Alarin/FSH Ratio Might Be A New Biological Marker in Polycystic Ovary Syndrome Women with Normal and Women with Obese

Neuropeptides coordinate and regulate physiological processes in all animals. Alarin is a 25 amino acid neuropeptide which promotes the secretion of luteinizing hormone (LH). It has been known that serum luteinizing hormonelevels are increased in women with polycystic ovary syndrome. Therefore, purpose of this was to examine the association of circulating gonadotropin secretions, and alarin with women with polycystic ovary syndrome, and to compare these findings with those of control subjects in an effort to better understand the pathophysiology of PCOS. 28participants with a diagnosis of PCOS with normal weight and 28 participants with a diagnosis of PCOS with obeseand 28 control group participants were included in this case-control study. Hormone profiles of the participants(alarin, insulin, estradiol (E2), follicle-stimulating hormone (FSH), luteinizing hormone (LH), dehydroepiandrosterone sulfate (DHEA-SO4), lipid profiles total testosterone, low-density lipoprotein (LDL), high-density lipoprotein(HDL), triglyceride, cholesterol) and fasting blood sugar (FBS) values were measured. Results: Serum androgenswere elevated in the PCOS. Blood LH was also elevated (P < 0.05) but was higher in PCOS than Control. Patientswith PCOS had an increased alarin compared with controls. LH/FSH ratio and Alarin /FSH ratio were greaterthan 2.1, 2.4, respectively. The blood alarin levels were significantly correlated with the serum LH levels (r=0.492,p=0.002) and the LH/FSH ratios (r=0.450, p<0.001) and Alarin/ FSH ratios. The FSH/LH and alarin /FSH ratiowere elevated in the PCOS. Based on these results, the FSH/LH and Alarin /FSH ratio appears to be a useful markerof PCOS.