Abstract

Aim: We aimed to examine the alterations of the insulin signaling pathway, autophagy, nitrative stress and the effect of vitamin D supplementation in the liver and ovaries of vitamin D deficient hyperandrogenic rats. Methods: Female Wistar rats received eight weeks of transdermal testosterone treatment and lived on a low vitamin D diet (D–T+). Vitamin D supplementation was achieved by oral administration of vitamin D3 (D+T+). Sham-treated (D+T–) and vitamin D deficient animals (D–T–) served as controls. (N = 10–12 per group). Results: D–T+ animals showed decreased LC3 II levels in the liver and increased p-Akt/Akt and p-eNOS/eNOS ratios with decreased insulin receptor staining in the ovaries. Vitamin D supplementation prevented the increase of Akt phosphorylation in the ovaries. Vitamin D deficiency itself also led to decreased LC3 II levels in the liver and decreased insulin receptor staining in the ovaries. D–T+ group showed no increase in nitrotyrosine staining; however, the ovaries of D–T– rats and the liver of D+T+ animals showed increased staining intensity. Conclusion: Vitamin D deficiency itself might lead to disrupted ovarian maturation and autophagy malfunction in the liver. Preventing Akt phosphorylation may contribute to the beneficial effect of vitamin D treatment on ovarian function in hyperandrogenism.

Highlights

  • Polycystic ovary syndrome (PCOS) is a complex endocrine disease of fertile women, its estimated occurrence is between 5–15%

  • We aimed to examine the effect of vitamin D supplementation on insulin receptor signaling, autophagosomal turnover and nitrative stress in the liver and the ovaries in a vitamin D deficient hyperandrogenic rat model of PCOS

  • Testosterone treatment led to an elevated number of smaller, mostly primordial follicles that is typical for PCOS, and reduced serum progesterone levels caused by missing luteinisation

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Summary

Introduction

Polycystic ovary syndrome (PCOS) is a complex endocrine disease of fertile women, its estimated occurrence is between 5–15%. PCOS involves hyperandrogenism and ovulatory dysfunction leading to infertility or an increased rate of miscarriage. It is associated with a variety of other comorbidities including obesity, type 2 diabetes mellitus (T2DM), and non-alcoholic fatty liver disease (NAFLD) [1]. Vitamin D deficiency is shown to commonly be associated with PCOS [2,3]. Both vitamin D deficiency [4] and hyperandrogenism may contribute to the development of insulin resistance (IR) observed in women with PCOS, the underlying mechanism of IR seems to be different [5].

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