Abstract

Polycystic Ovary Syndrome (PCOS) is a heterogeneous endocrine disease with high incidences in women of reproductive age. Although miR-185-5p (miR-185) was decreased in PCOS patients, the exact function of miR-185 on PCOS development still requires further investigation. In this study, rat injected with dehydroepiandrosterone (DHEA) was established as a PCOS model. A lentivirus carrying miR-185 was employed to examine its effect on PCOS symptoms. Then we performed the luciferase reporter assay to validate the interactions between miR-185 and vascular endothelial growth factor A (VEGFA). Finally, human ovarian microvascular endothelial cells (HOMECs) were induced by VEGF to explore the role of miR-185 in the angiogenic process. The results showed that miR-185 overexpression improved insulin level alteration and ovarian histological lesion in PCOS rats. We also found that miR-185 reduced the excessive angiogenesis as indicated by alterations of VEGFA, ANGPT1/2, PDGFB/D, α-SMA and CD31 in the ovary of PCOS rats. Luciferase reporter assay identified that VEGFA directly interacted with miR-185, and its expression level was negatively regulated by miR-185. The in vitro results further demonstrated that miR-185-induced suppression of cell proliferation, migration and tube formation was attenuated by VEGF in HOMECs. In summary, this is the first study to show that miR-185 can target VEGFA to inhibit angiogenesis, thus improving the development of PCOS. These findings develop a molecular candidate for PCOS prevention and therapy.

Highlights

  • Polycystic Ovary Syndrome (PCOS), a prevalent endocrine disorder, has nearly 6–10% incident rates in women of reproductive age

  • We found that miR-185 level was decreased in the ovary of PCOS rat model and its overexpression decreased insulin levels, improved ovarian histological lesions, and blocked angiogenic processes in PCOS rats

  • Our results showed that the improvement of miR-185 on PCOS progression might be attributed to the inhibition of excessive angiogenesis by targeting vascular endothelial growth factor A (VEGFA)

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Summary

Introduction

Polycystic Ovary Syndrome (PCOS), a prevalent endocrine disorder, has nearly 6–10% incident rates in women of reproductive age. PCOS patients who undergo over response to gonadotrophin stimulation can trigger severe ovarian hyperstimulation syndrome (OHSS) (Peitsidis and Agrawal, 2010). Evidence suggests the involvement of abnormal ovarian angiogenesis in various pathological conditions of PCOS, such as OHSS, ovulation disorder, subfertility and even endometriosis (Geva and Jaffe, 2000; Reynolds et al, 2002; Di Pietro et al, 2018). Much of literature in this field has highlighted that vascular endothelial growth factor (VEGF) may be a crucial mediator of OHSS (McClure et al, 1994; Ferrara and Davis-Smyth, 1997; Agrawal et al, 1998; Garcia-Velasco and Pellicer, 2003), which is high-expressed in PCOS patients (Peitsidis and Agrawal, 2010; Almawi et al, 2016). This paper is to further explore a potential mechanism about the involvement of angiogenesis in PCOS progress

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