Abstract

Growing evidence showed that the gut microbiota was associated with premature ovarian failure (POF). Many clinical types of research had shown that electroacupuncture was effective in the treatment of POF. However, there was little research on regulating the gut microbiome of POF mice by electroacupuncture. Therefore, this study attempted to verify whether electroacupuncture could regulate the gut microbiome in POF mice. POF mice were established by being injected intraperitoneally with cisplatin (2 mg/kg) for 2 weeks. Guanyuan (CV4) and Sanyinjiao (SP6) were selected in the electroacupuncture-at-the-acupoints group (EA group). Nonacupoints around CV4 and SP6 were selected in the electroacupuncture-at-the-nonacupoints group (EN group). The EA group and EN group were treated for 3 weeks. The ovarian function was evaluated by histopathological and molecular assays. Meanwhile, the gut microbiome of all mice was detected by 16S rDNA sequencing. The results showed that EA could restore the estrous cycle and reduce the number of atresia follicles in POF mice. The levels of serum follicle-stimulating hormone and luteinizing hormone were decreased by EA. As well, the levels of serum estradiol, anti-Mullerian hormone, and β-glucuronidase were increased by EA. The relative expressions of PI3K, AKT, and mTOR were increased to promote the proliferation of ovarian cells in the EA group. According to the results of 16S rDNA sequencing, the abundance and diversity of the gut microbiome could be regulated by EA. The relative abundance of beneficial bacteria was increased by EA. The KEGG pathway analysis showed that the gut microbiome associated with the estrogen signaling pathway, oocyte maturation, and PI3K-AKT signaling pathway was regulated by EA.

Highlights

  • Nowadays, more and more patients are diagnosed with premature ovarian failure (POF) in clinics. e epidemiology shows that the incidence rate of women with POF in childbearing age is over 4% [1]

  • The weight of the EA group showed a recovery trend, and besides, a significant increase could be observed than the POF group, the weight of the EA group was still slightly lower than the control group

  • We found that EA could repair the injured ovary and restore the estrous cycle in cisplatin-induced POF mice in this study

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Summary

Introduction

More and more patients are diagnosed with premature ovarian failure (POF) in clinics. e epidemiology shows that the incidence rate of women with POF in childbearing age is over 4% [1]. More and more patients are diagnosed with premature ovarian failure (POF) in clinics. E epidemiology shows that the incidence rate of women with POF in childbearing age is over 4% [1]. POF is the premature decline or failure of ovarian function before 40 years old. E level of serum follicle-stimulating hormone (FSH) is increased and estradiol (E2) is decreased in patients with POF [2]. POF can be caused by metabolic disorders, gonadotropin dysfunction, immune damage, chemical damage, genetic factors, and others. The aetiology remains unclear in nearly half of the patients with POF [3]. Can supplement exogenous hormones and relieve the symptoms caused by hormone deficiency in time [4]. The risk of breast cancer may be increased by longterm use of HT [5]. Erefore, an alternative or complementary therapy is needed for POF The risk of breast cancer may be increased by longterm use of HT [5]. erefore, an alternative or complementary therapy is needed for POF

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