Wang Xiu-xiu, Li Wei, Liu Yi-chao
Department of Obstetrics and Gynecology, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2010 Feb;30(2):161-6.
To investigate the functional and metabolic alterations in cultured insulin resistant ovary model in vitro, and to observe the effect of berberine (Ber, a Chinese medical monomer) in improving insulin resistance (IR).
Ovary of mouse was cultured in vitro and treated by dexamethasone (Dex) to induce IR for establishing IR model ovary. The functional alteration in model ovary was assessed through detecting glucose and hormone levels in medium using RT-PCR, meanwhile, the expression of key molecules in insulin signal and steroid synthetic pathway were detected, and condition of IR improved by berberine was evaluated also.
(1) The model ovary was made by Dex in dose- and acting time-dependent manner. After being treated by 300 nmol/L Dex for 48 h, the glucose uptake of ovary reduced from 9.05 +/- 0.75 mg/g to 2.48 +/- 0.29 mg/g (P < 0.05); it further decreased (from 9.59 +/- 1.74 mg/g to 1.94 +/- 0.19 mg/g, P < 0.01) under the stimulation of insulin, which proved that the IR model ovary was made successfully. Berberine significantly increased the glucose uptake of model ovaries (1.89 +/- 0.33 mg/g to 13.95 +/- 3.30 mg/g, P < 0.05). (2) As compared with control group, levels of testosterone (T) and androstenedione (A2) were higher, and levels of progesterone (P) and 17-hydroxyprogesterone (17-OHP) were lower significantly in the model. Berberine reversed the alternations of T, A2 and 17-OHP levels, but did not influence the level of P. (3) RT-PCR showed that the mRNA expressions of cytochrome 17-hydroxylase (CYP17) and mini-chromosome maintenance protein-2 (MCM-2) elevated, but extracellular regulated protein-1 (ERK-1), protein kinase B (AKT-2) and glycogen synthase kinase-3 (GSK-3beta) lowered in the medium after Dex inducing. Berberine treatment restored these molecular index obviously.
(1) Dex could induce IR in mouse ovary, which might enhance the androgenic synthesis. (2) Berberine could alleviate the degree of IR and the androgen synthesis, indicating that the Chinese sensitizing agents has favorable therapeutic effect for the treatment of polycystic ovaries.
研究体外培养的胰岛素抵抗卵巢模型的功能和代谢变化,并观察黄连素(一种中药单体)改善胰岛素抵抗(IR)的作用。
体外培养小鼠卵巢,用地塞米松(Dex)处理诱导IR以建立IR模型卵巢。通过RT-PCR检测培养基中的葡萄糖和激素水平来评估模型卵巢的功能变化,同时检测胰岛素信号和类固醇合成途径中关键分子的表达,并评估黄连素改善IR的情况。
(1)Dex以剂量和作用时间依赖性方式建立模型卵巢。用300 nmol/L Dex处理48 h后,卵巢葡萄糖摄取量从9.05±0.75 mg/g降至2.48±0.29 mg/g(P<0.05);在胰岛素刺激下进一步降低(从9.59±1.74 mg/g降至1.94±0.19 mg/g,P<0.01),证明成功建立了IR模型卵巢。黄连素显著增加模型卵巢的葡萄糖摄取量(从1.89±0.33 mg/g增至13.95±3.30 mg/g,P<0.05)。(2)与对照组相比,模型中睾酮(T)和雄烯二酮(A2)水平较高,孕酮(P)和17-羟孕酮(17-OHP)水平显著较低。黄连素逆转了T、A2和17-OHP水平的变化,但不影响P水平。(3)RT-PCR显示,Dex诱导后培养基中细胞色素17-羟化酶(CYP17)和微小染色体维持蛋白-2(MCM-2)的mRNA表达升高,但细胞外调节蛋白-1(ERK-1)、蛋白激酶B(AKT-2)和糖原合酶激酶-3(GSK-3β)降低。黄连素处理明显恢复了这些分子指标。
(1)Dex可诱导小鼠卵巢IR,可能增强雄激素合成。(2)黄连素可减轻IR程度和雄激素合成,表明该中药增敏剂对多囊卵巢治疗有良好疗效。