Abstract

OBJECTIVES:Polycystic ovary syndrome is a heterogeneous endocrine disorder that affects reproductive-age women. The mechanisms underlying the endocrine heterogeneity and neuroendocrinology of polycystic ovary syndrome are still unclear. In this study, we investigated the expression of the kisspeptin system and gonadotropin-releasing hormone pulse regulators in the hypothalamus as well as factors related to luteinizing hormone secretion in the pituitary of polycystic ovary syndrome rat models induced by testosterone or estradiol.METHODS:A single injection of testosterone propionate (1.25 mg) (n=10) or estradiol benzoate (0.5 mg) (n=10) was administered to female rats at 2 days of age to induce experimental polycystic ovary syndrome. Controls were injected with a vehicle (n=10). Animals were euthanized at 90-94 days of age, and the hypothalamus and pituitary gland were used for gene expression analysis.RESULTS:Rats exposed to testosterone exhibited increased transcriptional expression of the androgen receptor and estrogen receptor-β and reduced expression of kisspeptin in the hypothalamus. However, rats exposed to estradiol did not show any significant changes in hormone levels relative to controls but exhibited hypothalamic downregulation of kisspeptin, tachykinin 3 and estrogen receptor-α genes and upregulation of the gene that encodes the kisspeptin receptor.CONCLUSIONS:Testosterone- and estradiol-exposed rats with different endocrine phenotypes showed differential transcriptional expression of members of the kisspeptin system and sex steroid receptors in the hypothalamus. These differences might account for the different endocrine phenotypes found in testosterone- and estradiol-induced polycystic ovary syndrome rats.

Highlights

  • Another abnormality that is common in women with Polycystic ovary syndrome (PCOS) is aberrant gonadotropin-releasing hormone (GnRH) secretion, which favors higher production of luteinizing hormone (LH) and an increase in androgen production by the ovaries [2]

  • The kisspeptin system, which includes kisspeptin, dynorphin A and neurokinin B/tachykinin 3, is essential for GnRH/LH pulse control, and it is believed that impairments in this system might contribute to endocrine dysfunction in PCOS [3]

  • TG rats exhibited upregulation of the androgen receptor (Ar) and estrogen receptor (ER)-b (Esr2) genes compared to CG animals (p=0.04, F=3.522; and P=0.02, F=4.497, respectively)

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Summary

Introduction

Another abnormality that is common in women with PCOS is aberrant gonadotropin-releasing hormone (GnRH) secretion, which favors higher production of luteinizing hormone (LH) and an increase in androgen production by the ovaries [2]. The kisspeptin system, which includes kisspeptin, dynorphin A and neurokinin B/tachykinin 3, is essential for GnRH/LH pulse control, and it is believed that impairments in this system might contribute to endocrine dysfunction in PCOS [3]. Evidence suggests that neuroendocrine dysfunction in insulin signaling alters GnRH/LH secretion and impair reproductive cyclicity [4]

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