TY - JOUR T1 - Polikistik Over Sendromunda Koenzim Q10 Takviyesi TT - Coenzyme Q10 Supplementation in Polycystic Ovary Syndrome AU - Şahin, İrem Nur AU - Akdevelioğlu, Yasemin PY - 2025 DA - January Y2 - 2024 DO - 10.53493/avrasyasbd.1439198 JF - Avrasya Sağlık Bilimleri Dergisi JO - AvrasyaSBD PB - Çankırı Karatekin Üniversitesi WT - DergiPark SN - 2651-3501 SP - 75 EP - 82 VL - 8 IS - 1 LA - tr AB - Polikistik over sendromu; hiperandrojenizm (erkeklik hormonu yüksekliği) ve kronik anovulasyon (yumurtlama eksikliği) ile karakterize olup özellikle doğurganlık çağındaki kadınlarda yaygın olarak görülen, hormonal ve metabolik anomalilere bağlı olarak ortaya çıkan endokrin bir bozukluktur. Prevalansı ülkeler arasında farklılık göstermekle birlikte dünya genelinde giderek artma eğilimindedir. Etiyolojisinin hem çevresel hem de genetik faktörlerden kaynaklandığı düşünülse de halen tam olarak anlaşılamamıştır. Hücresel düzeyde, mitokondriyal disfonksiyon, oksidatif stres ve inflamasyonun PKOS patogenezinde rol oynadığı düşünülmektedir. Bu hastaların tedavisinde beslenme gibi konularda yaşam tarzı değişiklikleri yapılarak semptomların giderilmesi amaçlanmıştır. Bu müdahalelerden biri de hastaların diyet takviyesi olarak bir antioksidan olan koezim Q10 kullanmalarıdır. Koenzim Q10, enerji üretiminde yer alarak oksidasyon döngülerini sürdürmektedir. İnsülin ve adiponektin reseptörlerini etkileyerek hastalarda glisemik kontrolü sağlar. İç motokondriyal membranda bulunmasıyla yumurtalık fonksiyonlarının iyileşmesini de desteklemektedir. Bu derleme nitelikteki makalede Google Scholar, ScienceDirect ve PubMed veri tabanları taranarak PKOS tedavisinde koenzim Q10 takviyesinin etkinliğini ve güvenliğini değerlendirmek amaçlanmıştır. KW - Polikistik over sendromu KW - Beslenme yaklaşımları KW - Beslenme KW - Koenzim Q10 N2 - Polycystic ovary syndrome is an endocrine disorder characterized by hyperandrogenism (elevated male hormone levels) and chronic anovulation (lack of ovulation), which is especially common in women of reproductive age and occurs due to hormonal and metabolic abnormalities. Its prevalence varies between countries but tends to be increasing worldwide. Although its etiology is thought to be caused by both environmental and genetic factors, it is still not fully understood. At the cellular level, mitochondrial dysfunction, oxidative stress and inflammation are thought to play a role in the pathogenesis of PCOS. In the treatment of these patients, lifestyle changes in areas such as nutrition are aimed to relieve symptoms. One of these interventions is the use of coenzyme Q10, an antioxidant, as a dietary supplement. Coenzyme Q10 maintains oxidation cycles by taking part in energy production. It affects insulin and adiponectin receptors and provides glycemic control in patients. Its presence in the inner mitochondrial membrane also supports the recovery of ovarian function. In this review article, we aimed to evaluate the efficacy and safety of coenzyme Q10 supplementation in the treatment of PCOS by searching Google Scholar, ScienceDirect and PubMed databases. CR - Arenas-Jal M, Suñé-Negre JM, García-Montoya E. (2020). Coenzyme Q10 supplementation: Efficacy, safety, and formulation challenges. Comprehensive reviews in food science and food safety, 19(2), 574-594. CR - Ayers J, Cook J, Koenig RA, Sisson EM, Dixon DL. (2018). Recent developments in the role of coenzyme Q10 for coronaryheart disease: A systematic review. Current Atherosclerosis Reports, 20(6), 29. https://doi.org/10.1007/ s11883-018-0730-1 CR - Azziz R. (2018). Polycystic ovary syndrome. Obstetrics & Gynecology, 132(2), 321-35. doi: 10.1097/ AOG.0000000000002698. CR - Chiaffarino F, Cipriani S, Dalmartello M, Ricci E, Esposito G, Fedele F, Vecchia C, Negri E, Parazzini F. (2022). Prevalence of polycystic ovary syndrome in European countries and USA: A systematic review and meta-analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 279, 159-170. doi: 10.1016/j.ejogrb.2022.10.020 CR - Gouveia F, Costa R, Lemos T. (2018). Coenzyme Q10 and polycitic ovary syndrome: systematic review. Clinical and Medical Investigations, 3, 1-4. doi: 10.15761/CMI.1000168. CR - Hargreaves I, Heaton RA, Mantle D. (2020). Disorders of human coenzyme q10 metabolism: An overview. International Journal of Molecular Sciences, 21(18), 6695. doi: 10.3390/ ijms21186695 CR - He, J., Lei, X. C., Deng, R., Wei, Y., Zhang, S., Su, M., Tang M, Wang J, Nong W, Lei X... & Wang, J.. (2023). Efficacy of antioxidant supplementation in improving endocrine, hormonal, inflammatory, and metabolic statuses of PCOS: a meta-analysis and systematic review. Food & Function. DOI: https://doi.org/10.1039/D3FO02824K CR - Hortu İ, Karadaş N. (2019). Polikistik over sendromu patofizyolojisi. Turkiye Klinikleri Gynecology Obstetrics- Special Topics, 12(5), 6- 9. CR - Hou S, Tian Z, Zhao D, Liang Y, Dai S, Ji Q, Yang Y. (2023). Efficacy and optimal dose of coenzyme q10 supplementation on inflammation-related biomarkers: a grade-assessed systematic review and updated meta-analysis of randomized controlled trials. Molecular Nutrition & Food Research, 67(13), 2200800. CR - Ibrahim RO, Omer SH, Fattah CN. (2020). The correlation between hormonal disturbance in PCOS women and serum level of kisspeptin. International Journal of Endocrinology, doi:10.1155/2020/6237141 CR - Izadi A, Ebrahimi S, Shirazi S, Taghizadeh S, Parizad M, Farzadi L, Gargari BP. (2019a). Hormonal and metabolic effects of coenzyme Q10 and/or vitamin E in patients with polycystic ovary syndrome. The Journal of Clinical Endocrinology & Metabolism, 104(2), 319-327. doi: 10.1210/jc.2018-01221 CR - Izadi A, Shirazi S, Taghizadeh S, Gargari BP. (2019b). Independent and additive effects of coenzyme Q10 and vitamin E on cardiometabolic outcomes and visceral adiposity in women with polycystic ovary syndrome. Archives of Medical Research, 50(2), 1-10. doi: 10.1016/j. arcmed.2019.04.004 CR - Kamboj MK, Bonny AE. (2017). Polycystic ovary syndrome in adolescence: diagnostic and therapeutic strategies. Translational Pediatrics, 6(4), 248. doi: 10.21037/ tp.2017.09.11 CR - Karamali M, Gholizadeh M. (2022). The effects of coenzyme Q10 supplementation on metabolic profiles and parameters of mental health in women with polycystic ovary syndrome. Gynecological Endocrinology, 38(1), 45-49. doi:10.1080/095 13590.2021.1991910 CR - Liu M, Zhu H, Hu X, Zhu Y, Chen H. (2020). Efficacy of coenzyme Q10 supplementation on glucose metabolism, lipid profiles, and biomarkers of inflammation in women with polycystic ovary syndrome: A protocol for a systematic review and meta-analysis. Medicine, 99(46). doi: 10.1097/ MD.0000000000023130 CR - Nelson DL, Cox MM. (2017). Lehninger Principles of Biochemistry (7th ed.). New York, NY: Macmillan Learning. CR - Panti AA, Shehu CE, Saidu Y, Tunau KA, Nwobodo EI, Jimoh A, Bilbis LS, Umar AB, Hassan M. (2018). Oxidative stress and outcome of antioxidant supplementation in patients with polycystic ovarian syndrome (PCOS). International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7(5), 1667-1672. doi: 10.18203/2320-1770. ijrcog20181892 CR - Pawelczak M, Rosenthal J, Milla S, Liu YH, Shah B. (2014). Evaluation of the pro-inflammatory cytokine tumor necrosis factor-α in adolescents with polycystic ovary syndrome. Journal of Pediatric and Adolescent Gynecology, 27(6), 356-359. doi: 10.1016/j.jpag.2014.01.104 CR - Pekcan MK, Tokmak A, Özakşit G. (2019). Effect of short-term supplementation of coenzyme Q10 on cumulative pregnancy rates in young infertile women with polycystic ovarian syndrome. Journal of Clinical Obstetrics & Gynecology, 29(2), 62-67. doi: 10.5336/jcog.2019-66096. CR - Rahmani E, Jamilian M, Samimi M, Zarezade MM, Aghadavod E, Akbari E, Asemi Z. (2018). The effects of coenzyme Q10 supplementation on gene expression related to insulin, lipid and inflammation in patients with polycystic ovary syndrome. Gynecological Endocrinology, 34(3), 217-222. doi: 10.1080/09513590.2017.1381680. CR - Raizner AE. (2019). Coenzyme Q10. Methodist DeBakey Cardiovascular Journal, 15(3), 185-191. doi: 10.14797/mdcj- 15-3-185 CR - Rodick TC, Seibels DR, Babu JR, Huggins KW, Ren G, Mathews ST. (2018). Potential role of coenzyme Q 10 in health and disease conditions. Nutrition and Dietary Supplements, 10, 1-11. doi: 10.2147/NDS.S112119 CR - Samimi M, Zarezade MM, Foroozanfard F, Akbari H, Jamilian M, Ahmadi S, Asemi Z. (2017). The effects of coenzyme Q10 supplementation on glucose metabolism and lipid profiles in women with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial. Clinical Endocrinology, 86(4), 560-566. doi: 10.1111/cen.13288 CR - Siemienowicz KJ, Coukan F, Franks S, Rae MT, Duncan WC. (2021). Aberrant subcutaneous adipogenesis precedes adult metabolic dysfunction in an ovine model of polycystic ovary syndrome (PCOS). Molecular and Cellular Endocrinology, 519, 111042. doi: 10.1016/j.mce.2020.111042 CR - Szczuko M, Kikut J, Szczuko U, Szydłowska I, Nawrocka- Rutkowska J, Ziętek M, Saso L. (2021). Nutrition strategy and lifestyle in polycystic ovary syndrome—Narrative review. Nutrients, 13(7), 2452. doi: 10.3390/nu13072452 CR - Taghizadeh S, Izadi A, Shirazi S, Parizad M, Pourghassem Gargari B. (2021). The effect of coenzyme Q10 supplementation on inflammatory and endothelial dysfunction markers in overweight/obese polycystic ovary syndrome patients. Gynecological Endocrinology, 37(1), 26- 30. doi: 10.1080/09513590.2020.1779689 CR - Toprak K, Ayaz A. (2019). Koenzim Q10: biyolojik aktivitesi ve sağlık üzerine etkisine güncel bakış. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(2), 95-111. doi: 10.21020/ husbfd.450217 CR - Tsai KL Chen LH, Chiou SH, Chiou GY, Chen YC, Chou HY, Kao CL. (2011). Coenzyme Q10 suppresses oxLDL-induced endothelial oxidative injuries by the modulation of LOX- 1-mediated ROS generation via the AMPK/PKC/NADPH oxidase signaling pathway. Molecular Nutrition & Food Research, 55(S2), 227-240. doi: 10.1002/mnfr.201100147 CR - Xu Y, Nisenblat V, Lu C, Li R, Qiao J, Zhen X, Wang S. (2018). Pretreatment with coenzyme Q10 improves ovarian response and embryo quality in low-prognosis young women with decreased ovarian reserve: a randomized controlled trial. Reproductive Biology and Endocrinology, 16(1), 1-11. doi: 10.1186/s12958-018-0343-0 CR - Zeng X, Xie YJ, Liu YT, Long SL, Mo ZC. (2020). Polycystic ovarian syndrome: correlation between hyperandrogenism, insulin resistance and obesity. Clinica Chimica Acta, 502, 214-221. doi: 10.1016/j.cca.2019.11.003 CR - Zhang J, Xing C, Zhao H, He B. (2021). The effectiveness of coenzyme Q10, vitamin E, inositols, and vitamin D in improving the endocrine and metabolic profiles in women with polycystic ovary syndrome: a network meta-analysis. Gynecological Endocrinology, 37(12), 1063-1071. doi: 10.1080/09513590.2021.1926975 CR - Zhang T, He Q, Xiu H, Zhang Z, Liu Y, Chen Z, Hu H. (2022). Efficacy and safety of coenzyme Q10 supplementation in the treatment of polycystic ovary syndrome: A systematic review and meta-analysis. Reproductive Sciences, 1-16. doi: 10.1007/s43032-022-01038-2 CR - Zhao X, Jiang Y, Xi H, Chen L, Feng X. (2020). Exploration of the relationship between gut microbiota and polycystic ovary syndrome (PCOS): a review. Geburtshilfe und Frauenheilkunde, 80(02), 161-171. doi: 10.1155/2019/4386401 UR - https://doi.org/10.53493/avrasyasbd.1439198 L1 - http://dergipark.org.tr/tr/download/article-file/3737920 ER -