Evidence map›Paper›PMID 41010046›Full record

ReviewGenes2025

Molecular Signatures of Obesity-Associated Infertility in Polycystic Ovary Syndrome: The Emerging Role of Exosomal microRNAs and Non-Coding RNAs.

Charalampos Voros, Georgios Papadimas, Despoina Mavrogianni, Aristotelis-Marios Koulakmanidis, Diamantis Athanasiou, Kyriakos Bananis, Antonia Athanasiou, Aikaterini Athanasiou, Ioannis Papapanagiotou, Dimitrios Vaitsis and 10 more

Abstract readReview
In one paragraph

Review in Genes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
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

20 authors.

Charalampos Voros1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0001-9477-7619
Georgios PapadimasAthens Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Despoina Mavrogianni1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0003-1220-6594
Aristotelis-Marios Koulakmanidis1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Diamantis AthanasiouIVF Athens Reproduction Center V. Athanasiou, 15123 Maroussi, Greece.
Kyriakos BananisKing's College Hospitals NHS Foundation Trust, London SE5 9RS, UK.ORCID 0000-0001-7563-4305
Antonia AthanasiouIVF Athens Reproduction Center V. Athanasiou, 15123 Maroussi, Greece.
Aikaterini AthanasiouIVF Athens Reproduction Center V. Athanasiou, 15123 Maroussi, Greece.
Ioannis PapapanagiotouAthens Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-9723-5054
Dimitrios VaitsisAthens Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Charalampos Tsimpoukelis1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Maria Anastasia Daskalaki1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Vasileios TopalisAthens Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Marianna Theodora1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0001-8280-7796
Nikolaos Thomakos1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Fotios ChatzinikolaouLaboratory of Forensic Medicine and Toxicology, School of Medicine, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Panagiotis Antsaklis1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0003-2106-5922
Dimitrios LoutradisAthens Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.ORCID 0000-0002-8686-594X
Evangelos MenenakosAthens Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Georgios Daskalakis1st Department of Obstetrics and Gynecology, 'Alexandra' General Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0001-7108-211X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polycystic ovarian syndrome (PCOS) is one of the most common endocrine and metabolic conditions affecting women of reproductive age. This condition affects around 20% of this demographic and is characterized by polycystic ovarian morphology, hyperandrogenism, and chronic anovulation. Obesity, impacting 40-85% of women with PCOS, exacerbates insulin resistance, increases insulin levels, and intensifies low-grade inflammation. This exacerbates the reproductive and metabolic complications associated with the condition. Recent advancements in molecular biology have underscored the significance of non-coding RNAs, including as microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), as crucial regulators of gene expression and prospective biomarkers for PCOS. Exosome-derived microRNAs (ex-miRNAs) have emerged as compelling candidates due to their stability in body fluids and their capacity to promote intercellular communication among adipose tissue, the ovary, and the endometrium. Research, encompassing both experimental and clinical studies, has shown that ex-miRNAs display differing expression levels in women with obesity-related PCOS. Several of these ex-miRNAs are associated with networks that govern inflammation, glucose metabolism, steroidogenesis, and folliculogenesis. Moreover, the encapsulation of these chemicals within exosomes safeguards them from enzymatic breakdown, hence augmenting their potential as non-invasive biomarkers for diagnosis, prognosis, and treatment monitoring. Despite the initial results being encouraging, challenges remain in standardising exosome separation, quantifying miRNA, and analyzing functional data within the complex pathophysiology of PCOS. This narrative review consolidates existing evidence regarding the molecular signatures of obesity-related infertility in PCOS, emphasising the growing significance of exosomal miRNAs and other non-coding RNAs, while examining their translational potential for early diagnosis and personalised therapeutic approaches.

Indexed as

ExosomesInfertility, FemaleMicroRNAsObesityPolycystic Ovary SyndromeRNA, UntranslatedBiomarkersFemaleHumansRNA, CircularBiomarkersMicroRNAsRNA, CircularRNA, Untranslatedbiomarkerexosomal microRNAfolliculogenesisinfertilityinsulin resistancenon-coding RNAobesityPCOSpolycystic ovary syndromereproductive endocrinology

Identifiers

PMID41010046
PMCPMC12469712

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Registered trials

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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.