Abstract

BackgroundAcupuncture, a therapy of traditional Chinese medicine, is confirmed to exert the therapeutic action on polycystic ovary syndrome (PCOS). However, the detailed therapeutic mechanisms of acupuncture in PCOS remain ambiguous. In this study, we further investigated whether electroacupuncture (EA) alleviated PCOS-like symptoms in rats via regulating a metabolic regulator, sterol regulatory element binding protein-1 (SREBP1).MethodsThe PCOS-like rat model was built by hypodermic injection with dehydroepiandrosterone (DHEA). The rats were subjected to EA intervention (ST29 and SP6 acupuncture points) for 5 weeks. Primary granulosa cells were isolated from control and PCOS-like rats for evaluating insulin resistance, mitochondrial dysfunction and oxidative stress in vitro.ResultsThe expression of SREBP1 was increased in PCOS-like rats, which was suppressed by EA treatment. In addition, lentivirus-mediated overexpression of SREBP1 restrained EA treatment-induced improvement in pathological changes, serum hormone levels and insulin resistance in rats. In addition, overexpression of SREBP1 repressed insulin-stimulated phosphorylation of insulin receptor β (IR) and AKT in primary granulosa cells. Moreover, upregulation of SREBP1 further exacerbated mitochondrial dysfunction and oxidative stress in granulosa cells isolated from PCOS-like rats. Mechanically, EA treatment suppressed SREBP1 expression through inducing the activation of AMP-activated protein kinase (AMPK) signaling pathway in PCOS-like rats.ConclusionEA intervention alleviated PCOS-like symptoms in rats via improving IR, mitochondrial dysfunction and oxidative stress through regulating SREBP1, a lipid metabolism regulator. Our findings illuminate the novel protective mechanisms of EA in the treatment of PCOS.

Highlights

  • Acupuncture, a therapy of traditional Chinese medicine, is confirmed to exert the therapeutic action on polycystic ovary syndrome (PCOS)

  • Effect of EA treatment on sterol regulatory element binding protein-1 (SREBP1) expression in PCOS‐like rats First, the expression of SREBP1 in ovarian tissues of rats was observed by immunofluorescence staining

  • EA intervention alleviated PCOS‐like symptoms via regulating SREBP1 we determined whether SREBP1 participated in the beneficial effect of EA against PCOS-like symptoms in rats

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Summary

Introduction

Acupuncture, a therapy of traditional Chinese medicine, is confirmed to exert the therapeutic action on polycystic ovary syndrome (PCOS). The detailed therapeutic mechanisms of acupuncture in PCOS remain ambiguous. We further investigated whether electroacupuncture (EA) alleviated PCOS-like symptoms in rats via regulating a metabolic regulator, sterol regulatory element binding protein-1 (SREBP1). Polycystic ovary syndrome (PCOS) is an endocrine disorder commonly seen in women of reproductive age, which is considered as the main reason for menstrual disorder and infertility [1]. Numerous studies have confirmed that insulin resistance may. The insulin resistance in PCOS patients may increase the risk of developing type 2 diabetes mellitus, hypertension, and hyperlipemia [5, 6]. Exploring novel effective measure for PCOS and elucidating its mechanisms are urgently needed

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