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Impact of metformin and rosiglitazone treatment on GLUT4 mRNA expression in women with polycystic ovary syndromeJensterle Sever, Mojca, dr. med. ...The insulin resistant state of the polycystic ovary syndrome (PCOS) was found to be associated with a decreased glucose transporter GLUT4 expression in the insulin target tissues. This study was ... performed to explore whether the well-known clinical, hormonal and metabolic efficacy of metformin or rosiglitazone treatment is reflected in the modulation of adipocyte GLUT 4 mRNA expression in patients with PCOS. MethodsČ We enrolled 35 women with PCOS. They received either metformin or rosiglitazone for 6 months. History, blood samples for measurement of androgens and subcutaneous adipose tissue samples were taken at baseline and at endpoint. Quantification of GLUT4 mRNA expression in adipose tissue was performed by real-time quantitative PCR. Homeostasis model assessment (HOMAIR) score calculation was applied as a measure for insulin resistance (IR). Results: GLUT 4 mRNA expression in adipose tissue increased significantly in both groups (p<0.001). The increase was more pronounced in the rosiglitazone (ROSI) group (p=0.040). There was a statistically significant improvement of HOMAIR in both groups (p=0.008). After treatment, frequencies of menstrual bleeding were significantly higher (p<0.001) and serum total testosterone levels significantly lower in both groups (p=0.001). ConclusionsČ A six-month therapy with insulin sensitizers resulted in marked improvement in adipose tissue GLUT 4 mRNA expression in PCOS patients, rosiglitazone being more effective as compared to metformin. The augmentation of the insulin signal transduction was accompanied by a significant improvement of HOMAIR , menstrual pattern and androgen profile.Source: European journal of endocrinology. - ISSN 0804-4643 (Letn. 158, št. 6, 2008, str. 793-801)Type of material - article, component partPublish date - 2008Language - englishCOBISS.SI-ID - 2254961
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| Year | Impact factor | Edition | Category | Classification | ||||
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| JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP | |
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DRS, in which the journal is indexed
| Database name | Field | Year |
|---|
| Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
|---|---|
| Jensterle Sever, Mojca, dr. med. | 32347 |
| Janež, Andrej, 1971- | 18372 |
| Mlinar, Barbara, 1974- | 18996 |
| Marc, Janja | 12189 |
| Preželj, Janez | 01989 |
| Pfeifer, Marija | 05984 |
Source: Personal bibliographies
and: SICRIS
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