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dc.contributor.authorWillis, G.R.
dc.contributor.authorUidawar, M.
dc.contributor.authorEvans, W.D.
dc.contributor.authorBlundell, H.L.
dc.contributor.authorJames, Philip
dc.contributor.authorRees, D.A.
dc.identifier.citationWillis, G.R., Udiawar, M., Evans, W.D., Blundell, H.L., James, P.E. and Rees, D.A. (2014) 'Detailed characterisation of circulatory nitric oxide and free radical indices—is there evidence for abnormal cardiovascular homeostasis in young women with polycystic ovary syndrome?', BJOG: An International Journal of Obstetrics & Gynaecology, 121(13), pp.1596-1603en_US
dc.descriptionThis article was published in BJOG: An International Journal of Obstetrics & Gynaecology on 12 May 2014 (online), available at
dc.description.abstractAbstract OBJECTIVE: To assess circulating biochemical indices of endothelial function and nitro-oxidative stress in women with polycystic ovary syndrome (PCOS). DESIGN: Case-control study. POPULATION: Seventeen women with PCOS and eighteen age- and body mass index-matched healthy volunteers. METHODS: Nitric oxide (NO) metabolite levels were assessed by chemiluminescence. Electron paramagnetic resonance spectroscopy with spin trapping was used to assess oxidative stress ex vivo and in vitro. Antioxidant capacity was measured using oxygen radical absorbance. MAIN OUTCOME MEASURES: Biochemical indices of endothelial function, including NO metabolites, lipid-derived radicals and antioxidant capacity. RESULTS: Plasma NO metabolites were similar in the two groups (nitrite: 257±116 nmol/l [PCOS], 261±135 nmol/l [controls] P=0.93; nitrate: 27±7 μmol/l [PCOS], 26±6 μmol/l [controls] P=0.89). Alkoxyl free radicals (lipid-derived) were detected as the dominant species, but levels were not different between women with PCOS and controls whether measured directly ex vivo (median 7.2 [range 0.17-16.73]e6 arbitrary units [a.u.] and 7.2 [1.7-11.9]e6 a.u., respectively, P=0.57) or when stimulated in vitro to test radical generation capacity (1.23 [0.3-5.62]e7 a.u. and 1.1 [0.48-15.7]e7 a.u. respectively, P=0.71). In regression analysis, visceral fat area was independently associated with in vitro oxidative potential (β=0.6, P=0.002). Total plasma antioxidant capacity (94±30% [PCOS], 79±24% [controls], P=0.09) and plasma hydroperoxides (7.5±4 μmol/l [PCOS], 6.7±5 μmol/l [controls], P=0.21) were not different between groups. However, lipophilic antioxidant capacity was lower in women with PCOS compared with controls (92±32 and 125±48%, respectively, P=0.02). CONCLUSIONS: Young overweight women with PCOS display a reduced lipophilic antioxidant capacity compared with healthy volunteers, but no change in circulating free radicals or nitro-oxidative stress.en_US
dc.description.sponsorshipThe Wales Heart Research Instituteen_US
dc.publisherWiley Online Libraryen_US
dc.relation.ispartofseriesBJOG: An International Journal of Obstetrics & Gynaecology;
dc.subjectFree radicalsen_US
dc.subjectinsulin sensitivityen_US
dc.subjectnitric oxideen_US
dc.subjectoxidative stressen_US
dc.subjectpolycystic ovary syndromeen_US
dc.subjectreactive oxygen speciesen_US
dc.subjectsubcutaneous faten_US
dc.subjectvisceral faten_US
dc.titleDetailed characterisation of circulatory nitric oxide and free radical indices—is there evidence for abnormal cardiovascular homeostasis in young women with polycystic ovary syndrome ?en_US
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US

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