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Interconnection between Polycystic Ovary Syndrome, Immune Disorders, and Reproductive Outcomes - PubMed

3 hours ago
  • #PCOS
  • #Immune Dysregulation
  • #Reproductive Outcomes
  • PCOS is a multifactorial disorder linked to chronic low-grade inflammation and immune dysregulation.
  • Women with PCOS show elevated inflammatory cytokines and immune cell infiltration in reproductive tissues, leading to oxidative stress, impaired steroidogenesis, and reduced endometrial receptivity.
  • Adaptive immune imbalances, including Th1/Th2 and Th17/regulatory T cell shifts and autoantibodies, are associated with implantation failure and recurrent pregnancy loss.
  • PCOS is frequently comorbid with autoimmune diseases like Hashimoto's thyroiditis and type 1 diabetes, indicating systemic immunometabolic imbalance.
  • This review integrates systemic inflammation with localized immune dysregulation in reproductive tissues, offering a new framework for understanding PCOS pathophysiology.
  • Metabolic therapies such as metformin and GLP-1 receptor agonists may improve immune balance, and targeted immunomodulation is a future prospect for specific PCOS subgroups.