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丙酸睾酮诱导的多囊卵巢综合征大鼠模型中的神经递质改变

Neurotransmitter alteration in a testosterone propionate-induced polycystic ovarian syndrome rat model.

作者信息

Chaudhari Nirja K, Nampoothiri Laxmipriya P

出版信息

Horm Mol Biol Clin Investig. 2017 Feb 1;29(2):71-77. doi: 10.1515/hmbci-2016-0035.

Abstract

BACKGROUND

Polycystic ovarian syndrome (PCOS), one of the leading causes of infertility seen in women, is characterized by anovulation and hyperandrogenism, resulting in ovarian dysfunction. In addition, associations of several metabolic complications like insulin resistance, obesity, dyslipidemia and psychological co-morbidities are well known in PCOS. One of the major factors influencing mood and the emotional state of mind is neurotransmitters. Also, these neurotransmitters are very crucial for GnRH release. Hence, the current study investigates the status of neurotransmitters in PCOS.

MATERIALS AND METHODS

A PCOS rat model was developed using testosterone. Twenty-one-day-old rats were subcutaneously injected with 10 mg/kg body weight of testosterone propionate (TP) for 35 days. The animals were validated for PCOS characteristics by monitoring estrus cyclicity, serum testosterone and estradiol levels and by histological examination of ovarian sections. Neurotransmitter estimation was carried out using fluorometric and spectrophotometric methods.

RESULTS

TP-treated animals demonstrated increased serum testosterone levels with unaltered estradiol content, disturbed estrus cyclicity and many peripheral cysts in the ovary compared to control rats mimicking human PCOS. Norepinephrine (NE), dopamine, serotonin, γ-amino butyric acid (GABA) and epinephrine levels were significantly low in TP-induced PCOS rats compared to control ones, whereas the activity of acetylcholinesterase in the PCOS brain was markedly elevated.

CONCLUSION

Neurotransmitter alteration could be one of the reasons for disturbed gonadotropin-releasing hormone (GnRH) release, consequently directing the ovarian dysfunction in PCOS. Also, decrease in neurotransmitters, mainly NE, serotonin and dopamine (DA) attributes to mood disorders like depression and anxiety in PCOS.

摘要

背景

多囊卵巢综合征(PCOS)是女性不孕的主要原因之一,其特征为无排卵和高雄激素血症,导致卵巢功能障碍。此外,PCOS患者中胰岛素抵抗、肥胖、血脂异常等多种代谢并发症以及心理共病之间的关联已为人熟知。影响情绪和心理状态的主要因素之一是神经递质。而且,这些神经递质对促性腺激素释放激素(GnRH)的释放至关重要。因此,本研究调查了PCOS患者神经递质的状况。

材料与方法

使用睾酮建立PCOS大鼠模型。给21日龄大鼠皮下注射10mg/kg体重的丙酸睾酮(TP),持续35天。通过监测发情周期、血清睾酮和雌二醇水平以及对卵巢切片进行组织学检查,验证动物是否具有PCOS特征。使用荧光法和分光光度法进行神经递质评估。

结果

与模拟人类PCOS的对照大鼠相比,TP处理的动物血清睾酮水平升高,雌二醇含量未改变,发情周期紊乱,卵巢出现许多外周囊肿。与对照大鼠相比,TP诱导的PCOS大鼠中去甲肾上腺素(NE)、多巴胺、血清素、γ-氨基丁酸(GABA)和肾上腺素水平显著降低,而PCOS大鼠大脑中乙酰胆碱酯酶的活性明显升高。

结论

神经递质改变可能是促性腺激素释放激素(GnRH)释放紊乱的原因之一,从而导致PCOS患者卵巢功能障碍。此外,神经递质减少,主要是NE、血清素和多巴胺(DA)减少,导致PCOS患者出现抑郁和焦虑等情绪障碍。

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