Endocrinology and Metabolism Research Institute and Department of Endocrinology and Metabolism, Shanghai Ninth People's Hospital Affiliated Shanghai Jiaotong University School of Medicine, Shanghai 200011, China.
Reprod Biol Endocrinol. 2012 Jan 25;10:5. doi: 10.1186/1477-7827-10-5.
There is a high prevalence of diabetes mellitus (DM) and dyslipidemia in women with polycystic ovary syndrome (PCOS). The purpose of this study was to investigate the role of different metabolic pathways in the development of diabetes mellitus in high-androgen female mice fed with a high-fat diet.
Female Sprague-Dawley rats were divided into 3 groups: the control group(C), n = 10; the andronate-treated group (Andronate), n = 10 (treated with andronate, 1 mg/100 g body weight/day for 8 weeks); and the andronate-treated and high-fat diet group (Andronate+HFD), n = 10. The rate of glucose appearance (Ra of glucose), gluconeogenesis (GNG), and the rate of glycerol appearance (Ra of glycerol) were assessed with a stable isotope tracer. The serum sex hormone levels, insulin levels, glucose concentration, and the lipid profile were also measured.
Compared with control group, both andronate-treated groups exhibited obesity with higher insulin concentrations (P < 0.05) but similar blood glucose concentrations. Of the two andronate-treated groups, the andronate+HFD group had the most serious insulin resistance (IR). Estrus cycles were completely acyclic, with polycystic ovaries and elevated serum lipid profiles in the andronate+HFD group (P < 0.05). Ra of glucose and GNG increased significantly in the andronate+HFD rats. However, the Ra of glycerol was similar in the three groups.
Andronate with HFD rat model showed ovarian and metabolic features of PCOS, significant increase in glucose Ra, GNG, and lipid profiles, as well as normal blood glucose levels. Therefore, aberrant IR, increased glucose Ra, GNG, and lipid metabolism may represent the early-stage of glucose and lipid kinetics disorder, thereby might be used as potential early-stage treatment targets for PCOS.
多囊卵巢综合征(PCOS)女性中糖尿病(DM)和血脂异常的患病率很高。本研究旨在探讨不同代谢途径在高脂肪饮食喂养的高雄性激素雌性小鼠发生糖尿病中的作用。
将雌性 Sprague-Dawley 大鼠分为 3 组:对照组(C),n = 10;安特诺特治疗组(安特诺特),n = 10(用安特诺特,1mg/100g 体重/天治疗 8 周);安特诺特治疗和高脂饮食组(安特诺特+HFD),n = 10。用稳定同位素示踪剂评估葡萄糖出现率(Ra of glucose)、糖异生(GNG)和甘油出现率(Ra of glycerol)。还测量了血清性激素水平、胰岛素水平、血糖浓度和血脂谱。
与对照组相比,安特诺特治疗组均表现出肥胖,胰岛素浓度较高(P < 0.05),但血糖浓度相似。在两个安特诺特治疗组中,安特诺特+HFD 组的胰岛素抵抗(IR)最严重。动情周期完全无周期性,安特诺特+HFD 组多囊卵巢和血清脂质谱升高(P < 0.05)。安特诺特+HFD 大鼠的葡萄糖 Ra 和 GNG 显著增加。然而,三组的甘油 Ra 相似。
安特诺特+HFD 大鼠模型表现出卵巢和 PCOS 的代谢特征,葡萄糖 Ra、GNG 和脂质谱显著增加,血糖水平正常。因此,异常的 IR、葡萄糖 Ra、GNG 和脂质代谢可能代表葡萄糖和脂质动力学紊乱的早期阶段,因此可能作为 PCOS 的潜在早期治疗靶点。