Objective:To investigate the role of Chemerin in the pathogenesis of polycystic ovarian syndrome(PCOS). Methods:Hu-man ovarian granulosa cells(COV434) were cultured in vitro. Down-regulation and overexpression of Chemerin were performed in the COV434 cells. Enzyme-linked immunosorbent assay was used to determine the concentrations of inflammatory factors such as interleukin-6(IL-6),interleukin-8(IL-8),and interleukin-10(IL-10),and tumor necrosis factor-α(TNF-α) in the culture medium. The EdU method and flow cytometry were used to measure cell proliferation ability and apoptosis,respectively. Results:Compared with the negative control group(LV3-NC),the down-regulation groups(LV3-shChemerin-1,LV3-shChemerin-2) had significantly lower concentrations of IL-6,IL-8,and TNF-α and a significantly higher concentration of IL-10 in the culture medium(PIL-6=0.006,PIL-8=0.001,PTNF-α=0.012,PIL-10=0.002),significantly lower proliferative capacity of COV434 cells(P=0.004),and signifi-cantly enhanced apoptosis(P=0.000). Compared with the negative control group(LV5-NC),the overexpression group(LV5-Chemerin) had significantly higher concentrations of IL-6,IL-8,and TNF-α and a significantly lower concentration of IL-10 in the culture medium(PIL-6=0.044,PIL-8=0.008,PTNF-α=0.015,PIL-10=0.004),significantly higher proliferative capacity of COV434 cells(P=0.013),and significantly reduced apoptosis(P=0.030). Conclusion:Chemerin plays a role in the development and progression of PCOS by promoting inflammatory response,inducing proliferation,and inhibiting apoptosis of ovarian granulosa cells.