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短期给予雷帕霉素可提高去氢表雄酮诱导多囊卵巢综合征小鼠的睾酮水平,并加重其生殖障碍。

Short-term rapamycin administration elevated testosterone levels and exacerbated reproductive disorder in dehydroepiandrosterone-induced polycystic ovary syndrome mice.

机构信息

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

出版信息

J Ovarian Res. 2021 May 4;14(1):64. doi: 10.1186/s13048-021-00813-0.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is a multifactorial endocrinopathy that affects reproduction and metabolism. Mammalian target of rapamycin (mTOR) has been shown to participate in female reproduction under physiological and pathological conditions. This study aimed to investigate the role of mTOR complex 1 (mTORC1) signaling in dehydroepiandrosterone (DHEA)-induced PCOS mice.

RESULTS

Female C57BL/6J mice were randomly assigned into three groups: control group, DHEA group, and DHEA + rapamycin group. All DHEA-treated mice were administered 6 mg/100 g DHEA for 21 consecutive days, and the DHEA + rapamycin group was intraperitoneally injected with 4 mg/kg rapamycin every other day for the last 14 days of the DHEA treatment. There was no obvious change in the expression of mTORC1 signaling in the ovaries of the control and DHEA groups. Rapamycin did not protect against DHEA-induced acyclicity and PCO morphology, but impeded follicle development and elevated serum testosterone levels in DHEA-induced mice, which was related with suppressed Hsd3b1, Cyp17a1, and Cyp19a1 expression. Moreover, rapamycin also exacerbated insulin resistance but relieved lipid metabolic disturbance in the short term.

CONCLUSIONS

Rapamycin exacerbated reproductive imbalance in DHEA-induced PCOS mice, which characterized by elevated testosterone levels and suppressed steroid synthesis. This underscores the need for new mTORC1-specific and tissue-specific mTOR-related drugs for reproductive disorders.

摘要

背景

多囊卵巢综合征(PCOS)是一种影响生殖和代谢的多因素内分泌疾病。哺乳动物雷帕霉素靶蛋白(mTOR)已被证明在生理和病理条件下参与女性生殖。本研究旨在探讨 mTOR 复合物 1(mTORC1)信号在脱氢表雄酮(DHEA)诱导的 PCOS 小鼠中的作用。

结果

将雌性 C57BL/6J 小鼠随机分为三组:对照组、DHEA 组和 DHEA+雷帕霉素组。所有 DHEA 处理的小鼠连续 21 天给予 6mg/100g DHEA,DHEA+雷帕霉素组在 DHEA 治疗的最后 14 天每隔一天腹腔注射 4mg/kg 雷帕霉素。对照组和 DHEA 组卵巢中 mTORC1 信号的表达没有明显变化。雷帕霉素不能预防 DHEA 诱导的无排卵和 PCO 形态,但阻碍了 DHEA 诱导的小鼠卵泡发育并升高了血清睾酮水平,这与 Hsd3b1、Cyp17a1 和 Cyp19a1 表达受抑制有关。此外,雷帕霉素还加重了胰岛素抵抗,但在短期内缓解了脂质代谢紊乱。

结论

雷帕霉素加重了 DHEA 诱导的 PCOS 小鼠的生殖失衡,其特征是血清睾酮水平升高和类固醇合成抑制。这突显了需要新的 mTORC1 特异性和组织特异性 mTOR 相关药物来治疗生殖障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66e0/8097915/e2f591b94f62/13048_2021_813_Fig1_HTML.jpg

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