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多囊卵巢综合征雄鼠模型中海洛因诱导的胰岛素引起的主动脉环松弛作用改变。

Altered insulin-induced relaxation of aortic rings in a dihydrotestosterone-induced rodent model of polycystic ovary syndrome.

机构信息

Department of Cardiology, Bajcsy Zs. Hospital, Budapest, Hungary.

出版信息

Fertil Steril. 2013 Feb;99(2):573-8. doi: 10.1016/j.fertnstert.2012.09.024. Epub 2012 Oct 9.

Abstract

OBJECTIVE

To clarify the effects of dihydrotestosterone (DHT)-induced polycystic ovary syndrome (PCOS) on the insulin-dependent vasodilatation of the thoracic aorta and the role of vitamin D in a rat model.

DESIGN

Controlled experimental animal study.

SETTING

Laboratory.

ANIMAL(S): Thirty adolescent female Wistar rats.

INTERVENTION(S): The PCOS model was induced by 10 weeks of DHT treatment (83 μg/d). One-half of the DHT-treated animals also received vitamin D (120 ng/kg/wk).

MAIN OUTCOME MEASURE(S): The aortic rings of the control, DHT, and DHT plus vitamin D-treated animals were isolated. The insulin-dependent vasodilation of the isolated aortic rings was compared in Krebs-Ringer solution and under blockade of nitric oxide (NO) synthase or cyclooxygenase.

RESULT(S): The insulin-dependent vasorelaxation decreased in both DHT-treated groups independently from the vitamin D treatment; NO-dependent and -independent relaxations were both impaired. In response to prostanoid, vasoconstriction was increased after DHT treatment. The NO-independent relaxation was partially improved by vitamin D treatment, which was neutralized by increased prostanoid-dependent vasoconstriction.

CONCLUSION(S): Previously, we found that vitamin D treatment prevented systemic insulin resistance; however, in this study, we did not detect any influence on the vascular insulin resistance of the aorta that was induced by DHT treatment. Consequently, controlling insulin resistance with vitamin D alone did not resolve the aortic endothelial dysfunction caused by the hyperandrogenic state.

摘要

目的

阐明二氢睾酮(DHT)诱导的多囊卵巢综合征(PCOS)对胸主动脉胰岛素依赖性血管舒张的影响,以及维生素 D 在大鼠模型中的作用。

设计

对照实验动物研究。

地点

实验室。

动物

30 只青春期雌性 Wistar 大鼠。

干预措施

通过 10 周 DHT 治疗(83 μg/d)诱导 PCOS 模型。一半的 DHT 治疗动物还接受了维生素 D(120ng/kg/wk)治疗。

主要观察指标

分离对照组、DHT 组和 DHT+维生素 D 治疗组的主动脉环。在 Krebs-Ringer 溶液中以及在一氧化氮(NO)合酶或环氧化酶阻断的情况下,比较分离的主动脉环的胰岛素依赖性血管舒张作用。

结果

无论是否接受维生素 D 治疗,两组 DHT 治疗组的胰岛素依赖性血管舒张均减弱;NO 依赖性和非依赖性舒张均受损。在前列腺素反应中,DHT 治疗后血管收缩增加。维生素 D 治疗部分改善了非 NO 依赖性舒张,但被增加的前列腺素依赖性血管收缩所中和。

结论

之前,我们发现维生素 D 治疗可预防全身胰岛素抵抗;然而,在这项研究中,我们没有发现 DHT 治疗引起的主动脉胰岛素抵抗的血管有任何改善。因此,仅用维生素 D 控制胰岛素抵抗并不能解决由高雄激素状态引起的主动脉内皮功能障碍。

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