Abstract

BackgroundMaintenance of ovarian blood flow (OBF) is suggested to be important for regular ovulation in women with polycystic ovaries (PCO). The purpose of the present study was to investigate whether electro-acupuncture (EA) of different frequencies and intensities can improve the OBF of anaesthetized rat in the animal model of PCO.MethodsPCO was experimentally induced by a single intramuscular (i.m.) injection of estradiol valerate (EV) in rats. Control rats were given i.m. injection of oil. The involvement of the two ovarian sympathetic nerves; superior ovarian nerve (SON) and plexus ovarian nerve (OPN), in OBF responses was elucidated by severance of SON and OPN in both control and PCO rats. How systemic circulatory changes affect OBF was evaluated by continuous recording of the blood pressure. OBF was measured on the surface of the ovary-using laser Doppler flowmetry. Acupuncture needles were inserted bilaterally into the abdominal and hind limb muscles and connected to an electrical stimulator. Two frequencies – 2 Hz (low) and 80 Hz (high) – with three different intensities – 1.5, 3, and 6 mA – were applied for 35 s.ResultsLow-frequency EA at intensities of 3 and 6 mA elicited significant increases in OBF in the Control group compared to baseline. In the PCO group the increases in OBF were significant only when stimulating with low-frequency EA at 6 mA. After severance of the ovarian sympathetic nerves, the increased response of OBF that had been induced by low-frequency EA in both the Control and PCO group was abolished, indicating that the OBF response is mediated via the ovarian sympathetic nerves. High-frequency EA at 6 mA significantly decreased OBF and mean arterial blood pressure (MAP) in the Control group compared to baseline. In the PCO group, the same stimulation produced similar decreases in MAP, but not in OBF.ConclusionLow-frequency EA stimulation with a strong intensity (6 mA) increases OBF in rats with steroid-induced PCO whereas less strong intensity (3 mA) induces similar changes in control rats. Severance of the ovarian sympathetic nerves, abolish this OBF increase in both study groups, which suggests that the responses of OBF to EA are mediated via the ovarian sympathetic nerves.

Highlights

  • Maintenance of ovarian blood flow (OBF) is suggested to be important for regular ovulation in women with polycystic ovaries (PCO)

  • It has recently been shown that polycystic ovaries (PCO) in rats, induced by a single i.m. injection of estradiol valerate (EV), develop an anovulatory state that shares many endocrinological and morphological characteristics of human Polycystic ovary syndrome (PCOS), and it is assumed that the activity of the ovarian sympathetic nerves in PCO rats is higher than in normal rats [10,11,12]

  • mean arterial blood pressure (MAP) and OBF in the resting state in PCO and Control rats In a resting state, MAP was higher in the PCO group (95 ± 6 mmHg) than in the Control group (84 ± 4 mmHg), the difference did not reach statistical significance (p = 0.1290)

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Summary

Introduction

Maintenance of ovarian blood flow (OBF) is suggested to be important for regular ovulation in women with polycystic ovaries (PCO). It has recently been shown that polycystic ovaries (PCO) in rats, induced by a single i.m. injection of estradiol valerate (EV), develop an anovulatory state that shares many endocrinological and morphological characteristics of human PCOS, and it is assumed that the activity of the ovarian sympathetic nerves in PCO rats is higher than in normal rats [10,11,12]. This is evidenced by an increase in tyrosine hydroxylase enzyme activity, an increase in norepinephrine (NE) content and down regulation of β2adrenoceptors in the ovaries of rats with PCO [10,11,12]. Even if it is impossible to exactly reproduce the human PCOS using a rat model, the present model has many similarities with the human PCOS and may provide important leads about the disease

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