| 1,127 | 28 | 33 |
| 下载次数 | 被引频次 | 阅读次数 |
多囊卵巢综合征(PCOS)是一种常见的影响育龄期妇女的内分泌疾病,病因尚未明确,是导致无排卵性不孕的主要原因。高雄激素血症是PCOS的主要特征之一,高雄激素水平可能会导致卵泡闭锁,但雄激素生成机制的改变尚不明确,可能依赖于多个传导通路的相互作用。明确PCOS高雄激素血症相关的信号转导通路,可以为PCOS的治疗提供新思路。本文结合既往研究,对PCOS卵泡内促进雄激素分泌以及高雄激素水平导致卵泡发育异常的信号转导通路进行综述。
Abstract:Polycystic ovary syndrome(PCOS) is a common endocrine disease affecting women of childbearing age. The etiology of PCOS is not clear, which is the main cause of anovulatory infertility. Hyperandrogenemia is one of the main characteristics of PCOS. The high level of androgen may lead to follicular atresia, but the mechanism of androgen production is still unclear, which may depend on the interaction of multiple pathways. To clarify the signal transduction pathway related to hyperandrogenemia in PCOS can provide a new idea for the treatment of PCOS. Combined with previous studies, this paper reviews the signal transduction pathways that promote androgen secretion in PCOS follicles and the abnormal follicular development caused by high androgen level.
[1] 中华医学会妇产科学分会内分泌学组及指南专家组.多囊卵巢综合征中国诊疗指南[J].中华妇产科杂志,2018,53:2-6.
[2] Bjekic-Macut J,Vukasin T,Velija-Asimi Z,et al.Polycystic ovary syndrome:a contemporary clinical approach[J/OL].Curr Pharm Des,2021,27:3812-3820.
[3] 高婧,周莉,陈慧,等.血清游离睾酮在多囊卵巢综合征患者中诊断高雄激素血症的价值[J].生殖医学杂志,2016,25:205-208.
[4] Yang Z,Zhou W,Zhou C,et al.Steroid metabolome profiling of follicular fluid in normo- and hyperandrogenic women with polycystic ovary syndrome[J].J Steroid Biochem Mol Biol,2021,206:105806.
[5] Ye W,Xie T,Song Y,et al.The role of androgen and its related signals in PCOS[J].J Cell Mol Med,2021,25:1825-1837.
[6] 杨欣,曹金龙,李晓凤,等.基于代谢组学的多囊卵巢综合征研究进展[J].生殖医学杂志,2021,30:120-124.
[7] Gonzalez E,Guengerich FP.Kinetic processivity of the two-step oxidations of progesterone and pregnenolone to androgens by human cytochrome P450 17A1[J].J Biol Chem,2017,292:13168-13185.
[8] Panghiyangani R,Soeharso P,Andrijono,et al.CYP19A1 gene expression in patients with polycystic ovarian syndrome[J].J Hum Reprod Sci,2020,13:100-103.
[9] Yen HW,Jakimiuk AJ,Munir I,et al.Selective alterations in insulin receptor substrates-1,-2 and -4 in theca but not granulosa cells from polycystic ovaries[J].Mol Hum Reprod,2004,10:473-479.
[10] Wang F,Wang S,Zhang Z,et al.Defective insulin signaling and the protective effects of dimethyldiguanide during follicular development in the ovaries of polycystic ovary syndrome[J].Mol Med Rep,2017,16:8164-8170.
[11] Song WJ,Shi X,Zhang J,et al.Akt-mTOR signaling mediates abnormalities in the proliferation and apoptosis of ovarian granulosa cells in patients with polycystic ovary syndrome[J].Gynecol Obstet Invest,2018,83:124-132.
[12] Belani M,Deo A,Shah P,et al.Differential insulin and steroidogenic signaling in insulin resistant and non-insulin resistant human luteinized granulosa cells-A study in PCOS patients[J].J Steroid Biochem Mol Biol,2018,178:283-292.
[13] Xu Y,Gao Y,Huang Z,et al.LKB1 suppresses androgen synthesis in a mouse model of hyperandrogenism via IGF-1 signaling[J].FEBS Open Bio,2019;9:1817-1825.
[14] Nelson-Degrave VL,Wickenheisser JK,Hendricks KL,et al.Alterations in mitogen-activated protein kinase kinase and extracellular regulated kinase signaling in theca cells contribute to excessive androgen production in polycystic ovary syndrome[J].Mol Endocrinol,2005,19:379-390.
[15] Liu Y,Li S,Tao T,et al.Intrafollicular fibroblast growth factor 13 in polycystic ovary syndrome:relationship with androgen levels and oocyte developmental competence[J].J Ovarian Res,2018,11:87.
[16] Pyun BJ,Yang H,Sohn E,et al.Tetragonia tetragonioides(Pall.) Kuntze regulates androgen production in a letrozole-induced polycystic ovary syndrome model[J].Molecules,2018,23:1173.
[17] Lan CW,Chen MJ,Tai KY,et al.Functional microarray analysis of differentially expressed genes in granulosa cells from women with polycystic ovary syndrome related to MAPK/ERK signaling[J].Sci Rep,2015,5:14994.
[18] Huang X,Jin J,Shen S,et al.Modulation of expression of 17-hydroxylase/17,20 lyase(CYP17) and P450 aromatase(CYP19) by inhibition of MEK1 in a human ovarian granulosa-like tumor cell line[J].Gynecol Endocrinol,2016,32:201-205.
[19] Zhang X,Xiao H,Zhang X,et al.Decreased microRNA-125b-5p disrupts follicle steroidogenesis through targeting PAK3/ERK1/2 signalling in mouse preantral follicles[J].Metabolism,2020,107:154241.
[20] Gu Y,Xu W,Zhuang B,et al.Role of A-kinase anchoring protein 95 in the regulation of cytochrome P450 family 19 subfamily A member 1(CYP19A1) in human ovarian granulosa cells[J].Reprod Fertil Dev,2018,30:1128-1136.
[21] Yu K,Wang RX,Li MH,et al.Melatonin reduces androgen production and upregulates heme oxygenase-1 expression in granulosa cells from PCOS patients with hypoestrogenia and hyperandrogenia[J].Oxid Med Cell Longev,2019,2019:8218650.
[22] McAllister JM,Han AX,Modi BP,et al.miRNA profiling reveals miRNA-130b-3p mediates DENND1A variant 2 expression and androgen biosynthesis[J].Endocrinology,2019,160:1964-1981.
[23] Qin L,Xie YD,Zhang XG,et al.ETA-mediated anti-TNF-α therapy ameliorates the phenotype of PCOS model induced by letrozole[J].PLoS One,2019,14:e0217495.
[24] Li H,Huang X,Chang X,et al.S100-A9 protein in exosomes derived from follicular fluid promotes inflammation via activation of NF-κB pathway in polycystic ovary syndrome[J].J Cell Mol Med,2020,24:114-125.
[25] Glister C,Richards SL,Knight PG.Bone morphogenetic proteins(BMP) -4,-6,and -7 potently suppress basal and luteinizing hormone-induced androgen production by bovine theca interna cells in primary culture:could ovarian hyperandrogenic dysfunction be caused by a defect in thecal BMP signaling?[J].Endocrinology,2005,146:1883-1892.
[26] Liu Y,Du SY,Ding M,et al.The BMP4-Smad signaling pathway regulates hyperandrogenism development in a female mouse model[J].J Biol Chem,2017,292:11740-11750.
[27] L?ssl K,Freiesleben NC,Wissing ML,et al.Biological and clinical rationale for androgen priming in ovarian stimulation[J].Front Endocrinol(Lausanne),2020,11:627.
[28] Laird M,Thomson K,Fenwick M,et al.Androgen stimulates growth of mouse preantral follicles in vitro:interaction with follicle-stimulating hormone and with growth factors of the TGFβ superfamily[J].Endocrinology,2017,158:920-935.
[29] Shea LD,Woodruff TK,Shikanov A.Bioengineering the ovarian follicle microenvironment[J].Annu Rev Biomed Eng,2014,16:29-52.
[30] Kayampilly PP,Menon KM.AMPK activation by dihydrotestosterone reduces FSH-stimulated cell proliferation in rat granulosa cells by inhibiting ERK signaling pathway[J].Endocrinology,2012,153:2831-2838.
[31] Ji SY,Liu XM,Li BT,et al.The polycystic ovary syndrome-associated gene Yap1 is regulated by gonadotropins and sex steroid hormones in hyperandrogenism-induced oligo-ovulation in mouse[J].Mol Hum Reprod,2017,23:698-707.
[32] Lim JJ,Lima PDA,Salehi R,et al.Regulation of androgen receptor signaling by ubiquitination during folliculogenesis and its possible dysregulation in polycystic ovarian syndrome[J].Sci Rep,2017,7:10272.
[33] Qu F,Wang FF,Lu XE,et al.Altered aquaporin expression in women with polycystic ovary syndrome:hyperandrogenism in follicular fluid inhibits aquaporin-9 in granulosa cells through the phosphatidylinositol 3-kinase pathway[J].Hum Reprod,2010,25:1441-1450.
[34] Liu T,Zhao H,Wang J,et al.The role of fructose-1,6-bisphosphatase 1 in abnormal development of ovarian follicles caused by high testosterone concentration[J].Mol Med Rep,2017,16:6489-6498.
[35] Safaei Z,Bakhshalizadeh S,Nasr-Esfahani MH,et al.Vitamin D3 affects mitochondrial biogenesis through mitogen-activated protein kinase in polycystic ovary syndrome mouse model[J].J Cell Physiol,2020,235:6113-6126.
[36] Iwase A,Goto M,Harata T,et al.Insulin attenuates the insulin-like growth factor-I(IGF-I)-Akt pathway,not IGF-I-extracellularly regulated kinase pathway,in luteinized granulosa cells with an increase in PTEN[J].J Clin Endocrinol Metab,2009,94:2184-2191.
[37] He T,Sun Y,Zhang Y,et al.MicroRNA-200b and microRNA-200c are up-regulated in PCOS granulosa cell and inhibit KGN cell proliferation via targeting PTEN[J].Reprod Biol Endocrinol,2019,17:68.
基本信息:
中图分类号:R711.75
引用信息:
[1]颜孟晗,孙振高,曹靖先,等.多囊卵巢综合征卵泡内信号转导通路与高雄激素血症的关系[J].生殖医学杂志,2022,31(01):116-122.
基金信息:
国家自然基金资助项目(81674018,81874484)
2021-05-19
2021
2021-07-09
2021-11-30
2021
1
2022-01-15
2022-01-15