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去卵巢啮齿动物作为绝经后代谢综合征模型。一篇综述。

Ovariectomized rodents as a menopausal metabolic syndrome model. A minireview.

机构信息

Departamento de Bioquímica, Facultad de Medicina, 2do piso Laboratorio de Biología Molecular, Torre de Investigación, Universidad Nacional Autónoma de México, Mexico City, Mexico.

Facultad de Estudios Superiores Iztacala, Unidad de Biomedicina, Universidad Nacional Autónoma de México, Tlalnepantla, Mexico.

出版信息

Mol Cell Biochem. 2020 Dec;475(1-2):261-276. doi: 10.1007/s11010-020-03879-4. Epub 2020 Aug 27.

Abstract

Bilateral ovariectomy is the best characterized and the most reported animal model of human menopause. Ovariectomized rodents develop insulin resistance (IR) and visceral obesity, the main risk factors in the pathophysiology of metabolic syndrome (MS). These alterations are a consequence of hypoestrogenic status, which produces an augment of visceral fat, high testosterone levels (hyperandrogenism), as well as inflammation, oxidative stress, and metabolic complications, such as dyslipidemia, hepatic steatosis, and endothelial dysfunction, among others. Clinical trials have reported that menopause per se increases the severity and incidence of MS, and causes the highest mortality due to cardiovascular disease in women. Despite all the evidence, there are no reports that clarify the influence of estrogenic deficiency as a cause of MS. In this review, we provide evidence that ovariectomized rodents can be used as a menopausal metabolic syndrome model for evaluating and discovering new, safe, and effective therapeutic approaches in the treatment of cardiometabolic complications associated to MS during menopause.

摘要

双侧卵巢切除术是最具特征性和报道最多的人类绝经动物模型。去卵巢啮齿动物会发展出胰岛素抵抗(IR)和内脏肥胖,这是代谢综合征(MS)病理生理学的主要危险因素。这些改变是低雌激素状态的结果,它会导致内脏脂肪增加、睾酮水平升高(高雄激素血症)以及炎症、氧化应激和代谢并发症,如血脂异常、肝脂肪变性和内皮功能障碍等。临床试验报告称,绝经本身会增加 MS 的严重程度和发病率,并导致女性因心血管疾病而导致的最高死亡率。尽管有所有这些证据,但没有报告阐明雌激素缺乏是 MS 的原因。在这篇综述中,我们提供了证据表明,去卵巢啮齿动物可作为绝经后代谢综合征模型,用于评估和发现与绝经后 MS 相关的心血管代谢并发症的新的、安全和有效的治疗方法。

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