01.005
  • Leonhardt H, Gull B, Kishimoto K, vd. Uterine morphology and peristalsis in women with polycystic ovary syndrome. http://dx.doi.org/101258/ar2012120384. 2012;53(10):1195–1201. doi:10.1258/AR.2012.120384
  • Sajadi M, Noroozzadeh M, Bagheripour F, Tehrani FR. Contractions in the isolated uterus of a rat model of polycystic ovary syndrome compared to controls in adulthood. Int J Endocrinol Metab. 2018;16(2):63135. doi:10.5812/ijem.63135
  • Wang Q qing, Guo X cui, Li L, Gao Z hui, Ji M. Treatment with metformin and sorafenib alleviates endometrial hyperplasia in polycystic ovary syndrome by promoting apoptosis via synergically regulating autophagy. J Cell Physiol. 2019;235(2):1339–1348. doi:10.1002/JCP.29051
Toplam 43 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Ayla Batu Öztürk 0000-0003-3221-4292

İlker Kara 0009-0008-9294-942X

Savaş Aktaş 0000-0001-8046-8049

Proje Numarası -
Erken Görünüm Tarihi 1 Ağustos 2023
Yayımlanma Tarihi 17 Ağustos 2023
Gönderilme Tarihi 22 Mart 2023
Kabul Tarihi 29 Mayıs 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 16 Sayı: 2

Kaynak Göster

APA Batu Öztürk, A., Kara, İ., & Aktaş, S. (2023). Polikistik over sendromunda uterus değişiklikleri. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 16(2), 314-324.
AMA Batu Öztürk A, Kara İ, Aktaş S. Polikistik over sendromunda uterus değişiklikleri. Mersin Univ Saglık Bilim Derg. Ağustos 2023;16(2):314-324.
Chicago Batu Öztürk, Ayla, İlker Kara, ve Savaş Aktaş. “Polikistik over Sendromunda Uterus değişiklikleri”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 16, sy. 2 (Ağustos 2023): 314-24.
EndNote Batu Öztürk A, Kara İ, Aktaş S (01 Ağustos 2023) Polikistik over sendromunda uterus değişiklikleri. Mersin Üniversitesi Sağlık Bilimleri Dergisi 16 2 314–324.
IEEE A. Batu Öztürk, İ. Kara, ve S. Aktaş, “Polikistik over sendromunda uterus değişiklikleri”, Mersin Univ Saglık Bilim Derg, c. 16, sy. 2, ss. 314–324, 2023.
ISNAD Batu Öztürk, Ayla vd. “Polikistik over Sendromunda Uterus değişiklikleri”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 16/2 (Ağustos 2023), 314-324.
JAMA Batu Öztürk A, Kara İ, Aktaş S. Polikistik over sendromunda uterus değişiklikleri. Mersin Univ Saglık Bilim Derg. 2023;16:314–324.
MLA Batu Öztürk, Ayla vd. “Polikistik over Sendromunda Uterus değişiklikleri”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, c. 16, sy. 2, 2023, ss. 314-2.
Vancouver Batu Öztürk A, Kara İ, Aktaş S. Polikistik over sendromunda uterus değişiklikleri. Mersin Univ Saglık Bilim Derg. 2023;16(2):314-2.
 Kapak Resmi İndir

MEÜ Sağlık Bilimleri Dergisi Doç.Dr. Gönül Aslan'ın Editörlüğünde Mersin Üniversitesi Sağlık Bilimleri Enstitüsüne bağlı olarak 2008 yılında yayımlanmaya başlanmıştır. Prof.Dr. Gönül Aslan Mart 2015 tarihinde Başeditörlük görevine Prof.Dr. Caferi Tayyar Şaşmaz'a devretmiştir. 01 Ocak 2023 tarihinde Prof.Dr. C. Tayyar Şaşmaz Başeditörlük görevini Prof.Dr. Özlem İzci Ay'a devretmiştir. 

Yılda üç sayı olarak (Nisan - Ağustos - Aralık) yayımlanan dergi multisektöryal hakemli bir bilimsel dergidir. Dergide araştırma makaleleri yanında derleme, olgu sunumu ve editöre mektup tipinde bilimsel yazılar yayımlanmaktadır. Yayın hayatına başladığı günden beri eposta yoluyla yayın alan ve hem online hem de basılı olarak yayımlanan dergimiz, Mayıs 2014 sayısından itibaren sadece online olarak yayımlanmaya başlamıştır. TÜBİTAK-ULAKBİM Dergi Park ile Nisan 2015 tarihinde yapılan Katılım Sözleşmesi sonrasında online yayın kabul ve değerlendirme sürecine geçmiştir.

Mersin Üniversitesi Sağlık Bilimleri Dergisi 16 Kasım 2011'dan beri Türkiye Atıf Dizini tarafından indekslenmektedir.

Mersin Üniversitesi Sağlık Bilimleri Dergisi 2016 birinci sayıdan itibaren ULAKBİM Tıp Veri Tabanı tarafından indekslenmektedir.

Mersin Üniversitesi Sağlık Bilimleri Dergisi 02 Ekim 2019'dan beri DOAJ tarafından indekslenmektedir.

Mersin Üniversitesi Sağlık Bilimleri Dergisi 23 Mart 2021'den beri EBSCO tarafından indekslenmektedir.


Dergimiz açık erişim politikasını benimsemiş olup, dergimizde makale başvuru, değerlendirme ve yayınlanma aşamasında ücret talep edilmemektedir. Dergimizde yayımlanan makalelerin tamamına ücretsiz olarak Arşivden erişilebilmektedir.

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