Armstrong D G, Gong J G, Webb R
Division of Integrative Biology, Roslin Institute (Edinburgh), Roslin, Midlothian EH25 9PS, UK.
Reprod Suppl. 2003;61:403-14.
The effects of acute changes in dietary intake on ovarian activity can be correlated with changes in circulating concentrations of metabolic hormones including insulin, insulin-like growth factor I (IGF-I), growth hormone and leptin. There is no corresponding change in circulating gonadotrophin concentrations and it is proposed that the dietary induced changes in ovarian activity, resulting from acute changes in dietary intake, are a result of direct actions of these metabolic hormones on the ovary. Changes in the peripheral concentrations of insulin, IGF-I and leptin were also associated with the initiation of a synchronized wave of follicle growth and it is hypothesized that oestrogen secreted by the developing follicle is involved in regulating the secretion of these metabolic hormones. At the cellular level, physiological concentrations of insulin and IGF-I interact to stimulate oestradiol production by granulosa cells. In contrast, leptin inhibits FSH-stimulated oestradiol production by granulosa cells and LH-stimulated androstenedione production by theca cells. At the molecular level, dietary energy intake affects the expression of mRNA encoding components of the ovarian IGF system and these changes can directly influence the bioavailability of intrafollicular IGF. This, in turn, can increase the sensitivity or response of follicles to FSH and is one mechanism through which nutrition can directly affect follicle recruitment. Dietary induced increases in intrafollicular IGF bioavailability also have a negative effect on oocyte quality, and diets that are optimal for follicle growth may not necessarily be optimal for oocyte maturation.
饮食摄入量的急性变化对卵巢活动的影响,可与包括胰岛素、胰岛素样生长因子I(IGF-I)、生长激素和瘦素在内的代谢激素循环浓度的变化相关联。循环促性腺激素浓度没有相应变化,有人提出,饮食摄入量的急性变化所导致的饮食诱导的卵巢活动变化,是这些代谢激素对卵巢直接作用的结果。胰岛素、IGF-I和瘦素外周浓度的变化也与同步的卵泡生长波的启动有关,并且据推测,发育中的卵泡分泌的雌激素参与调节这些代谢激素的分泌。在细胞水平上,胰岛素和IGF-I的生理浓度相互作用,刺激颗粒细胞产生雌二醇。相反,瘦素抑制颗粒细胞中FSH刺激的雌二醇产生以及卵泡膜细胞中LH刺激的雄烯二酮产生。在分子水平上,饮食能量摄入影响编码卵巢IGF系统成分的mRNA的表达,这些变化可直接影响卵泡内IGF的生物利用度。这反过来又可增加卵泡对FSH的敏感性或反应性,这是营养可直接影响卵泡募集的一种机制。饮食诱导的卵泡内IGF生物利用度增加对卵母细胞质量也有负面影响,对卵泡生长最佳的饮食不一定对卵母细胞成熟最佳。