<!DOCTYPE article
PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20190208//EN"
       "JATS-journalpublishing1.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.4" xml:lang="en">
 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">Acta biomedica scientifica</journal-id>
   <journal-title-group>
    <journal-title xml:lang="en">Acta biomedica scientifica</journal-title>
    <trans-title-group xml:lang="ru">
     <trans-title>Acta biomedica scientifica</trans-title>
    </trans-title-group>
   </journal-title-group>
   <issn publication-format="print">2541-9420</issn>
   <issn publication-format="online">2587-9596</issn>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="publisher-id">14526</article-id>
   <article-id pub-id-type="doi">10.12737/23421</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>обзоры</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>Review</subject>
    </subj-group>
    <subj-group>
     <subject>обзоры</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">Polycystic ovary syndrome – 80 years of research and new directions in the study (literature review)</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>синдром поликистозных яичников – 80 лет исследований и новые направления в изучении данного вопроса (обзор литературы)</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Дамдинова</surname>
       <given-names>Людмила Владимировна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Damdinova</surname>
       <given-names>Lyudmila Vladimirovna</given-names>
      </name>
     </name-alternatives>
     <email>gygmytova@yandex.ru</email>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <contrib-id contrib-id-type="orcid">https://orcid.org/http://orcid.org/0000-­0002-­5335-­1248</contrib-id>
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Лещенко</surname>
       <given-names>Ольга Ярославна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Leshchenko</surname>
       <given-names>Olga Yaroslavna</given-names>
      </name>
     </name-alternatives>
     <email>loyairk@mail.ru</email>
     <bio xml:lang="ru">
      <p>доктор медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>doctor of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-2"/>
    </contrib>
   </contrib-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">Научный центр проблем здоровья семьи и репродукции человека</institution>
     <city>Иркутск</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Scientific Centre for Family Health and Human Reproduction Problems</institution>
     <city>Irkutsk</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">Научный центр проблем здоровья семьи и репродукции человека</institution>
     <city>Иркутск</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Scientific Centre for Family Health and Human Reproduction Problems</institution>
     <city>Irkutsk</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2016-12-11T00:00:00+03:00">
    <day>11</day>
    <month>12</month>
    <year>2016</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2016-12-11T00:00:00+03:00">
    <day>11</day>
    <month>12</month>
    <year>2016</year>
   </pub-date>
   <volume>1</volume>
   <issue>5</issue>
   <fpage>181</fpage>
   <lpage>186</lpage>
   <self-uri xlink:href="https://naukaru.ru/en/nauka/article/14526/view">https://naukaru.ru/en/nauka/article/14526/view</self-uri>
   <abstract xml:lang="ru">
    <p>В статье представлены актуальные данные истории изучения синдрома поликистозных яичников (СПКЯ). Отражены исследования генетической предрасположенности СПКЯ. Освещены этнические различия в фено-типических проявлениях СПКЯ, связь симптомов СПКЯ с развитием тревожно-депрессивных расстройств. Обсуждаются теории возникновения СПКЯ, в том числе теория связи СПКЯ с нарушениями бактериальной флоры кишечника, а также представлен обзор различных научных исследований в этой области.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>The article presents the current data of history of polycystic ovary syndrome (PCOS) study. It contains studies of genetic susceptibility of PCOS, PCOS symptoms and connection with development of anxiety and depressive disorders. The article covers ethnic differences in the phenotypic manifestations of PCOS. The papers describes the study of endocrine causes of infertility in Russian and Buryat women. Several theories of PCOS, including the theory of PCOS connection with intestinal bacterial flora disorders (“dysbiotic intestinal microbiota”) are being discussed. The article also provides an overview of various scientific research in this area and the data of the relationship of PCOS and the risk of cardiometa-bolic disorders, insulin resistance, metabolic syndrome, obesity and sleep apnea. It highlights modern aspects in the study of PCOS etiology – studies of adipose tissue as an endocrine organ. The article reflects study of PCOS relationship with the level of the gastrointestinal tract hormones: leptin, insulin, ghrelin, cholecystokinin, peptide YY. The effect of short-term low-dose hormonal contraceptives on appetite levels in PCOS is covered. The scientific articles on the severity of hypertension in menopausal women with PCOS history and the presence of overweight are reviewed. The scientific work determines molecular genetic markers of PCOS in the aspect of the influence of environmental factors on the expression of genes.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>СПКЯ</kwd>
    <kwd>синдром Штейна – Левенталя</kwd>
    <kwd>бесплодие</kwd>
    <kwd>олигоменорея</kwd>
    <kwd>инсулинорезистентность</kwd>
    <kwd>гиперандрогения</kwd>
    <kwd>гирсутизм</kwd>
    <kwd>поликистозные яичники</kwd>
    <kwd>кишечная микробиота</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>PCOS</kwd>
    <kwd>Stein-Leventhal syndrome</kwd>
    <kwd>infertility</kwd>
    <kwd>oligomenorrhea</kwd>
    <kwd>insulin resistance</kwd>
    <kwd>hyperandrogenism</kwd>
    <kwd>hirsutism</kwd>
    <kwd>polycystic ovaries</kwd>
    <kwd>intestinal microbiota</kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <p></p>
 </body>
 <back>
  <ref-list>
   <ref id="B1">
    <label>1.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">АлиеваЭ.А., ОвсянниковаТ.В., Пшеничнико-ваТ.Я. Бесплодие, обусловленное синдромом поли-кистозных яичников // Акушерство и гинекология.-1991. - No6. - С.59-62.</mixed-citation>
     <mixed-citation xml:lang="en">AliyevaEA, OvsyannikovaTV, PshenichnikovaTY(1991). Infertility caused by PCOS. [Besplodie, obuslovlen-noe sindromom polikistoznyih yaichnikov]. Аkusherstvo i ginekologiya, (6), 59-62.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B2">
    <label>2.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">АлиеваЭ.А., ПшеничниковаТ.Я., ГаспаровА.С. Патофизиология синдрома поликистозных яичников // Акушерство и гинекология. - 1989. - No4. - С.4-5.</mixed-citation>
     <mixed-citation xml:lang="en">AliyevaEA, PshenichnikovaTY, GasparovAS (1989). Pathophysiology of polycystic ovary syndrome [Pa-tofiziologiya sindroma polikistoznyih yaichnikov]. Аkusherstvo i ginekologiya, (4), 4-5.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B3">
    <label>3.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">НазаренкоТ.А., СотниковаЕ.И., ДуринянЭ.Р. Принципы и схемы стимуляции овуляции при бес-плодии, обусловленном нарушениями функции гипоталамо-гипофизарной системы // Акушерство и гинекология. - 1996 - No5 - С.46-50</mixed-citation>
     <mixed-citation xml:lang="en">NazarenkoTA, SotnikovaEI, DurinyanER (1996). The rules and algorisms for ovulation stimulation in infertility, caused by impaired function of the hypotha-lamic-pituitary axis [Printsipyi i shemyi stimulyatsii ovulyatsii pri besplodii, obuslovlennom narusheniyami funktsii gipotalamo-gipofizarnoy sistemyi]. Аkusherstvo i ginekologiya, (5), 46-50.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B4">
    <label>4.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">СеровВ.Н., Прилепская В.Н., ПшеничниковаТ.Я. Практическое руководство по гинекологической эндокринологии. - М.: Русфармомед, 1995. - 440 с.</mixed-citation>
     <mixed-citation xml:lang="en">SerovVN, PrilepskayaVN, PshenichnikovaTY (1995). Practical guide to gynecologic endocrinology [Praktich-eskoe rukovodstvo po ginekologicheskoy endokrinologii], 440.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B5">
    <label>5.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">ШипхинееваТ.И., СутуринаЛ.В., ДаржаевЗ.Ю., ЦыреновТ.Б., Ринчиндоржиева М.П. Характеристика причин эндокринного бесплодия у русских и буряток по данным обращаемости // Бюллетень ВСНЦ СО РАМН. - 2010. - No6- С.99-101</mixed-citation>
     <mixed-citation xml:lang="en">ShipkhineevaTI, SuturinaLV, DarzhaevZY, Tsyren-ovTB, RinchindorzhievaMP (2010). Characteristics of en-docrine infertility causes in Russian and Buryat according o the data from medical aid appealability [Kharakteristika prichin endokrinnogo besplodiya u russkikh i buryatok po dannym obrashchaemosti]. Bulleten’ Vostocno-Sibirskogo naucnogo centra, (6), 99-101</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B6">
    <label>6.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru">ШулуновС.С., ШенинВ.А., КолесниковаЛ.И.,ЛабыгинаА.В., СутуринаЛ.В., БольшаковаС.Е. Роль полиморфных генов в развитии синдрома полики-стозных яичников // Сибирский медицинский жур-нал. - 2011. - No7(106). - С 5-8</mixed-citation>
     <mixed-citation xml:lang="en">ShulunovSS, SheninVA, KolesnikovaLI, LabyginaAV, SuturinaLV, BolshakovaSE (2011). Role of polymorphic genes in polycystic ovary syndrome development [Rol’ polimorfnykh genov v razvitii sindroma polikistoznykh yaichnikov]. Sibirskiy Meditsinskiy Zhurnal, (7), 5-8</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B7">
    <label>7.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">АhimaRS, FlierJS (2000).Adipose tissue as an endocrine organ.Trends Endocrinology Metabolism,(11), 327-332</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B8">
    <label>8.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">ArusogluG, KoksalG, CinarN, TapanS, AksoyDY, YildizBO (2013). Basal and meal-stimulated ghrelin, PYY, CCK levels and satiety in lean women with polycystic ova-ry syndrome: effect of low-dose oral contraceptive. The Journal of Clinical Endocrinology and Metabolism, (11), 82.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B9">
    <label>9.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">AzzizR, AdashiEY (2016). Stein and Leventhal: 80 years on. Obstetrics Gynecology,(2), 247.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B10">
    <label>10.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">BhattacharyaS, JhaA (2010). Prevalence and risk of depressive disorders in women with polycystic ovary syndrome (PCOS). Fertility &amp;amp; Sterility, (94), 357.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B11">
    <label>11.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">CooperHE, SpellacyWN, PremKA, CohenWD(1968). Hereditary factors in Stein-Levental syndrome. Obstetrics Gynecology, (7), 371-387.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B12">
    <label>12.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">DeeksA, Gibson-Helm M, TeedeH (2010). Anxiety and depression in polycystic ovary syndrome: a compre-hensive investigation. Fertility &amp;amp; Sterility, (93), 242.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B13">
    <label>13.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">EltingMW, KorsenTJ, BezemerPD, SchoemakerJ(2001).Prevalence of diabetes mellitus, hypertension and cardiac complaints in a follow-up study of a Dutch PCOS population.Human Reproduction,(16), 556-560.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B14">
    <label>14.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">FauserBC, TarlatzisBC, RebarRW (2012). Con-sensus on women’s health aspects of polycystic ovary syndrome (PCOS): the Amsterdam ESHRE/ASRM-Spon-sored 3rd PCOS Consensus Workshop Group. Fertility &amp;amp; Sterility (97), 28-38</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B15">
    <label>15.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">FosterGD, SandersMH, MillmanR, ZammitG, Bor-radaileKE, NewmanAB, WaddenTA, KelleyD, WingRR, SunyerFX, DarceyV, KunaST (2009).Obstructive sleep apnea among obese patients with type 2 diabetes.Diabe-tes Care, (32), 1017-1019.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B16">
    <label>16.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">HahnS, HaselhorstU, QuadbeckB, TanS, Kim-migR, MannK, JanssenOE (2006). Decreased soluble leptin receptor levels in women with polycystic ovary syndrome. Endocrinology(154), 287-294.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B17">
    <label>17.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">HlaKM, YoungT, FinnL, PeppardPE, Szk-lo-CoxeM, StubbsM (2008). Longitudinal association of sleep-disordered breathing and nondipping of nocturnal blood pressure in the Wisconsin Sleep Cohort Study. En-docrinology, (31), 795-800.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B18">
    <label>18.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">MаnssonM (2008). Women with polycystic ovary syndrome are often depressed or anxious-A case control study. Psychoneuroendocrinology, (33), 1132-1138.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B19">
    <label>19.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">MoranLJ, NoakesM, CliftonPM, WittertGA, LeRouxCW, GhateiMA, BloomSR, NormanRJ (2007). Postprandial ghrelin, cholecystokinin, peptide YY, and appetite before and after weight loss in overweight women with and without polycystic ovary syndrome. The American Journal of Clinical Nutrition, 86(6), 1603-1610.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B20">
    <label>20.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">NobelsF, DewaillyD (1992). Puberty and poly-cystic ovarian syndrome: the insulin/insulin-like growth factor hypothesis. Fertility &amp;amp; Sterility, (4), 655-666.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B21">
    <label>21.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">OeiM, KazerR (1992). Variability of serum gonadotropin and dehydroepiandrosterone sulfate con-centrations in women with polycystic ovary syndrome. Iranian Journal of Reproductive Medicine, (12), 974-979.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B22">
    <label>22.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">PirwanyIR, FlemingR, SattarN, GreerIA, Wal-laceAM (2001).Circulating leptin concentrations and ovarian function in polycystic ovary syndrome.Endocri-nology,(145), 289-294.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B23">
    <label>23.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">PusalkarM, MeherjiP, GokralJ, SavardekarL, ChinnarajS, MaitraA (2010).Obesity and polycystic ova-ry syndrome: association with androgens, leptin and its genotypes.Gynecology &amp;amp; Endocrinology,(26), 874-882.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B24">
    <label>24.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">RandevaHS, ТаnBK, WeickertMO, LoisK,NestlerJE, SattarN, LehnertH (2012). Cardiometabolic aspects of the polycystic ovary syndrome. Review of En-docrinology, 33(5), 812-41.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B25">
    <label>25.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">SattarN, WannametheeG, SarwarN, ChernovaJ, LawlorDA, KellyA, WallaceAM, DaneshJ, WhincupPH (2009).Leptin and coronary heart disease: prospective study and systematic review. Journal of the American College of Cardiology, (153), 167-175.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B26">
    <label>26.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">ScottTKelley, Skarra DV,RiveraAJ, Thackray VG (2016). The gut microbiome is altered in a letro-zole-induced mouse model of polycystic ovary syn-drome, PLoS ONE, (1)5; 11(1). doi: 10.1371/journal.pone.0146509.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B27">
    <label>27.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">SomersVK, WhiteDP, AminR, AbrahamWT, CostaF, CulebrasA, DanielsS, FlorasJS, HuntCE, OlsonLJ, PickeringTG, RussellR, WooM, YoungT (2008). Sleep apnea and cardiovascular disease: an American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Ed-ucation Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing. Journal of the American College of Cardiology, (52), 686-717.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B28">
    <label>28.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">SteinIF, LevinthalML (1935). Amenorrhea associated with bilateral polycystic ovaries, Obstetrics Gynecology, (29), 181-191</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B29">
    <label>29.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">TasaliE, ChapototF, LeproultR, WhitmoreH,EhrmannDA (2011). Treatment of obstructive sleep apnea improves cardiometabolic function in young obese women with polycystic ovary syndrome.The Journal of Clinical Endocrinology and Metabolism (96), 365-374.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B30">
    <label>30.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">ТasaliE, MokhlesiB, Van CauterE (2008).Ob-structive sleep apnea and type 2 diabetes: interacting epidemics.Chest Journal,(133), 496-506</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B31">
    <label>31.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">TremellenK, PearceK(2012) Dysbiosis of Gut Microbiota (DOGMA) - a novel theory for the development of Polycystic Ovarian Syndrome. Medical Hypotheses, 79(1), 104. doi:10.1016/j.mehy.2012.04.016 [PubMed].</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B32">
    <label>32.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">TsilchorozidouT, BatterhamRL, ConwayGS(2008). Metformin increases fasting plasma peptide tyrosine tyrosine (PYY) in women with polycystic ovar-ian syndrome (PCOS). Clinical Endocrinology, 69(6), 936-942</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B33">
    <label>33.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">VgontzasAN, LegroRS, BixlerEO, GrayevA,KalesA, ChrousosGP (2001).Polycystic ovary syndrome is associated with obstructive sleep apnea and daytime sleepiness: role of insulin resistance.The Journal of Clinical Endocrinology and Metabolism, (86), 517-520.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B34">
    <label>34.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">VrbíkovaJ, CífkovaR, JirkovskaA, LanskaV, PlatilovaH, ZamrazilV, StarkaL (2003). Cardiovascular risk factors in young Czech females with polycystic ovary syndrome.Human Reproduction,(18), 980-984.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B35">
    <label>35.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">YildizhanR, IlhanGA, YildizhanB, KolusariA,AdaliE, BugdayciG (2011). Serum retinol-binding protein 4, leptin, and plasma asymmetric dimethylargi-nine levels in obese and nonobese young women with polycystic ovary syndrome. Fertility &amp;amp; Sterility, (96), 246-250.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B36">
    <label>36.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">ZhaoL, GuoY, QiY, YangX, WenS, LiuY, TangL(2016). Association between Polycystic Ovary Syndrome andGutMicrobiota, PLoS ONE, 11(4), doi: 10.1371/journal.pone.0153196 [PubMed].</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B37">
    <label>37.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">ZhaoY, QiaoJ (2013). Ethnic differences in the phenotypic expression of polycystic ovary syndrome. Steroids, (78), 755-760.</mixed-citation>
    </citation-alternatives>
   </ref>
   <ref id="B38">
    <label>38.</label>
    <citation-alternatives>
     <mixed-citation xml:lang="ru"></mixed-citation>
     <mixed-citation xml:lang="en">WeickertMO, HodgesP, TanBK, RandevaHS (2012). Neuroendocrine and endocrine dysfunction in the hyperinsulinemic PCOS patient: the role of metformin. Minerva Endocrinologica, 37(1), 25-40</mixed-citation>
    </citation-alternatives>
   </ref>
  </ref-list>
 </back>
</article>
