Influence of insulin resistance on total renin level in normotensive women with polycystic ovary syndrome

• Published in: Fertility and sterility Vol. 73; no. 2; pp. 261 - 265
• Main Authors: Hacıhanefioglu, Burak, Seyisoglu, Hakan, Karsıdag, Kubilay, Elter, Koray, Aksu, Feridun, Yılmaz, Temel, Gurol, Ali Osman
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01.02.2000; Elsevier Science
• Subjects: Adult; Biological and medical sciences; Blood Pressure - physiology; Body Weight; Female; Female genital diseases; Follicle Stimulating Hormone - blood; Gynecology. Andrology. Obstetrics; Hormones - blood; Humans; insulin resistance; Insulin Resistance - physiology; Luteinizing Hormone - blood; Medical sciences; PCOS; Polycystic Ovary Syndrome - blood; Polycystic Ovary Syndrome - physiopathology; Prospective Studies; Reference Values; Renin - blood; Total renin; Tumors; Total renin; insulin resistance; PCOS; Human; Pancreatic hormone; Enzyme; Female sterility; Glucose; Polycystic ovary; Insulin; Female genital diseases; Blood plasma; Resistance; Ovarian diseases; Peptidases; Renin angiotensin system; Renin; Cyst; Hormonal regulation; Hydrolases; Female; Aspartic endopeptidases; Benign neoplasm; Angiotensin II
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/S0015-0282(99)00497-5

Objective: To evaluate the influence of insulin resistance on the plasma total renin level in normotensive women with polycystic ovary syndrome (PCOS). Design: Prospective, controlled study. Setting: University hospital. Patient(s): Twenty-five normotensive women with PCOS were compared with 11 normotensive control women with regular cycles and no features of PCOS. Intervention(s): Clinical, ultrasonographic, and hormonal findings were used to define PCOS. Insulin resistance was estimated by continuous infusion of glucose with model assessment in the early follicular phase. Main Outcome Measure(s): Plasma levels of total renin and angiotensin II and serum levels of gonadotropins, DHEAS, total T, free T, 17 α-hydroxyprogesterone, and PRL were determined. Result(s): Plasma concentrations of angiotensin II were similar in the PCOS group and the control group. The concentration of total renin in plasma was higher in women with PCOS than in healthy women independent of insulin resistance. The sensitivity and specificity of the plasma total renin level to diagnose women with PCOS were calculated as 80% and 71.4%, respectively. Conclusion(s): The plasma total renin level is higher in normotensive women with PCOS than in healthy women independent of insulin resistance.