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Endocrinological study for individual treatment of polycystic ovary syndrome

Research Project

Project/Area Number 24592472
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionThe University of Tokushima

Principal Investigator

IRAHARA Minoru  徳島大学, ヘルスバイオサイエンス研究部, 教授 (20160070)

Co-Investigator(Kenkyū-buntansha) MATSUZAKI Toshiya  徳島大学, 大学院ヘルスバイオサイエンス研究部, 准教授 (70294692)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,200,000 (Direct Cost: ¥4,000,000、Indirect Cost: ¥1,200,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords多嚢胞性卵巣症候群 / PCOS / テストステロン / ホルモン測定系 / 代謝異常 / 生活習慣病 / メトホルミン / インスリン抵抗性 / 排卵誘発
Outline of Final Research Achievements

We studied endocrinological findings of PCOS to improve diagnosis efficasy and to select suitable treatment for individual patients. Results are follows. 1) Serum testosterone (T) level was elevated in 44.2% of patients, and seemed useful for the diagnosis in Japanese PCOS if it is measured by resent assay system. 2) As for difference among hormone assay systems, T assay systems were not identical. However, LH, FSH, PRL, estradiol and progesterone assay systems showed high relationships among corresponding assay systems. 3) Obesity, free T, androstenedione and ovarian volume were related to risk factors of metabolic syndrome (MBS) in PCOS. These factors would be useful for classification of subtype preventing MBS. 4) Obese or insulin resistant patients were responders of metformin therapy in PCOS, and suggested for metformin use as optional therapy in ovulation induction. These results would improve diagnosis, classification of subtype and suitable treatment selection in PCOS.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (37 results)

All 2015 2014 2013 2012

All Journal Article (20 results) (of which Peer Reviewed: 14 results,  Open Access: 5 results) Presentation (13 results) (of which Invited: 8 results) Book (4 results)

  • [Journal Article] The responses of hypothalamic NPY and OBRb mRNA expression to food deprivation develop during the neonatal-prepubertal period and exhibit gender differences in rats.2015

    • Author(s)
      Matsuzaki T, Iwasa T, Tungalagsuvd A, Munkhzaya M, Kawami T, Yamasaki M, Murakami M, Kato T, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Int J Dev Neurosci.

      Volume: 41 Issue: 1 Pages: 63-67

    • DOI

      10.1016/j.ijdevneu.2014.11.006

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The effects of prenatal undernutrition and postnatal high-fat diet on hypothalamic Kiss1 mRNA and serum leptin levels.2015

    • Author(s)
      Iwasa T, Matsuzaki T, Munkhzaya M, Tungalagsuvd A, Yamasaki M, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Int J Dev Neurosci.

      Volume: 42 Issue: 1 Pages: 76-79

    • DOI

      10.1016/j.ijdevneu.2015.03.001

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prenatal exposure to glucocorticoids affects body weight, serum leptin levels, and hypothalamic neuropeptide-Y expression in pre-pubertal female rat offspring.2014

    • Author(s)
      Iwasa T, Matsuzaki T, Munkhzaya M, Tungalagsuvd A, Kawami T, Murakami M, Yamasaki M, Kato T, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Int J Dev Neurosci.

      Volume: 36 Issue: 1 Pages: 1-4

    • DOI

      10.1016/j.ijdevneu.2014.03.011

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Hypothalamic Kiss1 and RFRP gene expressions are changed by a high dose of lipopolysaccharide in female rats.2014

    • Author(s)
      Iwasa T, Matsuzaki T, Tungalagsuvd A, Munkhzaya M, Kawami T, Niki H, Kato T, Kuwahara A, Uemura H, Yasui T, Irahara M.
    • Journal Title

      Horm Behav.

      Volume: 66(2) Issue: 2 Pages: 309-316

    • DOI

      10.1016/j.yhbeh.2014.06.007

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The effects of LPS-induced endotoxemia on the expression of adiponectin and its receptors in female rats.2014

    • Author(s)
      Iwasa T, Matsuzaki T, Matsui S, Munkhzaya M, Tungalagsuvd A, Kawami T, Murakami M, Kato T, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Endocr J.

      Volume: 61(9) Pages: 891-900

    • NAID

      130004443985

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A月経異常と関連疾患 6.体重減少月経および神経性食欲不振症の診断と治療2014

    • Author(s)
      岩佐 武、松崎利也、苛原 稔
    • Journal Title

      婦人科診療ハンドブック

      Volume: 7 Pages: 29-34

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 月経不順と女性医療2014

    • Author(s)
      松崎利也、松井寿美佳、岩佐 武、苛原 稔
    • Journal Title

      特集 女性医療について

      Volume: 1 Pages: 25-331

    • Related Report
      2014 Annual Research Report
  • [Journal Article] PCOSにおけるメトホルミン療法2014

    • Author(s)
      松崎利也、岩佐 武、苛原 稔
    • Journal Title

      産科と婦人科

      Volume: 81 Pages: 851-857

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Changes in central and peripheral inflammatory responses to lipopolysaccharide in ovariectomized female rats.2014

    • Author(s)
      Iwasa T, Matsuzaki T, Kinouchi R, Gereltsetseg G, Murakami M, Munkhzaya M, Altankhuu T, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Cytokine.

      Volume: 65 Issue: 1 Pages: 65-73

    • DOI

      10.1016/j.cyto.2013.10.004

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Changes in the responsiveness of hypothalamic prokineticin 2 mRNA expression to food deprivation in developing female rats.2014

    • Author(s)
      Iwasa T, Matsuzaki T, Munkhzaya M, Tungalagsuvd A, Kawami T, Murakami M, Yamasaki M, Kato T, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Int J Dev Neurosci.

      Volume: 34 Issue: 1 Pages: 76-78

    • DOI

      10.1016/j.ijdevneu.2014.02.001

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Improvement in diagnostic performance of the received total testosterone measuring system in Japanese women with polycystic ovary syndrome.2014

    • Author(s)
      Niki H, Matsuzaki T, Kinouchi R, Iwasa T, Kawami T, Kato T, Kuwahara A, Irahara M.
    • Journal Title

      J Med Invest.

      Volume: 61 Pages: 65-71

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Developmental changes in the responsiveness of hypothalamic ER alpha mRNA levels to food deprivation.2013

    • Author(s)
      Iwasa T, Matsuzaki T, Kinouchi R, Gereltsetseg G, Murakami M, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      Neuro Endocrinol Lett.

      Volume: 34 Pages: 543-548

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 新たに開発されたアーキテクト・テストステロンIIの性能評価と多嚢胞性卵巣症候群(PCOS)の診断における有用性の検討2013

    • Author(s)
      松崎利也、岩佐 武、苛原 稔
    • Journal Title

      医学と薬学

      Volume: 70 Pages: 331-339

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] インスリン抵抗性を持つ多嚢胞性卵巣症候群患者の診断とメトホルミン療法の適応の検討2013

    • Author(s)
      松崎利也
    • Journal Title

      日本産科婦人学会雑誌

      Volume: 65 Pages: 2698-2708

    • Related Report
      2013 Research-status Report
  • [Journal Article] Implications of assisted reproductive technologies on term singleton birth weight: an analysis of 25,777 children in the national assisted reproduction registry of Japan.2013

    • Author(s)
      Nakashima A , et al.
    • Journal Title

      Fertil Steril.

      Volume: 99 Issue: 2 Pages: 450-455

    • DOI

      10.1016/j.fertnstert.2012.09.027

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effects of lipopolysaccharide exposure at different postnatal time points on the response of LH to homotypic stress in adulthood.2012

    • Author(s)
      Iwasa T, Matsuzaki T, Murakami M, Kinouchi R, Gereltsetseg G, Nakazawa H, Yamamoto S, Kuwahara A, Yasui T, Irahara M.
    • Journal Title

      J Reprod Immunol

      Volume: 94(2) Issue: 2 Pages: 155-160

    • DOI

      10.1016/j.jri.2012.02.003

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Delay in the onset of puberty of intrauterine growth retarded female rats cannot be rescued with hypernutrition after birth. Endocr J.2012

    • Author(s)
      Gereltsetseg G , et al.
    • Journal Title

      Endocr J.

      Volume: 59 Pages: 963-972

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prepubertal exposure to glucocorticoid delays puberty independent of the hypothalamic Kiss1-GnRH system in female rats.2012

    • Author(s)
      Kinouchi R , et al.
    • Journal Title

      Int J Dev Neurosci.

      Volume: 30 Issue: 7 Pages: 596-601

    • DOI

      10.1016/j.ijdevneu.2012.09.001

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] エクルーシス試薬エストラジオールIIIの基礎的および臨床的有用性についての検討2012

    • Author(s)
      木内理世、他
    • Journal Title

      医学と薬学

      Volume: 68 Pages: 319-326

    • Related Report
      2012 Research-status Report
  • [Journal Article] やせと肥満2012

    • Author(s)
      苛原 稔
    • Journal Title

      小児・思春期診療最新マニュアル

      Volume: 141 Pages: 113-115

    • Related Report
      2012 Research-status Report
  • [Presentation] 生殖関連ホルモンの新測定系間における測定値の相違に関する検討2014

    • Author(s)
      松崎利也、岩佐 武、松井寿美佳、加藤剛志、桑原 章、中奥大地、苛原 稔
    • Organizer
      第66回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京都千代田区、東京国際フォーラム
    • Year and Date
      2014-04-18 – 2014-04-20
    • Related Report
      2014 Annual Research Report
  • [Presentation] PCOS診断におけるテストステロン新測定系の有用性の検討2014

    • Author(s)
      中奥大地、松崎利也、岩佐 武、松井寿美佳、加藤剛志、桑原 章、苛原 稔
    • Organizer
      第66回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京都千代田区、東京国際フォーラム
    • Year and Date
      2014-04-18 – 2014-04-20
    • Related Report
      2014 Annual Research Report
  • [Presentation] 新しいエストラジオール測定キットの基礎的及び臨床的検討2013

    • Author(s)
      木内理世、松崎利也、松井寿美佳、中澤浩志、岩佐 武、苛原 稔
    • Organizer
      第65回日本産科婦人科学会学術集会
    • Place of Presentation
      札幌プリンスホテル(北海道)
    • Related Report
      2013 Research-status Report
  • [Presentation] シンポジウム:多嚢胞性卵巣症候群(PCOS)の病因・病態と管理 -インスリン抵抗性を持つ多嚢胞性卵巣症候群患者の診断とメトホルミン療法の適応の検討-2013

    • Author(s)
      松崎利也
    • Organizer
      第65回日本産科婦人科学会学術集会
    • Place of Presentation
      ホテルさっぽろ芸文館(北海道)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 生殖関連ホルモン測定系間における測定値の相関に関する検討2013

    • Author(s)
      岩佐 武、松崎敏也、木内理世、松井寿美佳、加藤剛志、桑原 章、安井敏之、苛原 稔
    • Organizer
      第58回日本生殖医学会学術講演会
    • Place of Presentation
      神戸国際会議場、神戸ポートピアホテル(兵庫県)
    • Related Report
      2013 Research-status Report
  • [Presentation] 多嚢胞性卵巣症候群モデルラットにおけるLH 分泌異常の機序の検討2013

    • Author(s)
      松崎利也,岩佐 武,Gereltsetseg Ganbat,Munkhzaya Munkhsaihan,Tungalagsuvd Altankhuu,苛原 稔
    • Organizer
      第58回日本生殖医学会学術講演会
    • Place of Presentation
      シェーンバッハ・サボー(東京都)
    • Related Report
      2013 Research-status Report
  • [Presentation] ランチョンセミナー:視床下部・下垂体からのゴナドトロピン分泌調節の最近の話題2013

    • Author(s)
      苛原 稔
    • Organizer
      第28回日本生殖免疫学会総会・学術集
    • Place of Presentation
      兵庫医科大学平成記念会館(兵庫県)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] スポンサードレクチャー:女性ヘルスケアからみたPCOSの管理2013

    • Author(s)
      苛原 稔
    • Organizer
      第368回東京産科婦人科学会例会
    • Place of Presentation
      JA共済ビル(東京都)
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] 特別講演:多嚢胞性卵巣症候群と生活習慣病2013

    • Author(s)
      苛原 稔
    • Organizer
      下関産婦人科医会学術講演会
    • Place of Presentation
      東京第一ホテル下関(山口県)
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 特別講演:女性のライフステージからみたPCOSの管理2012

    • Author(s)
      苛原 稔
    • Organizer
      千葉産科婦人科学会
    • Place of Presentation
      ホテルニューツカモト(千葉県)
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Symposium : Recent progress in diagnosis of PCOS in Japan.2012

    • Author(s)
      Minoru Irahara
    • Organizer
      4th Congress of the Asia Pacific Initiative on Reproduction.
    • Place of Presentation
      Osaka International Convention Center(Osaka , Japan)
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] ランチョンセミナー:不妊治療による多胎妊娠の最近の動向と予防法2012

    • Author(s)
      苛原 稔
    • Organizer
      第57回日本生殖医学会学術講演会
    • Place of Presentation
      長崎ブリックホール(長崎県)
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Symposium : Reproductive endocrinology “Management of insulin resistance in polycystic ovary Syndrome.”2012

    • Author(s)
      Minoru Irahara
    • Organizer
      15th International Congress on Hormonal Steroids and Hormones & Cancer.
    • Place of Presentation
      Ishikawa Ongakudo(Ishikawa , Japan)
    • Related Report
      2012 Research-status Report
    • Invited
  • [Book] 今日の治療指針2014年版2014

    • Author(s)
      苛原 稔
    • Total Pages
      2128
    • Publisher
      医学書院
    • Related Report
      2014 Annual Research Report
  • [Book] 産科婦人科疾患の最新治療2013-2015 「1. 月経異常、b.多嚢胞性卵巣症候群(PCOS)」2013

    • Author(s)
      苛原 稔
    • Publisher
      南江堂
    • Related Report
      2013 Research-status Report
  • [Book] GnRH 下垂体疾患マニュアル2012

    • Author(s)
      苛原 稔
    • Publisher
      診断と治療社
    • Related Report
      2012 Research-status Report
  • [Book] LH/FSH 下垂体疾患マニュアル2012

    • Author(s)
      苛原 稔
    • Publisher
      診断と治療社
    • Related Report
      2012 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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