“…We identified several key genes, such as IRS1, KLF5, CYP1B1, ETS1, and BMP4, and some signaling pathways including steroid metabolic process, response to insulin, female pregnancy, estrous cycle, and fat cell differentiation. The alternation of these genes’ expression and signaling pathways could contribute to the symptoms of PCOS, such as the type 2 diabetes, infertility, hormonal disorders, and obesity ( Combs et al, 2021 ; Mao et al, 2021 ). Additionally, we found some DEGs were significantly enriched in circadian rhythm signaling pathway ( Figure 1E ), suggesting that insomnia observed in some of the PCOS patients might be due to the expression changes of these genes.…”