山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (5): 22-30.doi: 10.6040/j.issn.1671-7554.0.2022.0016
虎娜1,2,孙苗1,2,邢莎莎1,2,许丹霞1,3,海小明1,3,马玲1,3,杨丽4,勉昱琛1,2,何瑞1,2,陈冬梅3,马会明1,2
HU Na1,2, SUN Miao1,2, XING Shasha1,2, XU Danxia1,3, HAI Xiaoming1,3, MA Ling1,3, YANG Li4, MIAN Yuchen1,2, HE Rui1,2, CHEN Dongmei3, MA Huiming1,2
摘要: 目的 探讨月见草油(EPO)对高脂饮食联合来曲唑所致多囊卵巢综合征(PCOS)模型大鼠激素水平、代谢水平、氧化水平以及卵巢组织中NAD-依赖性去乙酰化酶Sirtuin-1(SIRT1)/转录因子叉头框蛋白O1(FoxO1)信号通路表达的影响。 方法 72只大鼠共分为6组,12只为正常对照,其余60只大鼠喂食高脂饲料(40%脂肪)8周,并在喂食方案的最后3周,联合浓度为1 mg/(kg·d)的来曲唑灌胃21 d,制备PCOS大鼠模型。模型制备结束后经尾部血清激素水平分析,每组剔除偏差较大的模型大鼠2只,并把正常对照组和模型制备成功的大鼠分为6组,每组10只,分别为正常对照组、PCOS模型组、二甲双胍组、EPO小剂量组、EPO中剂量组、EPO大剂量组。ELISA方法和生化酶法检测各组血清空腹血糖(FPG)、空腹胰岛素(FINS)、睾酮(T)、促卵泡生成激素(FSH)、促黄体生成激素(LH)、超氧化物歧化酶(SOD)、总抗氧化能力(T-AOC)和丙二醛(MDA),苏木精-伊红(HE)染色观察各组卵巢形态,免疫组织化学和蛋白质免疫印迹法(Western blotting)检测卵巢组织SIRT1/FoxO1通路和相关抗氧化因子SOD1和谷胱甘肽转移酶(GST)以及衰老因子SIRT1和FoxO1的定位与相对表达水平。 结果 与正常对照组相比,PCOS模型组体质量、FPG、FINS、T、LH和FSH水平均升高(P<0.001);SOD和T-AOC 水平下降(P<0.001),MDA水平升高(P<0.001)。 ELISA结果显示,EPO和二甲双胍治疗后,体质量、FPG、FINS水平较PCOS模型组均呈下降趋势且有统计学意义(P<0.001),各组SOD水平与PCOS模型组相比升高(P<0.001),MDA水平下降(P<0.05),二甲双胍组、EPO中剂量组和大剂量组T-AOC水平较PCOS模型组升高(P<0.001);二甲双胍组和EPO中剂量组、大剂量组T和LH水平较PCOS模型组下降(P<0.001);二甲双胍组和EPO治疗大剂量组FSH水平较PCOS模型组下降(P<0.001)。免疫组化结果显示,SOD1、GST 和SIRT1蛋白在颗粒细胞、间质细胞、原始卵泡和黄体均有阳性表达;Western blotting结果显示,与正常对照组相比,PCOS模型组卵巢组织SIRT1(P<0.001)、FoxO1、P-FoxO1、P-FoxO1/FoxO1(P=0.003)、SOD1(P=0.003)和GST蛋白表达量均增加(P<0.001);EPO大剂量组SOD1(P=0.003)、GST(P=0.007)和P-FoxO1蛋白表达较PCOS模型组下降(P=0.003),EPO中剂量组SIRT1(P=0.011)和FoxO1(P=0.353)蛋白表达下降。 结论 EPO改善PCOS模型大鼠血清中氧化因子和激素水平,且抑制SIRT1/FoxO1信号通路因子表达,提高卵巢组织的抗氧化能力并改善其氧化应激。
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