Evidence map›Paper›PMID 24956549›Full record

ArticleAmerican journal of obstetrics and gynecology2014

Evidence of mononuclear cell preactivation in the fasting state in polycystic ovary syndrome.

Frank González, John P Kirwan, Neal S Rote, Judi Minium

Open access · bronzeAbstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Frank GonzálezDepartment of Obstetrics and Gynecology, Indiana University School of Medicine, Indianapolis, IN. Electronic address: gonzalef@iupui.edu.
John P KirwanDepartment of PathoBiology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH.
Neal S RoteDepartment of Reproductive Biology, Case Western Reserve University School of Medicine, Cleveland, OH.
Judi MiniumDepartment of Reproductive Biology, Case Western Reserve University School of Medicine, Cleveland, OH.
University School · USCleveland Clinic Lerner College of Medicine · USIndiana University – Purdue University Indianapolis · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Inflammation: Effect on Insulin Resistance in PCOSR03HD048535 · NICHD · MAYO CLINIC ROCHESTER · PI GONZALEZ, FRANK · 2006 to 2007
$146k
NCATS NIH HHS UL1 TR000439NICHD NIH HHS HD-048535NICHD NIH HHS R03 HD048535
6 · The paper itself

Abstract

objectiveWe evaluated mononuclear cell (MNC) preactivation in women with polycystic ovary syndrome (PCOS) by examining the effect of in vitro lipopolysaccharide (LPS) exposure on cytokine release in the fasting state. STUDY

designTwenty women with PCOS (10 lean, 10 obese) and 20 weight-matched controls (10 lean, 10 obese) volunteered for study participation. Tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) release was measured from mononuclear cells isolated from fasting blood samples and cultured in the presence and absence of LPS. Plasma IL-6 was measured from the same fasting blood samples. Insulin sensitivity was derived from an oral glucose tolerance test using the Matsuda index, and truncal fat was measured by dual-energy x-ray absorptiometry.

resultsThe percent change from baseline in TNF-α and IL-6 release from MNC following LPS exposure was increased (P < .04) in lean and obese women with PCOS and obese controls compared with lean controls. Plasma IL-6 was increased (P < .02) in obese women with PCOS compared with lean women with PCOS, which in turn was increased (P < .02) compared with lean controls. The MNC-derived TNF-α and IL-6 responses from MNCs were negatively correlated with insulin sensitivity (P < .03) and positively correlated with testosterone (P < .03) and androstenedione (P < .006) for the combined groups. Plasma IL-6 was positively correlated with percentage truncal fat (P < .008).

conclusionIn PCOS, increased cytokine release from MNCs following LPS exposure in the fasting state reveals the presence of MNC preactivation. Importantly, this phenomenon is independent of obesity and may contribute to the development of insulin resistance and hyperandrogenism in PCOS. In contrast, the source of plasma IL-6 elevations in PCOS may be excess adiposity.

Indexed as

FastingAbsorptiometry, PhotonAdultBody Fat DistributionCase-Control StudiesFemaleGlucose Tolerance TestHumansInsulin ResistanceInterleukin-6In Vitro TechniquesLeukocytes, MononuclearLipopolysaccharidesLymphocyte ActivationObesityPolycystic Ovary SyndromeIL6 protein, humanInterleukin-6LipopolysaccharidesTumor Necrosis Factor-alphainflammationlipopolysaccharidemononuclear cell preactivation

Identifiers

PMID24956549
PMCPMC4253610
OpenAlexW1976322648

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.