Evidence map›Paper›PMID 39818356›Full record

ArticleFertility and sterility2025

Association of polycystic ovary syndrome with endothelial health, cardiovascular risk, and cellular aging.

Ange Wang, Jamie Corley, Eleni G Jaswa, Jue Lin, Dana L Smith, Charles E McCulloch, Heather Huddleston, Marcelle I Cedars

Abstract read
In one paragraph

Article in Fertility and sterility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Living with PCOS: A Narrative of its Biology, Diagnosis, and Evolving Treatment.Endocrine, metabolic & immune disorders drug targets · 2026
    Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ange WangDivision of Reproductive Endocrinology and Infertility, University of California, San Francisco, San Francisco, California. Electronic address: angewang31@gmail.com.
Jamie CorleyDivision of Reproductive Endocrinology and Infertility, University of California, San Francisco, San Francisco, California.
Eleni G JaswaDivision of Reproductive Endocrinology and Infertility, University of California, San Francisco, San Francisco, California.
Jue LinDepartment of Biochemistry and Biophysics, University of California, San Francisco, San Francisco, California.
Dana L SmithDepartment of Biochemistry and Biophysics, University of California, San Francisco, San Francisco, California.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California.
Heather HuddlestonDivision of Reproductive Endocrinology and Infertility, University of California, San Francisco, San Francisco, California.
Marcelle I CedarsDivision of Reproductive Endocrinology and Infertility, University of California, San Francisco, San Francisco, California.

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
Longitudinal Evaluation of Ovarian Aging and Cardiovascular RiskR01AG053332 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CEDARS, MARCELLE IVONNE · 2017 to 2022
$7.1M
Genetic Epidemiology of Ovarian AgingR01HD044876 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CEDARS, MARCELLE IVONNE · 2005 to 2009
$6.6M
NCRR NIH HHS UL1 RR024131NIA NIH HHS R01 AG053332NICHD NIH HHS R01 HD044876
6 · The paper itself

Abstract

objectiveTo study measures of endothelial health, cardiovascular risk, and cellular aging between patients with polycystic ovary syndrome (PCOS) and a reproductive age normative cohort.

designCross-sectional study. SUBJECTS: Community-based patients with PCOS and a normative ovarian aging cohort as controls, aged ≤45 years at the time of evaluation. EXPOSURE: Noninvasive measure of endothelial health measured by the EndoPAT reactive hyperemia index.

main outcome measuresReactive hyperemia index as measure of endothelial health. The secondary outcomes included Framingham score, telomere length, and mitochondrial deoxyribonucleic acid copy number from leukocyte cells.

resultsOur cohort included 63 participants with PCOS and 130 non-PCOS participants. The mean age was significantly lower in the PCOS cohort (33.1; standard deviation, 4.7 years) than in the non-PCOS cohort (40.8; standard deviation, 2.9 years). In multivariable-adjusted models, we found that PCOS was significantly associated with endothelial dysfunction as both categorical (odds ratio for PCOS, 0.31; 95% confidence interval [CI], 0.10-0.97) and continuous (PCOS coefficient, -0.37; 95% CI, -0.69 to -0.05) outcomes. For secondary outcomes, PCOS status was not significantly associated with mitochondrial deoxyribonucleic acid (PCOS coefficient, -48.1; 95% CI, -175.0 to 78.9), telomere length (PCOS coefficient, 0.05; 95% CI, -0.05 to 0.15), Framingham score (PCOS coefficient, 0.002; 95% CI, -0.01 to 0.02), or metabolic syndrome (odds ratio for PCOS, 1.29; 95% CI, 0.31-5.44).

conclusionOur findings suggest that patients with PCOS have impaired endothelial function compared with non-PCOS patients, although measures of cellular aging and cardiovascular risk as measured by the Framingham score did not differ between the cohorts.

Indexed as

Cardiovascular DiseasesCellular SenescenceEndothelium, VascularPolycystic Ovary SyndromeAdultCase-Control StudiesCohort StudiesCross-Sectional StudiesFemaleHeart Disease Risk FactorsHumansHyperemiaMiddle AgedRisk AssessmentTelomere HomeostasisYoung Adultcardiovascular healthendothelial dysfunctionFraminghammitochondrial DNAPCOStelomere length

Identifiers

PMID39818356
PMCPMC12158649

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.