Potential Impact of Polycystic Ovarian Syndrome on Protein Modifications and Accumulation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- Change in insulin sensitivity
研究概览
简要总结
A goal of this study is to use a novel methodology to determine whether insulin resistance in women with polycystic ovary syndrome (PCOS) is related to the accumulation of proteins with modifications. This could lead to future research to determine if these modifications interfere with their proper function. Additionally, the investigators will determine how protein quality is affected by exercise training. Aerobic exercise enhances the endogenous oxidant buffering systems which may minimize oxidative damage to proteins. The investigators propose that aerobic exercise minimizes the accrual of modified proteins by increasing the synthesis of new proteins, but also by increasing the degradation and removal of old and damaged proteins. Based on our previous studies the investigators observed that insulin affects plasma protein synthesis and aerobic exercise improves insulin sensitivity not only in muscle but also in liver. The investigators therefore propose that aerobic exercise and related increase in insulin sensitivity (and decline in insulin levels) will reduce accumulation of old and modified skeletal muscle and plasma proteins leading to improved function.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •BMI between 25 kg/m2 and 40 kg/m2
- •Fasting blood glucose < 126 mg/dL
- •Diagnosed with PCOS as outlined by the Rotterdam criteria
- •Insulin resistant as determined by a 3 hour oral glucose tolerance test
排除标准
- •Serum creatinine ≥1.5 mg/ dL.
- •Serum transaminase elevation ≥ 3 times the upper limit of normal range
- •Use of systemic glucocorticoids
- •Use of oral anticoagulation
结局指标
主要结局
Change in insulin sensitivity
时间窗: Measured before and after 12 weeks
To determine the effect of 12 weeks of aerobic exercise training or sedentary behavior on insulin sensitivity measured by a 3 hour hyperinsulinemic-euglycemic clamp and response to a mixed-meal.
次要结局
- Protein modifications and accumulation(Before and after 12 weeks)
研究者
K. Sreekumaran Nair
Principal Investigator
Mayo Clinic
