Division of Pediatric Endocrinology, Johns Hopkins School of Medicine , Baltimore, Maryland.
Department of Physiology and Biophysics, Howard University College of Medicine , Washington, District of Columbia.
Am J Physiol Endocrinol Metab. 2018 Apr 1;314(4):E353-E365. doi: 10.1152/ajpendo.00195.2017. Epub 2017 Dec 19.
Hyperandrogenemia and hyperinsulinemia are believed to play prominent roles in polycystic ovarian syndrome (PCOS). We explored the effects of low-dose dihydrotestosterone (DHT), a model of PCOS, on insulin signaling in metabolic and reproductive tissues in a female mouse model. Insulin resistance in the energy storage tissues is associated with type 2 diabetes. Insulin signaling in the ovaries and pituitary either directly or indirectly stimulates androgen production. Energy storage and reproductive tissues were isolated and molecular assays were performed. Livers and white adipose tissue (WAT) from DHT mice displayed lower mRNA and protein expression of insulin signaling intermediates. However, ovaries and pituitaries of DHT mice exhibited higher expression levels of insulin signaling genes/proteins. Insulin-stimulated p-AKT levels were blunted in the livers and WAT of the DHT mice but increased or remained the same in the ovaries and pituitaries compared with controls. Glucose uptake decreased in liver and WAT but was unchanged in pituitary and ovary of DHT mice. Plasma membrane GLUTs were decreased in liver and WAT but increased in ovary and pituitary of DHT mice. Skeletal muscle insulin-signaling genes were not lowered in DHT mice compared with control. DHT mice did not display skeletal muscle insulin resistance. Insulin-stimulated glucose transport increased in skeletal muscles of DHT mice compared with controls. DHT mice were hyperinsulinemic. However, the differential mRNA and protein expression pattern was independent of hyperinsulinemia in cultured hepatocytes and pituitary cells. These findings demonstrate a differential effect of DHT on the insulin-signaling pathway in energy storage vs. reproductive tissues independent of hyperinsulinemia.
高雄激素血症和高胰岛素血症被认为在多囊卵巢综合征(PCOS)中起重要作用。我们在雌性小鼠模型中探索了低剂量二氢睾酮(DHT),一种 PCOS 模型,对代谢和生殖组织中胰岛素信号的影响。储存组织中的胰岛素抵抗与 2 型糖尿病有关。卵巢和垂体中的胰岛素信号直接或间接刺激雄激素的产生。我们分离了能量储存和生殖组织并进行了分子检测。DHT 小鼠的肝脏和白色脂肪组织(WAT)显示胰岛素信号中间产物的 mRNA 和蛋白表达水平降低。然而,DHT 小鼠的卵巢和垂体表现出更高水平的胰岛素信号基因/蛋白表达。与对照组相比,DHT 小鼠肝脏和 WAT 中的胰岛素刺激 p-AKT 水平降低,但卵巢和垂体中的胰岛素刺激 p-AKT 水平增加或保持不变。DHT 小鼠的肝脏和 WAT 葡萄糖摄取减少,但垂体和卵巢中的葡萄糖摄取不变。DHT 小鼠的肝脏和 WAT 中的质膜 GLUTs 减少,但卵巢和垂体中的 GLUTs 增加。与对照组相比,DHT 小鼠的骨骼肌胰岛素信号基因没有降低。DHT 小鼠没有表现出骨骼肌胰岛素抵抗。与对照组相比,DHT 小鼠的骨骼肌胰岛素刺激葡萄糖转运增加。DHT 小鼠表现为高胰岛素血症。然而,在培养的肝细胞和垂体细胞中,差异的 mRNA 和蛋白表达模式与高胰岛素血症无关。这些发现表明 DHT 对能量储存与生殖组织中胰岛素信号通路的影响存在差异,与高胰岛素血症无关。