Reproductive endocrinology

Single-cell profiling of the human endometrium in polycystic ovary syndrome

Nat MedPublished Mechanistic study

Study context

Population
Women with polycystic ovary syndrome (PCOS) characterized by overweight and obesity, hyperandrogenism and insulin resistance, and controls of similar age, weight and BMI; endometrium in proliferative phase27 biopsies
Participants
5 / 12 / 7 / 3
Comparison
PCOS vs controls; PCOS after metformin or lifestyle intervention
  • Controlsn = 5reference
  • PCOS baselinen = 12
  • Metforminn = 7
  • Lifestyle interventionn = 3
Outcome
Endometrial cellular atlas
Methodological detailssingle-cell (single-nucleus) profiling
  • Single-cell (single-nucleus) profiling

Main finding

As reported in the abstract

  • Cell-type-specific disease signatures and variations in cellular composition and localization in PCOS
  • Extensive recovery of disease-specific endometrial signatures after 16 weeks of metformin and lifestyle management
  • Cell types linked to hyperandrogenism, insulin resistance and risk of endometrial and metabolic disease
  • Potential therapeutic targets such as integrin inhibitors identified

Original publication

Single-cell profiling of the human endometrium in polycystic ovary syndrome. Nat Med. Published 20 March 2025. doi:10.1038/s41591-025-03592-z

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