Abstract

Hyperandrogenemia (HA) is a hallmark of polycystic ovary syndrome (PCOS) and is an integral element of non-alcoholic fatty liver disease (NALFD) in females. Administering low-dose dihydrotestosterone (DHT) induced a normal weight PCOS-like female mouse model displaying NAFLD. The molecular mechanism of HA-induced NAFLD has not been fully determined. We hypothesized that DHT would regulate hepatic lipid metabolism via increased SREBP1 expression leading to NAFLD. We extracted liver from control and low-dose DHT female mice; and performed histological and biochemical lipid profiles, Western blot, immunoprecipitation, chromatin immunoprecipitation, and real-time quantitative PCR analyses. DHT lowered the 65 kD form of cytosolic SREBP1 in the liver compared to controls. However, DHT did not alter the levels of SREBP2 in the liver. DHT mice displayed increased SCAP protein expression and SCAP-SREBP1 binding compared to controls. DHT mice exhibited increased AR binding to intron-8 of SCAP leading to increased SCAP mRNA compared to controls. FAS mRNA and protein expression was increased in the liver of DHT mice compared to controls. p-ACC levels were unaltered in the liver. Other lipid metabolism pathways were examined in the liver, but no changes were observed. Our findings support evidence that DHT increased de novo lipogenic proteins resulting in increased hepatic lipid content via regulation of SREBP1 in the liver. We show that in the presence of DHT, the SCAP-SREBP1 interaction was elevated leading to increased nuclear SREBP1 resulting in increased de novo lipogenesis. We propose that the mechanism of action may be increased AR binding to an ARE in SCAP intron-8.

Highlights

  • Polycystic ovary syndrome (PCOS) affects 10–20% of reproductive-aged women

  • Impaired insulin signaling in white adipose tissue (WAT) promotes lipolysis leading to increased serum triglycerides and free fatty acids (FFA), driving lipid accumulation mainly in the liver (Samuel & Shulman 2016)

  • luteinizing hormone (LH) and follicle-stimulating hormone (FSH) serum levels were unchanged in DHT compared to control mice (Supplementary Fig. 1D and E); the LH:FSH ratio was increased (Supplementary Fig. 1F) as is seen in women with PCOS

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Summary

Introduction

Polycystic ovary syndrome (PCOS) affects 10–20% of reproductive-aged women. Hyperandrogenemia (HA) is a hallmark of PCOS. Impaired insulin signaling in white adipose tissue (WAT) promotes lipolysis leading to increased serum triglycerides and free fatty acids (FFA), driving lipid accumulation mainly in the liver (Samuel & Shulman 2016). Previous work has shown that low-dose DHT female mice displayed obesity-independent impaired glucose tolerance, insulin resistance, and increased hepatic gluconeogenesis without increased serum triglycerides or FFAs (Andrisse et al 2017). Despite not getting fat, here we show that these low-dose DHT female mice displayed obesity-independent increased hepatic lipid content. HA is a common endocrinopathy and contributes significantly to increased rates of metabolic syndrome (MetS), including nonalcoholic fatty liver disease (NAFLD) and type 2 diabetes (T2D). Accumulation of serum-derived FFAs and intrahepatic FA manipulate hepatic lipid metabolism, primarily altering lipogenic gene transcription (Berlanga et al 2014)

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