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Insulin Resistance Directly Contributes to Androgenic Potential Within Ovarian Theca Cells
Oleh:
JunWei, Qu
;
Yong, Wang
;
Xiaoke, Wu
;
Lei, Gao
;
Lihui, Hou
;
Erkkola, Risto
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 91 no. 5 Sup (May 2009)
,
page 1990-1997.
Topik:
Insulin resistance
;
ovarian theca cells
;
insulin sensitizers
;
PCOS
Ketersediaan
Perpustakaan FK
Nomor Panggil:
F02.K.2009.02
Non-tandon:
1 (dapat dipinjam: 0)
Tandon:
tidak ada
Lihat Detail Induk
Isi artikel
Objective : To investigate whether insulin resistance (IR) within theca cells may directly contribute to their hyperandrogenism, a heritable trait of polycystic ovary syndrome (PCOS). Design : In vitro cell model. Setting : University-affiliated laboratory. Animal(s) : Porcine ovaries. Intervention(s) : Ovarian theca cells from porcine follicles were isolated and cultured. Insulin resistance was induced in theca cells without (Con) or with dexamethasone (Dex); cells were further treated by troglitazone (Tro) and metformin (Met) in IR cells or by vehicle only in IR and Con cells. Main Outcome Measure(s) : Medium glucose and T levels; reverse transcriptase polymerase chain reaction (RT-PCR) and Western blot for insulin signal molecules and androgenic enzyme. Result(s) : As compared with Con cells, Dex-treated cells had significantly lower [3H]-glucose uptake (565 ± 58 cpm/106 vs. 1077 ± 78 cpm/106) but higher medium glucose levels (16.31 ± 0.39 nmol/L vs. 10.62 ± 1.02 nmol/L) and had approximately twofold T levels (0.82 ± 0.20 µg/L vs. 0.38±0.08µg/L). Troglitazone and Met significantly reduced the medium glucose and testosterone concentrations to levels comparable to those in Con cells. The RT-PCR and Western blot showed that the two sensitizers in different ways reversed the altered messenger RNA and protein expression of insulin receptor substrate-1, glucose transporter-4, peroxisome proliferator-activated receptor-?, and 17a-hydroxylase in Dex-induced IR cells. Conclusion(s) : Insulin resistance induced by Dex could directly exaggerate androgenic potential within theca cells, suggesting the possible involvement of this ovarian metabolic phenotype in PCOS hyperandrogenism.
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