Open AccessDissertation
Estudio de las características metabólicas, hormonales e inmunoinflamatorias de mujeres con síndrome de ovarios poliquísticos con o sin obesidad. Análisis del impacto del tratamiento con atorvastatina
Jorly Mejia Montilla
- 08 May 2013
- pp 295-303
12
TL;DR: El tratamiento con atorvastatina en mujeres con sindrome de ovarios poliquisticos induce a significativa modificacion of los parametros de disfuncion lipidica, de interleuquinas (disminucion of IL-6 y TNF-alfa y aumento of the adiponectina) de inflamacion sistemica.
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Abstract: De la presente investigacion sobre el estudio de las caracteristicas metabolicas, hormonales e inmunoinflamatorias de mujeres con sindrome de ovarios poliquisticos con o sin obesidad. Analisis del impacto del tratamiento con atorvastatina se concluye que: Las mujeres con sindrome de ovario poliquisticos presentan un estado de hiperlipidemia (aumento de las concentraciones de colesterol, TG y LDL-C), activacion del sistema renina-aldosterona (aumento de las concentraciones de renina y aldosterona y de la actividad de la renina plasmatica), variaciones en la interleuquinas (elevacion de IL-6, TNF-alfa y factor inhibidor de la migracion de macrofagos y disminucion de adiponectina), de los indicadores de inflamacion (aumento de las concentraciones de PCR y procalcitonina) e indicadores de disfuncion endotelial (aumento de las concentraciones de ADMA y homocisteina) En mujeres con sindrome de ovarios poliquisticos, la obesidad se asocia a un peor perfil lipidico (mayores concentraciones de LDL-C y TG), activacion del sistema renina-aldosterona (altas concentraciones de renina y aldosterona), un mayor estado inmunoinflamatorio sistemico (altas concentraciones de IL-6, factor de necrosis tumoral y PCR) y de disfuncion endotelial (altas concentraciones de dimetilarginina asimetica y homocisteina). El tratamiento con atorvastatina en mujeres con sindrome de ovarios poliquisticos con hipercolesterolemia, obesas y no obesas, induce a una significativa modificacion de los parametros de disfuncion lipidica (disminucion de las concentraciones de colesterol, trigliceridos y LdL-C y aumento de las concentraciones de HDL-C), de interleuquinas (disminucion de IL-6 y TNF-alfa y aumento de la adiponectina) de inflamacion sistemica (disminucion de las concentraciones de PCR y procalcitonina) y disfuncion endotelial, disminuye pero no normaliza. El tratamiento con atorvastatina no se asocio a ningun efecto secundario.
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