The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study

This study was aim to investigate the oxylipins profile in the follicular fluid (FF) of women with PCOS and examine their associations with embryo quality.We conducted a targeted lipidomic study involving sixty-two cases of PCOS and age-matched controls (Cohort 1) via UHPLC–MS. Cohort 2 included six...

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Main Authors: Ye Tian, Fang Li, Tuo Kuang, Xiangning Li, Xin Zhou, Xiaohong Bai
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Gynecological Endocrinology
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Online Access:https://www.tandfonline.com/doi/10.1080/09513590.2025.2541658
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author Ye Tian
Fang Li
Tuo Kuang
Xiangning Li
Xin Zhou
Xiaohong Bai
author_facet Ye Tian
Fang Li
Tuo Kuang
Xiangning Li
Xin Zhou
Xiaohong Bai
author_sort Ye Tian
collection DOAJ
description This study was aim to investigate the oxylipins profile in the follicular fluid (FF) of women with PCOS and examine their associations with embryo quality.We conducted a targeted lipidomic study involving sixty-two cases of PCOS and age-matched controls (Cohort 1) via UHPLC–MS. Cohort 2 included sixty cases of PCOS and age-and-BMI-matched controls who were recruited for validation via targeted lipidomics. The associations between these oxylipins and baseline hormones as well as embryo quality in PCOS patients were analyzed.A total of 59 oxylipins were identified in the FF of PCOS patients. In the FF of PCOS patients in Cohort 1, the level of 16(17)-EpDPE, a product derived from docosahexaenoic acid (DHA), was greater than that in the control group, even after adjustment for age, BMI and multiple comparisons (p < 0.001, adjusted p = 0.032). An increased concentration of 16(17)-EpDPE in women with PCOS was further validated in Cohort 2 (p < 0.001, adjusted p = 0.044). In addition, compared with the control group, the PCOS group in Cohort 2 presented significantly lower levels of eicosapentaenoic acid (EPA)-derived oxylipins (18-HEPE), DHA-derived oxylipins (4-HDoHE, 16-HDoHE), linoleic acid(LA)-derived oxylipins (12,13-EpOME, 13-HODE and 9-oxoODE), and dihomo-gamma-linolenic acid(DGLA)-derived oxylipins (15-HETrE). Correlation analyses between oxylipin metabolites and clinical features revealed that 16(17)-EpDPE was negatively associated with the number of D3 good-quality embryos and positively associated the blood lymphocyte count. Three LA-derived oxylipins were associated with the serum AMH and leptin levels in the FF.Our study revealed distinct metabolic signatures in women with PCOS and identified 16(17)-EpDPE as a novel biomarker for PCOS and their D3 good-quality embryos count.
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spelling doaj-art-7d167e829a4a41eb88ff77fed61c63492025-08-20T04:02:13ZengTaylor & Francis GroupGynecological Endocrinology0951-35901473-07662025-12-0141110.1080/09513590.2025.2541658The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort studyYe Tian0Fang Li1Tuo Kuang2Xiangning Li3Xin Zhou4Xiaohong Bai5Department of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Gynecology and Obstetrics, Tianjin Medical University General Hospital, Tianjin, ChinaThis study was aim to investigate the oxylipins profile in the follicular fluid (FF) of women with PCOS and examine their associations with embryo quality.We conducted a targeted lipidomic study involving sixty-two cases of PCOS and age-matched controls (Cohort 1) via UHPLC–MS. Cohort 2 included sixty cases of PCOS and age-and-BMI-matched controls who were recruited for validation via targeted lipidomics. The associations between these oxylipins and baseline hormones as well as embryo quality in PCOS patients were analyzed.A total of 59 oxylipins were identified in the FF of PCOS patients. In the FF of PCOS patients in Cohort 1, the level of 16(17)-EpDPE, a product derived from docosahexaenoic acid (DHA), was greater than that in the control group, even after adjustment for age, BMI and multiple comparisons (p < 0.001, adjusted p = 0.032). An increased concentration of 16(17)-EpDPE in women with PCOS was further validated in Cohort 2 (p < 0.001, adjusted p = 0.044). In addition, compared with the control group, the PCOS group in Cohort 2 presented significantly lower levels of eicosapentaenoic acid (EPA)-derived oxylipins (18-HEPE), DHA-derived oxylipins (4-HDoHE, 16-HDoHE), linoleic acid(LA)-derived oxylipins (12,13-EpOME, 13-HODE and 9-oxoODE), and dihomo-gamma-linolenic acid(DGLA)-derived oxylipins (15-HETrE). Correlation analyses between oxylipin metabolites and clinical features revealed that 16(17)-EpDPE was negatively associated with the number of D3 good-quality embryos and positively associated the blood lymphocyte count. Three LA-derived oxylipins were associated with the serum AMH and leptin levels in the FF.Our study revealed distinct metabolic signatures in women with PCOS and identified 16(17)-EpDPE as a novel biomarker for PCOS and their D3 good-quality embryos count.https://www.tandfonline.com/doi/10.1080/09513590.2025.2541658PCOSoxylipinfollicular fluidDHAembryo quality
spellingShingle Ye Tian
Fang Li
Tuo Kuang
Xiangning Li
Xin Zhou
Xiaohong Bai
The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study
Gynecological Endocrinology
PCOS
oxylipin
follicular fluid
DHA
embryo quality
title The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study
title_full The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study
title_fullStr The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study
title_full_unstemmed The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study
title_short The oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome: a prospective cohort study
title_sort oxylipins profile and their associations with embryo quality of women with polycystic ovary syndrome a prospective cohort study
topic PCOS
oxylipin
follicular fluid
DHA
embryo quality
url https://www.tandfonline.com/doi/10.1080/09513590.2025.2541658
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