{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T13:02:03Z","timestamp":1791291723366,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,10,19]],"date-time":"2015-10-19T00:00:00Z","timestamp":1445212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Heilongjiang Provincial Government Medical Science","award":["H201392"],"award-info":[{"award-number":["H201392"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      The objective of this study was to determine the levels of thrombospondin\u20101 (\n                      <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content>\n                      \u20101), transforming growth factor\u2010\u03b21 (\n                      <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n                      \u2010\u03b21) and nuclear factor kappa\u03b2 (\n                      <jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>\n                      \u2010\u03ba\u03b2) in polycystic ovarian syndrome (\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      ) patients with and without insulin resistance and after treatment with cyproterone acetate\/ethinyloestradiol with or without concomitant metformin.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>\n                      Patients with\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      and healthy women were recruited. Patients were subdivided into obese and nonobese based on body mass index. Patients with\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      were also grouped according to homoeostasis model assessment\u2010insulin resistance (\n                      <jats:styled-content style=\"fixed-case\">HOMA<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>\n                      ) \u22652\u00b769 or &lt;2\u00b769, and by\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      phenotype. Patients with\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>\n                      were treated with a 6\u2010month course of cyproterone acetate\/ethinyloestradiol with or without concomitant metformin.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Inflammatory markers were examined at baseline, and after 6 months of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 445 women with\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      (mean age 25\u00b79 \u00b1 2\u00b77 years; 298 obese, 147 nonobese) and 213 normal controls (mean age 24\u00b79 \u00b1 3\u00b70 years) were included. Regardless of obesity status, testosterone, free androgen index (\n                      <jats:styled-content style=\"fixed-case\">FAI<\/jats:styled-content>\n                      ), luteinizing hormone\/follicle\u2010stimulating hormone (\n                      <jats:styled-content style=\"fixed-case\">LH<\/jats:styled-content>\n                      \/\n                      <jats:styled-content style=\"fixed-case\">FSH<\/jats:styled-content>\n                      ) ratio,\n                      <jats:styled-content style=\"fixed-case\">HOMA<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content>\n                      \u20101 and\n                      <jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>\n                      \u2010\u03baB in the\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      groups were significantly higher than in the control group, whereas\n                      <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content>\n                      \u20101 was lower in the\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      groups (all,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b705). Patients with\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      without\n                      <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>\n                      had lower\n                      <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content>\n                      \u20101 levels than control patients (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0\u00b705). Treatment with cyproterone acetate\/ethinyloestradiol with addition of metformin reduced the level of\n                      <jats:styled-content style=\"fixed-case\">NF<\/jats:styled-content>\n                      \u2010\u03baB,\n                      <jats:styled-content style=\"fixed-case\">TGF<\/jats:styled-content>\n                      \u2010\u03b21 and\n                      <jats:styled-content style=\"fixed-case\">HOMA<\/jats:styled-content>\n                      \u2010\n                      <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>\n                      and increased the level of\n                      <jats:styled-content style=\"fixed-case\">TSP<\/jats:styled-content>\n                      \u20101.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      These results support the association between\n                      <jats:styled-content style=\"fixed-case\">PCOS<\/jats:styled-content>\n                      and chronic inflammation.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cen.12951","type":"journal-article","created":{"date-parts":[[2015,9,22]],"date-time":"2015-09-22T06:09:10Z","timestamp":1442902150000},"page":"913-922","source":"Crossref","is-referenced-by-count":84,"title":["Serum levels of\n                    <scp>TSP<\/scp>\n                    \u20101,\n                    <scp>NF<\/scp>\n                    \u2010\u03baB and\n                    <scp>TGF<\/scp>\n                    \u2010\u03b21 in polycystic ovarian syndrome (\n                    <scp>PCOS<\/scp>\n                    ) patients in northern China suggest\n                    <scp>PCOS<\/scp>\n                    is associated with chronic inflammation"],"prefix":"10.1111","volume":"83","author":[{"given":"Meimei","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology The Second Affiliated Hospital of Harbin Medical University Harbin Hei Longjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiayin","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Second Affiliated Hospital of Harbin Medical University Harbin Hei Longjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Second Affiliated Hospital of Harbin Medical University Harbin Hei Longjiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peiling","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology The Second Affiliated Hospital of 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