Department of Physiology, University of Kragujevac, Faculty of Medical Sciences, Svetozara Markovica 69, 34000 Kragujevac, Serbia.
Department of Gynecology and Obstetrics, University of Kragujevac, Faculty of Medical Sciences, Svetozara Markovica 69, 34000 Kragujevac, Serbia.
Oxid Med Cell Longev. 2021 Aug 31;2021:8862878. doi: 10.1155/2021/8862878. eCollection 2021.
Polycystic ovary syndrome (PCOS) is a multifaced reproductive endocrinopathy affecting 6-20% of women of childbearing age. It was previously shown that women with PCOS have an increased risk of cardiovascular (CV) diseases. The aim of this study was to evaluate the cardiodynamic parameters of isolated rats' hearts, blood pressure levels, and histomorphological changes in the heart tissue following the androgen-induced PCOS model in rats and the role of oxidative stress in the development of these CV properties of PCOS. 21-day-old female rats ( = 12) were divided into control and PCOS groups. PCOS was induced by administration of testosterone enanthate (1 mg/kg BW, daily) during 35 days. During the autoregulation protocol (40-120 mmHg) on the Langendorff apparatus, ex vivo cardiodynamic parameters of retrogradely perfused hearts showed enhanced contractile function and increased lusitropic effects in the left ventricle (LV) in PCOS rats. Systolic and diastolic pressures in LV were elevated at all perfusion pressure values. Systemic arterial systolic blood pressure showed borderline elevation, while mean arterial blood pressure was significantly higher in PCOS rats. Histological evaluation of heart tissue depicted hypertrophic (8.3%) alterations in LV cardiomyocytes and increase (7.3%) in LV wall thickness. Oxidative stress parameters were altered in systemic circulation, coronary venous effluent (CVE), and heart tissue. Levels of superoxide dismutase and reduced glutathione were decreased in blood and heart tissue, while catalase activity was not altered. Degree of lipid peroxidation was increased in circulation as well as heart tissue. Increased levels of O in CVE indicated the cardiotoxic effects in the rat PCOS model. The mentioned alterations of oxidative stress parameters in the blood, CVE, and heart could be recommended as potential contributors underlying the development of CV risk in PCOS women.
多囊卵巢综合征(PCOS)是一种影响生育年龄妇女 6-20%的多方面生殖内分泌疾病。先前的研究表明,患有 PCOS 的女性患心血管(CV)疾病的风险增加。本研究旨在评估雄激素诱导的 PCOS 大鼠模型中大鼠心脏的心动动力学参数、血压水平和心脏组织的组织形态学变化,以及氧化应激在 PCOS 这些 CV 特性发展中的作用。将 21 日龄雌性大鼠(n=12)分为对照组和 PCOS 组。在 35 天期间,每天给予睾酮 enanthate(1mg/kg BW)诱导 PCOS。在 Langendorff 仪器上的自动调节方案(40-120mmHg)中,逆行灌注心脏的离体心动动力学参数显示 PCOS 大鼠的收缩功能增强和左心室(LV)舒张功能改善。LV 的收缩压和舒张压在所有灌注压力值下均升高。系统动脉收缩压升高接近临界值,而平均动脉血压在 PCOS 大鼠中显著升高。心脏组织的组织学评估显示 LV 心肌细胞肥大(8.3%)和 LV 壁厚度增加(7.3%)。氧化应激参数在全身循环、冠状静脉流出物(CVE)和心脏组织中发生改变。血液和心脏组织中超氧化物歧化酶和还原型谷胱甘肽水平降低,而过氧化氢酶活性没有改变。循环和心脏组织中的脂质过氧化程度增加。CVE 中 O 的增加表明大鼠 PCOS 模型中的心脏毒性作用。血液、CVE 和心脏中氧化应激参数的这些变化可能被推荐为 PCOS 女性 CV 风险发展的潜在原因。